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Home My WebLink AboutBLDE-22-005298 \ Commonwealth of Official Use Only �. `k\ Massachusetts Permit No. BLDE-22-005298 • BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:3/23/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 7 OUT OF BOUNDS DR Owner or Tenant Peter Donovan Telephone No. Owner's Address 7 OUT OF BOUNDS DR,SOUTH YARMOUTH, MA 02664-2040 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Miscellaneous work per attached. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total _Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- ❑ 'No.of Emergency Lighting rnd. grad. ,Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertinr Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ADAIR MARTINS ELECTRICAN Licensee: Adair Martins Signature LIC.NO.: 55688 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:215 Palomino Drive, Barnstable Ma 02630 Alt.Tel.No.: 5088156173 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 q(1. 222 i tReztcikt c-rx- i sce.chon 6 (2-0,13 14 Conmmonweaa o`///amac .lle official useonly _e �(Jeivarbva ni o f gins Service; No. • BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fre Checked [Rev.1ro7 1/07) (!cave blank) 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical .. (M ,527 CMR 12.00 VPLEASEPRINT IN INK OR TYPE ALL INFORMATION) City or Town of: YARMH / _ , . y this application the undersigned gi„es noticeYARMOUor T H int tion to To the Inspector of Wires: perform the electrical work described below. Location(Street&Number) Owner or Tenant f• � �1 �� _. ,,ii 141 in 41111bwoer's Address Is this u s i �, Telephone No. 31 permit In conjunction th a building permit? Yes a No purpose of Building ❑ (Check Appropriate Box) Utility Aathorizadon No. Misting Service Amps / Volts Overhead New Service ❑ Undgrd 0 No.of Meters Amps / Volts Overhead 0 Undgrd Number of Feeders and Ampacity g ❑ No.of Meters Location Nature of Proposed Electrical Work: Co 'tenon, the olio* : table nt, be waived b the/n , for o Wires, No.of Recessed /tb Ltndnaireat Na of CeU.-Susp.(Paddle)Fans 'o.o ora Na otl,umivah+e Outlets Transformers KVA No.of Hot Tubs Generators KVA ' Na of Luminaires Swimming Pool ',d e r-, n-d. ❑ 'a o r Units cy :ng ` o.of Receptacle Outlets No.of 011 Burners Butte Units No.of Switches No. of Zones No.of Gas Bunten 'ao r^ec, ,ea, , I!.r o. Raaf No.of Air Cond.v. Initiatia Devices o` o.of Waste '. n Tons No.of Alerting Devices Totals: WW1 O°;-- '0.0on n n , Na of Dial Detection/ washen Space/Area Heating KW Local �.uAlerri Devices Na of Dryers Heating Appliances Cystems:on ❑ other o.o ,, KW • Na of yatems: Neaten KW 'o.o 'o.o Devices or ' uivalent S, .a Ballasts Data Wiring: No.Aydremaasage Bathtubs Na of Devices or ' ,ulvalent No.of Motors Total HP a ecommn ; ,as ,, OTHER: Na of Devices or E,u enc Estimated Value of Electrical Work: Attach additional detail}fdesired,or as required by the Inspector of Wires. INSURANCE C Inspections to be requested in accordance with MEC Rule 10,and the',licensee GE: Unless waived by the owner,no permit for theeupon completion. Provides proof of liability ., performance"coverage or its subs al work uiissuenThe undersigned certifies that such coverage insurance including completed operation"coverage substantia! may CHECK ONE: INSURANCE 0 BOis force,and has exhibited proof of same to theequivalent The I core',under the 0 OTHER 0 (Specify:) permit issuing office. ins and, nasties ofper)say,that the information FIRM NAM : :t LI -, h.44 r on t/tfa a lieation is true and complete Licensee: i`� `` r- A Signature �� LIC.NO.:_55.6._ (If applicable.enter / t„Yn the! ansa n bar line.) �•` LIC.NO.: Address: 1 r� �I. • ,, ..I 4.1, *Per M.G.L.c. 147,s.57-6', �� V ' X26, Bus.TeL No.• 1�3 OWNER'S.NSU mei work require Department of Public SafetyAlt.TeL No.: INSURANCE WAIVER: I am aware that the Licensee does not havethe liability insurance coverage n ”' reg4ired by law. By my signatureLic.No. Signature Owner/Agent ant below,I hereby waive this requirement. I am the(check one II owner owner's a:ent. Telephone No. PERMIT FEE:$