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HomeMy WebLinkAboutBLDE-22-002298 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-002298 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:10/21/2021 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) 56 NORTH RD Owner or Tenant MINKS CHRISTOPHER D Telephone No. Owner's Address MINKS JOAN, 56 NORTH RD,WEST YARMOUTH, MA 02673 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: Upgrade service 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 ❑ In- ❑ No.of Emergency Lighting grnd. grnd. 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. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting 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 Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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 ofperjury,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: $50.00 M( - f2,q(?.t r o°`169 6(Tos(0,i_cAvitez- crvu (21 /7€ c \ ,, •r. ,r' Ca 1- I AA,, w j Commonwealth o/Vlaeaackuaatje Official Use Only �+ =>it cc77 n Permit No. N '*-71._.,. eparimani° ips Serviette Q Occupancy and Fee Checked . '—I a I ''`"' BOARD OF FIRE PREVENTION REGULATIONS LLI ; C\2 0 .,ytis [Rev. 1/07] (leave blank) o : t !2 11 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK w O j i I All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 C l l m 'LEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 10/al /01 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) 56 Norm cd t f rnov#,k t..14 6}3 l it' Owner or Tenant y f b to VICV kit I in.k )„''"� Telephone No. Owner's Address 1 Is this permit in conjunction with a building permit? Yes ❑ No � (Check Appropriate Box) Purpose of Building ilesick,fict,I Utility Authorization No. j Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters ! New Service Amps / Volts Overhead E Undgrd ElNo.of Meters l Number of Feeders and Ampadty F Location and Nature of Proposed Electrical Work: K10_24) OW fiteLit.d 3,cv I tv p la c.e dz.- ,' ©IA . lel Completion of thefollowingtable mg be waived by the Inspector of Wires. II,, No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total `.'� Transformers KVA -;t No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4.7\ No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting Brod. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones • No.of Switches No.of Gas Burners -Vo.of Detection and ” Initiating Devices Total i' No.of Ranges No.of Air Cond. ons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: _ , Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW LocalMun 0 Connecicipation ❑ No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts 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 El e trical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COV RAGE: 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 p,fns and penalties of perjury,that the information on this application is true and complete. FIRM NAM •r Mac 4-t 7'2 t.1tcf1 J �, LIC.NO.: G.�65�7 ".. Licensee: v • lure A�d'q,;t' /1lCcrh n,j+J"� LIC.NO.: (if applicable,enter"exempt"in the license number line.) Bus.Tel.No.: SQ 7-,315-6/3•3 Address: Alt.Tel.No.: *Per M.G.L.c. 147,s.57-6I,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent I Signature Telephone No. 1 PERMIT FEE: $