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Home My WebLink AboutBLDE-20-004929 Commonwealth of Official Use Only -�„skMassachusetts Permit No. BLDE-20-004929 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:3/6/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 47 LUMBERJACK TRAIL Owner or Tenant CARVALHO THAYANNE Telephone No. Owner's Address MACHADO MARCIO B,47 LUMBERJACK TRAIL,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appr �� !/ Purpose of Building Utility Authorization No. 44,•r!4010.0„: � Existing Service Amps Volts Overhead 0 Undgrd 0 New Service Amps Volts Overhead 0 Undgrd 0 . e X1,/5 Number of Feeders and Ampacity `� Location and Nature of Proposed Electrical Work: Install security system. /6r4fis s Completion of the following table may be waived byN. `.`. O. Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Transformers K No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons 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:* 2 No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters 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 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: Thomas J Lee Licensee: Thomas J Lee Signature LIC.NO.: 172 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:31 CAPTIVA RD,WALPOLE MA 020812042 Alt.Tel.No.: *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 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: $45.00 (0233 �(� Commonwealth. �� Qa/' ®/ 0 fiicial Use Only C�ota monwealtf2 oil�a.machwe t3 �� i _-4------.— t c� c� Permit No. `�'r 2epartment® ,}ire Services �(7_ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(1VJEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3(l `3 2,b�b City or Town of: �, o a To the Inspecto of Wires: By this application the undersigned'gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Li u p.z., , crY,t; Owner or Tenant 1-Ay , / I / / ( _A ii,. Telephone - $F Owner's Address j c w r Is this permit in conju tion w. h a buil ing permit? Yes No r4 (Check Appropriate Bo*) p' Purpose of Building e5�cit Utility Authorization No. j` ,� ,1�,i i_ r Existing Service Amps / Volts Overhead I I Undgrd n •oa _ eters c� i /v c,L, F::, New Service Amps / Volts Overhead I Undgrd h afters F'7 '; Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: f% el l+fie id/ C� ut4� adletR, Y/ Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons No.of Waste Disposers HeatPump Number Tons KW No.of Self-Contained Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW 1 Local III Municipal Connection ❑ Other Heating Appliances KW Security Systems:* No.of Dryers No.of Devices or Equivalent No.of WaterKW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: ;q6. (When required by municipal policy.) Work to Start: Inspections 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 ❑ BOND ❑ OTHER 2 Specify:) J'." ,"7.• "''1°' I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ,4.DY GG C 04A A DT 1eGCeiw LIC.NO.: /72 Licensee: 7ZOoro,rf JA Zde Signatu e LIC.NO.: /7 2 the license number line.) Bus.Tel.No.:7J 1 '$7° ,2 77 (If applicable,enter "exempt"in Address: a yr Avis,‘,.. .4-4•.?r'.fh 1.444/A-o,,i,D9,4 02 ter/ Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 00 /77 9 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ UII