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Home My WebLink AboutBLDE-21-005883 .�011 Commonwealth of �,'\1� Official Use Only i-' Permit No. BLDE-21-005883 t,, Massachusetts 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:4/13/2021 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) 57 KENCOMSETT CIR Owner or Tenant ARAUJO RICHARD M Telephone No. Owner's Address ARAUJO CLAUDINE M, 57 KENCOMSETT CIR,YARMOUTH PORT, MA 02675 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: Relocate 2 receptacles, 1 switch&add 1 switch. 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- o No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 2 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 No.of Gas Burners No.of Detection and Initiatine 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 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: Michael A Beaulieu Licensee: Michael A Beaulieu Signature LIC.NO.: 17479 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 4084,WESTFORD MA 018860034 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: $75.00 SW ((� nrV,31 tom(A. (- (2,1 vs i4 CoorwwaweaAI 4 fl7aaeachxeelle Official Use Only • •i /c-� Permit No. i u —5 c9 8 3 • q 1/444.„ 2sparfa % �irvieee ar Occupancy and Fee BOARD OF FIRE PREVENTION REGULATIONS (Rev. lro71 (leave bCh )ecked 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: -7- 3-(30.0 / City or Town of: Y4Pp-Ia, ;1, Po"J 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) , 57 n re),,-, Cr.—I.-Cir., l E / Owner or Tenant i kms...,j A Pc, ,J ,LTelephone No ti3S8--72•Q- op-as Q. Owner's Address G/r.0 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Boz) C Purpose of Building O( .JI Utility Authorisation No. Existing Service 14r) Amps I�, qI a Volts Overhesid❑ Undgrd[� No.of Meters New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters t Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: !1 r✓le�J ✓ a el(477<< , I,S�,-;7-_/., ., 61nd AIj 1 c.5�..�c. 411" IN.,. 11�I ,.+ cILLO1 k Completion of the followingilabk � table m9,be waived by the Inspector of Wires. , No.of Recessed Luminaires No.of Ceti.-Snap.(Paddle)Fans TrkoN of Kohl Transformers VA No.of Luminaire Outlets No.of Hot Tubs Generators KVA k No.of Luminaires Swimming Pool Above ❑ In- o No.of emergency Ligating grad. grad. Battery Units '? No.of Receptacle Outlets 2 No.of On Burners FIRE ALARMS No.of Zones No.of Switches D No.of Gas Burners No.of Detection and Initiating Devices 111 No.of Ranges No.of Air Cond. Total ons No.of Alerting Devices No.of Waste Disposer Hatt Pump Number Tons .f KW No.of Self-Contained Totals: _.....ray.......... �T�-"'M"" Detection/Ale . Devices No.of Dishwashers SpacelArea Heating KW Local❑ GoanecHon 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or ' 'ulvalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunicationsvo `q ' '" Na of Deiceskes ar EtL t OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:Sof'. Q, (When required by municipal policy.) Work to Start:LAG-fi: ,f:73 I 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 0 OTHER 0 (Specify:) I ceii 5,under the pains and penalties of perjwy,that the information on this application is true and complete. FIRM NAME: /) p►,,a c A7c,..7,--.--,• - ,. LIC.NO.:/71'7Sr4 Licensee: fh u.j.v..,c f ,.- Signature 4 LIC.NO.:" z,' i-'_ (/f applicable, _exempt"in the i erase r ) ��/ Bus.Tel.No.:4.r7-act` - 7G Address: f[4 y,, n� pia.(SJ d v J Alt.Tel.No.. - II- `. " *Per M.G.L.c. 147,s.57-64,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 0 owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE:S