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Home My WebLink AboutBLDE-22-001497 Commonwealth of Official Use Only 01A9No. BLDE-22-001497 /E ; q' 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:9/15/2021 (' City or Town of: YARMOUTH S, 51n 76.-39 7.-‘,276, 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) 78 RIVER ST 5-4210-x 4(7-46e.- 4310 Owner or Tenant CLARK JOHN R Telephone No. Owner's Address PRATT CAROLYN J, 332 CONCORD RD,WAYLAND, MA 01778 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: Install generator&transfer 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 1 KVA 20 No.of Luminaires Swimming Pool Above ❑ In- 1:1No.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. 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 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 Siens 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 ofperjury,that the information on this application is true and complete. FIRM NAME: ADAIR MARTINS ELECTRICAN Licensee: Adair Martins Signature LIC.NO.: 55688 Uf 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. I PERMIT FEE:$50.00 I \J/4 9 (2 24 2A. 0 i j'Ali') k/ 01-(& /49/w/ RECEIVED SEP 1 5 2021 -11 Conuisonamala of Museackimitio Official Use Only 1" _•ei LDiN i_ -A1-0 4.4NT y�j�Z —(�- ( �Usu /cc-�� Permit No. 1 e� �' --_ nE of Jirs Serviced 1,1 -I' Occupancy and Fee Checked ;�1,, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) grave blank) 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: oq//5/o2,/ City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives nAtice of his or her intention to perform the electrical work described below. Location(Street&Number) 73 V� ST U.{' mart-44M 4 Owner or Tenant Telephone No. SQ?'—PPS—.6 i Owner's Address �3 Is this permit in conjuntion with a building permit? Yes El No L� (Check Appropriate Box) Purpose of Building 1C4A14`1Q-ii Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and AmpadtyLr /�� anon and Nature of Proposed Electrical Work: a. #0 IA, 2 o k k..r 7rOvrl S Per 0 i wt.4-C-11 tad lam, 6144 Vi Completion of thefoiowin&table m be waived by the Invector of Wires. No W No.of Recessed Luminaires No.of CelTraann sformers KVA l.-Susp.(Paddle)Fans Tofd (� 'Z No.of Luminaire Outlets No.of Hot Tubs Generators KVA tet. No.of Luminaires Swimmin pool Above In- No.of Emergency Lighting g grnd. ❑ gird. 0 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 11.! No.of Ranges No.of Air Cond. Tons[ No.of Alerting Devices No.of Waste DisposersHeat Pump Number Tons KW No.of Self-Contained Totals: ' ____ _.____ _ Detection/AlertingDevices No.of Dishwashers Space/Area Heating KW Local 0 Munnnectioidp n 0 Other Co No.of Dryers Heating Appliances KW Security *or Equivalent No.of Water tem KW 'No.of No.of Data Wiring: HSigns 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 ifdesired,or as required by the Inspector of Wires. Estimated Value of lec "cal Work: (When required by municipal policy.) Work to Start: /4 2_ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 ',ins and penalties of perjury,that the information on this application is true and complete. FIRM NAME: i .'ati r 014,,,/ate/ 4 S •U'g-- e j r�C.-,,l LIC.NO.: 5'56 E3 -13 Licensee: ' - ' it c'.I-!is S '' Signature LIC.NO.: (If applicablg,enter"exempt"inhe lice line.) us.Tel.No.' -6/73 Address: /DO Seth ic(14tk 0 o ,.,.B Alt.Tel.No *Per M.G.L.c. 147,s.57-6 security fvork 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,l hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ I