The URL can be used to link to this page

Home My WebLink AboutBLDE-23-001818 Commonwealth of Official Use Only k Massachusetts Permit No. BLDE-23-001818 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:10/5/2022 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) 101 FAIRWOOD RD Owner or Tenant STEVEN LOWELL Telephone No. Owner's Address 101 FAIRWOOD RD, SOUTH YARMOUTH, MA 02664 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: Heat pump,furnace,&water heater. 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 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: 1 Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 1 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Adair Martins Signature LIC.NO.: 23369 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 Franklin Avenue, Hyannis MA 02601 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 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 .., ,.. iy- lc 1 p_OFY k 1 'A., i ur 0 5 2022 �,f y�j� o nwoaltl�o`///addacluseaita Official Use Onl jc� n —( c� \.., -f::- iv N c DR i'A R f f J c N partmeni o/.,Ju..&roked Pcrrnit No. 1l , -- ---- -- " D OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ' Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I 0/0 5 1aa City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice e ofkis or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant Skive," re.0 Telephone No. 5051-9.33--439 I Owner's Address €A)t c . Lc , "3144/en € .6.1a4.0.0. CO t.-1 Is this permit in conjunction with a b .i Purpose of Building R� L��permit? Yes No (Check Appropriate Box) ctdi Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters r;) New Service Amps / Volts Overhead ❑ Undgrd 0 No.of Meters i Number of Feeders and Ampacity ,C Location and Nature of Proposed Electrical Work: t puul t Pe-LtA Ne_o? Cur nat.o. cs,,..of 1•.); tt_oI 11 o 4- wale" L,cct_3.a r- in C-a-N Completion of thefollowingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Sasp.(Paddle)Fans No.of Transformers KToygi No.of Luminaire Outlets No.of Hot Tubs Generators KVA �tE No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency-Lighting grnd. Enid. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones T No.of Switches No. -No.of Detection and of Gas Burners Initiating Devices l k! No.of Ranges No.o Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump ITnmber Tons I KW No.of Self-Contained Totals: ."`" `l. Detection/Alertinetj� evices No.of Dishwashers Space/Area Heating KW Local❑ 1Gfunicipal nNo.of Dryers Heating Appliances KW Security Systems:*tion ❑ Other No.of Water KW No.of No.of Devices or Equivalent Heaters No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring. OTHER: No.of Devices or Equivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required bythe av (When4 Inspector of Wires. Work to Start: 0 3 7 Inspections to be required by municipal policy.) COVERAGE: Unless waived bythe requested i n accordance ce with MEC Rule I0,and upon completion. INSURANCEthe licensee COVERAGE: proof of liability permit for the performance of electrical work may issue unless insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE (BOND 0 OTHER certify,under the pains and nahi'es of1 tJary,that the 0 (Specify:)iM NAM : nformatlon on this apptieat}on is true and complete. FILicensee: LIC.NO.:_f2-3—ri Signature LIC.NO.:5$ _15 (If applicable enter"exempt"in the license num line.) S Address: Bus.Tel.No.: OR- S.617+3 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. Alt.Tel.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 III owner • owner's a:ent. Owner/Agent Signature Telephone No. PERMIT FEE:$