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Home My WebLink AboutBLDE-23-002113 Commonwealth of Official Use Only 1 : Massachusetts Permit No. BLDE-23-002113 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:10/20/2022 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) 22 SETUCKET RD Owner or Tenant KATHRYN GERRAZZI Telephone No. Owner's Address 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: Wiring for shed 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 4 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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 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 perjuty,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:$75.00 (Cfr (1--UNtei burr 4Sta ceaf) atrk I OW/ Fr7-€- 1E V D OCT 19 2022 .,. commonwaa[th ol yyy�jj // .�- ///aeearhueat`.Le fficial Use Only 1UiLDINGutlFARl(v:: iG�? c� cc77 .., Y t1 2eparttmJ°I.7ire Srvicse Permit No. -�C(3 B R - !L._ ` BOARD 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 C i (PLEASE PRINT IN INK OR TYPE ALL INFORMATRW) (M C),527 CMR 12.00 City or Town of: YA Date: 10 tq ,2 - To the By this application the undersigned gives notice of his or her do to perform the electrical work ector of des ribed below. Location(Street&Number) a , Owner or Tenant l Fox_22 J Owner's Address Telephone No. =sy =9085 Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building Po_S" � �� li- Existing Service Amps (Check Appropriate Box) Utility Authorization No. / Volts Overhead❑ Undgrd ID No.of Meters New Service Amps / Volts Overhead Number of Feeders and Ampacity ❑ Undgrd 0 No.of Meters E _ Location and Nature of Proposed Electrical Work: , 3 G(?ri veil.i e/1 Cp C,v j S yA-r►o i(1� 0c44 'i- v�tA (�q l -� t , p tl "v Completion of the following fable my be waived by the In vector of Wires. ,! No.of Recessed Luminaires No.of sp / No.of Cell:Snsp.(Paddle)Fans Total '=;t No.of Luminaire Outlets Transformers KVA r�ti No.of Hot Tubs Generators KVA f. No.of Luminaires Swimming Pool ove n- o.o mergency g ng rnd. nd. � Batte Units `" No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones ' = No.of Switches No.of Gas Burners o.o etec on an t'` No.of Ranges Initiatin Devices No.of Air Cond. otas Ton No.of Alerting Devices No.of Waste Disposers eatPump um Number _. ons o.o e - outs ne Totals: .............. Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ un crp No.of D Connection �� Dryers Heating Appliances KW ecu ty ystems: o.o a er o o No.of Devices or Equivalent Heaters KW ° o Data Wiring: Si ns Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP e ecommun ca ons ring: OTHER: No.of Devices or E uivalent Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:Work to Start: 430_ (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: 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 cove e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE L]d BOND ❑ OTHER I certify,under the p ins and penalties o � (Specify:) FIRM NAME: fPeriury,that the i ormatton on this application is true and complete. S Licensee: LIC.NO. 6T,- Addressaafapplicable. t " empt"in the livens number ine.) Signature LIC.NO.: D 6 Bus.Tel.No.; 35 Ci '"3 *Per M.G.L.c. 147,s.57-61,security work rcqui s Department of Public Safety"S"License: Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n� required by law. By mysignatureLic.No. Owner/Agent below,I hereby waive this requirement. I am the(check one • owner y Signature � owner's a:ent. Telephone No. PERMIT FEE:$ ?b,p 0 C1 7 7