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HomeMy WebLinkAboutBLDE-22-007356 Commonwealth of official Use Only �_ tikk s. Massachusetts Permit No. BLDE-22-007356 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:6/22/2022 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) 21 TURTLE COVE RD Owner or Tenant Michael Grady Telephone No. Owner's Address 21 TURTLE COVE ROAD, 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: Wiring for addition 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 —1 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 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 Connection 0 Other: 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 Eauivalent 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: Marcelo R Soares Licensee: Marcelo R Soares Signature LIC.NO.: 13036 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:53 FALMOUTH SANDWICH RD, MASHPEE MA 026494307 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 (40 6/7,411 ci,Api_e_ vith,),K-c--- r-• RECEIVED N 212022 ' "nw"a4 4 41a4ac Official Use Only i c7 —I- G DEPqRTMENT ,entel.tire�ervicalPermit No. t�'�v l:`,r' Occupancy and Fee Checked ,_,,, - I 'E PREVENTION REGULATIONS , lro7� (leave blank) APPLICATION FOR PERMIT TO PERFORM MI work to be performed in accordance with the Massachusetts Code 04E9,ELECTR 12.00MR CAL WORK c. (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 00 t 7,1 Z 7---- City or Town of: YARMOUTH To the Inspector ojW�es: By this application the undersigned gives notice othis or her intention to perform the electrical work described below. 2 c�Location(Street&Number) 1 Tl g-rt e Co,'tiE lie) Owner or Tenant M ru r A I=L ( A Z; 9 Owner's Address 1-1 Telephone No. , - + 7j?) Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) 0 Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd iP'd 0 No.of Meters �f New Service Amps / Volts Overhead❑ Undgrd Number of Feeders and Ampacity g 0 No.of Meters Location and Nature of Proposed posed Electrical Work: ibUCFt y FtnP,S‘4 Prk,r2rn 0(3 bf 1.6 ' Completion ol'the followis table mmt be waived by the/hector of Wires. No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans No.of Total No.of Luminahe OutletsTransformers KVq No.of Hot Tubs Generators KVA P No.of Luminaires-47 Swimming ool Above ❑ In- Pio.of Emergency Lighting grad. ❑ Battery Units `I No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners -No.of Detection and i�! No.of Ranges Total Initiating Devices No.o1 Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW -No.of Self-Contained Totals:I. --r _ _1:_" `.•'.. Detecdon/AlerthiiDevices No.of Dishwashers Space/Area Heating KW Load❑ Municipal No.of Dryers Hea Connection 0 OtherAppliances KW Security Systems:* .' No.of Water ICW No.of No.of Devices or Equivalent Heaters No.of Data W Signs Ballasts No.of Deevices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or EquiviOent Estimated Value of Inert ical Work: Attach additional detail if desired,or as requiredby the Inspector of Wires. Work to Start: � Zl (Whenrequired by municipal policy.) 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"completes{ undersigned certifies that such coverage is in force,and has exhibited proof of samtion"e to then or its substantialssuinequivalent. The CHECK ONE: INSURANCE E BOND 0 OTHER permit issuing office. I certify,under the pains and penalties o ❑Information on of that the Information on this application is true and complete. FIRM NAME: ,Q.Ce Q &- L1,�L Licensee: _ Pre LIC.NO.: \�__ (ifapplicable,enter"exempt"in the license number Iran.) Signature__��--� r LIC.NO.: Z ei.. Address. Bus.TeL No. •6 5.72(i *Per M.G.L.c. 147,s.57-61,security work requiresAlt.TeL No.: License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that hh Department �Public 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 a.ent. S Owner/Agent� Telephone No. PERMIT FEE:$