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Home My WebLink AboutBLDE-22-003694 Commonwealth of Official Use Only zE` ` Massachusetts Permit No. BLDE-22-003694 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:1/4/2022 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) 14 CHICKADEE LN Owner or Tenant PEREIRA JOAO Telephone No. Owner's Address PEREIRA MARCIA, 14 CHICKADEE LN,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (C. , Box) Purpose of Building Utility Authorization No.' Existing Service 200 Amps Volts Overhead 0 Undgrd 0 No.o r eters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. 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 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 Ballasts Data Wiring: Heaters Sites 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 perjury,that the information on this application is true and complete. FIRM NAME: Nathan A Ashe Licensee: Nathan A Ashe Signature LIC.NO.: 21136 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 166 Hunt Rd,Chelmsford MA 018243747 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 Commonwealth o///la�dachuaeltd Official Use Only —"� r 2)c� c7 Permit No.c .__ epartment o/ }ire Serviced ' 61 1, 4 BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07]Occupancy and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: t a' 3O l acx3 City or Town of: lL Der MO Usi-IA 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) I Lt C\A t C.K C- Clee- LY1 Owner or Tenant -Too(O V2 Y e,i ra Telephone No.50V•Vd• j q? g Owner's Address some! ets ClbeNe, 1,. Is this permit in conjunction with a building permit? Yes 4.E1 No 0 (Check Appropriate Boè 5. Purpose of Building "-Vet'I '` Utility Authorization/ ` No. 7�j4(p /9 Existing Service a co Amps / 'l0 P 1, Volts Overhead Undgrd❑ No.of Meters sot New Service a-ov Amps /a 1f0 Volts Overhead Undgrd 1 �, g � No.of Meters Number of Feeders and Ampacity E Locati n and Nature of () IAP oposed Electrical Work: a CO „l S-e✓ cc CiAo.,m {��t t .9-d /'2 z . eu t - t -F-c c� a vi&I. ' C Completion of the following table may be waived by the Inspector CrNo.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans p of Wires. 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. Battery Units 45. No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones IF No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number i Tons I r KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Municipal ❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of KW 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 Valu of cal Work: 000 (When required by municipal policy.) Work to Start: . 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 cove e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE []BOND ❑ OTHER ❑ (Specify:) I certify,under t p 'ns and pen ties of perjury,that the information on this application is true and complet . FIRM NAME: LIC.NO.: Licensee: , Signature LIC.NO.: (If applicable enter "e empt"i the license number l' e:J. . �y�Address: 6y Q5. Ides _ sh Rio, lourdon t 1111 , 6N VO Bus.Tel.No.: �_54�' -, *Per M.G.L.c. 147, 57-61,security work requires Department of Public Safety"S"License: Alt.Lie.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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $