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HomeMy WebLinkAboutBLDE-22-000726 o \ Commonwealth of Official Use Only rift vet\ Massachusetts Permit No. BLDE-22-000726 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:8/9/2021 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) 11 NORTH COVE LANDING Owner or Tenant RODGERS JOSEPHINE W(LIFE EST) Telephone No. Owner's Address RODGERS KENNETH W(LIFE EST), 136 MARINER LN, BAY SHORE, NY 11706 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: Septic pump&alarm. 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 0 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. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 1 Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* N.o.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 1 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 perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Ruy Batista Coelho Signature LIC.NO.: 56863 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 15 Namcy St, Hyannis Ma 02601 Alt.Tel.No.: 5085555555 *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:$50.00 wI . _ � ev Official Use Only commonwealth y�j > ;.,, , o////aaaac�ivaalfe Y� 1 - c ,,//�� Permit No.��%Z'- lJ Ili i .,, p e w F 2epart`mrnl of ire Jrrviced (� i �; z e e ;f 1,`j Occupancy and Fee Checked Lu o BOARD OF FIRE PREVENTION REGULATIONS {Rev. 1/07] (leave blank) ce I= APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Ob/0?/2 v City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives no ce of his or her intention to perfo the electrical work described below. Location(Street&Number) /r /v ,`7' e2�i i u. Ow `tner or Tenant (� 6 Ci/`$ je26.701-1 ( I e 'w - Telephone No. Owner's Address C' r" $ tcp 11 'lei rI{ J11 Y //'7'O 6 Is this permit in conjuncts u w6ith a ildinpermit? Yes/�� g ❑ No � (Check Appropriate Box) Purpose of Building /--C S f(J(e`/i CI a L. Utility Authorization No. Existing Service 260 Amps 2c9$/ zkp Volts Overhead Eg Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity rLocationd and Nature of Proposed Electrical Work: \1 r-c' S'ee71le i t z p ea e1,..ceiIP�`1"G 4 /I Lek/" rn NA Completion of the followinztable maw be waived by the Inspector of Wires. th No.of Recessed Luminaires No.of Ceil.-Sasp.(Paddle)Fans No.of Total 0 Transformers KVA Zt No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4 No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lightinggrnd. grad. ❑ 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 v. Initiating Devices _ t i No.of Ranges No.of Air Cond. Totaln No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 'TICW No.of Self-Contained Totals: _ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municeipaonnection 0 Other C No.of Dryers Heating Appliances KW Sec ri No o Systems:* Devices or Equivalent No.of Water No.of No.of Heaters KW Signs Data Wiring: g 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 Value of Electrical Work: ;.--©tr 811 (When required by municipal policy.) Work to Start: oB/O//zl 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 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 pas and penalties of rjury,that the information on this application is true and complete. FIRM NAME: Ate/ /�, �� �L f,,,p �'Lec7 Ci a LIC.NO.: Licensee: gc9]' /5°4r51 c_�G�, Signature / ,�,,(' 2� LIC.NO.: �6 663-�/S (If applicable,enter ''exJe�t"in the license number line.) Bus.Tel.No.. Address: /5 //C t-t-t C y s L r.htr? Ir�j/p-$-717 t 5 -AI/`1- a2 OF Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work 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,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$