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Home My WebLink AboutBLDE-22-002408 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-002408 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:10/26/2021 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) 21 LYNDALE RD Owner or Tenant MARZANO LINDA M Telephone No. Owner's Address 31 BEACH AVE, HULL, MA 02045-2701 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 ❑ IgOrtitsFrs New Service Amps Volts Overhead 0 Undgrd e�Vo sp e e? Number of Feeders and Ampacity .•: ' r Location and Nature of Proposed Electrical Work: Replacement furnace. / A+Y\V � Completion of the following table ma4e waft ei b} tbg Inspe or of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of t u `� ?total TransformersKVA No.of Luminaire Outlets No.of Hot Tubs Generators VA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Ligh grad. grad. 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 Initiatine Devices To No.of Ranges No.of Air Cond. Ton I No.of Alerting Devices 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 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 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 perjury,that the information on this application is true and complete. FIRM NAME: ADAIR MARTINS ELECTRICAN Licensee: Adair Martins Signature LIC.NO.: 55688 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:215 Palomino Drive, Barnstable Ma 02630 Alt.Tel.No.: 5088156173 *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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 A , `I � ( z; yn►) I .. p REGE1VE on 2 6 El Q' Canrnonu�salUt o/�Jasaac�iuestia Official Use Only ' �? ��.. ' � rr NT c� c7 nn Permit No 22- C�[ v BUILDING A:;�';;;.. :�s/varfsmsnt of,}irs Jiwrese BY '1`f`' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ` (Rev. 1/07) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) k1.�' D2c64 Owner or Tenant LiAAA. Mc4,1-12.6.ry. 0 / Telephone No. 6F? -'}5q- 11O$ Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building ; Av kekA Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters ( New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1-Uciika r o .4.J.re WI, Completion of thefollowingtable»t be waived by the Inspector of Wires. . ii.; No.of Recessed Luminaires No.of Ceil:Sus No.off Total r,; p.(Paddle)Fans Transformers KVA _ '-:7 No.of Luminaire Outlets No.of Hot Tubs Generators KVA M' 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 JNo.of Zones No.of Switches No.of Gas Burners 'No.of Detection and Initiating Devices `1,' No.of Ranges No.of Air Cond. Tons) No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW- No.of Self-Contained Totals:_ Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other, Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: 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 Value of Elec ical Work: (When required by municipal policy.) Work to Start: as 2 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE: 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 p ins and penalties ojperjury,that the information on this application is true and complete. FIRM NAME: 6C. LIC.NO.: 13723-13 Licensee: jag... Signature LIC.NO.: (If applicab e,enter"ex mpl"yin theicerug n /gre.) '_r_ A .Bus.TeL No.:c45 1545 33 Address: /00 .,)2 Ira tj �,,.Z ,°V/ CV 9CC Vll er !\ O—t 7Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,s urity w requires Dep ent 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$