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HomeMy WebLinkAboutBLDE-23-001315 Commonwealth of Official Use Only E_ Massachusetts Permit No. BLDE-23-001315 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:9/12/2022 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) 179 CENTER ST Owner or Tenant MICHAEL LATTERA Telephone No. Owner's Address 179 CENTER ST,YARMOUTH PORT, MA 02675' 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: Install generator. 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 1 KVA 20 No.of Luminaires Swimming Pool gr bovend. ❑ gIrnd. ❑ No.of Emergency Lighting 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 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 Siens 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,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:$50.00 EIv ® -ectDIU sp �20_ "` Commonwealth �yy/ '�,+, of'i/aaaachuaatfa Official Use Only BUILDING ULN ?s Tsi�. Rt cc�� cc-'�� �7 2 r / ey __ r - to �.`F 2lspartntant o/. u+s Jss.0 ce6 Permit No. JZ?j— 3 l ' `�'' REGULATIONS J BOARD OF FIRE PREVENTION Occupancy and Fee Checked ~ [Rev. 1/07] (leave blank) itssj APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ►3- a.�City or Town of: YARMOUTH To the Ins e By this application the undersigned gives notice of his or her intention to perform the electrical workctor ofdeirs ribed below. Location(Street&Number) t-q-cA Cc-►•1rL.-,L St Owner or Tenant muikut, LP-- kOwner's Address Telephone No, falt(,'pjaGj-(/(b 0 I Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building ❑ (Check Appropriate Box) fu Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead N Number of Feeders and Ampacity El Undgrd 0 No.of Meters �t Location and Nature of Proposed Electrical Work: O K W tier Com letion o the ollowin table m be waived b the In ector o Wires. t!- No.of Recessed Luminaires No.of Cell:Sasp.(Paddle)Fans °•° ota 1Z1;t No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA A No,of Luminaires SwimmingPool °Ve n- o.o mer enc rnd. nd. BatteryUnits y g ng `' No.of Receptacle Outlets No.of OU Burners FIRE ALARMS No.of Zones 'h= No.of Switches No.of Gas Burners o.o etec on an `4' No.of Ranges InitiatingDevices No.of Air ond. ota Tons No.of Alerting Devices eat ump um er ons o.o e - onta ne No.: wa5t1 Detection/Alertin Devo. f Dishwashers Space/Area Heating Kcal Elun c pa No.of Dryers Heating Appliances KW ecu ty Connection ❑ Other W Lo o.o a er o.o No.of Devices or E uivalent 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 rmg 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: (When required 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"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 LJ BOND 0 OTHER I certify,under the pains and penalties o 0 (Specify:) FIRM NAME: ift A L� •perjury,that the Information on this application is true and complete. • S.9lk)2t=S ���P7 Licensee: LIC.NO.: (If applicable,enter"exempt"in the license number line.) Signature Address: LIC.NO.: ZZ6ei A "Per M.G.L.c. 147,s.57-61,security work requires Department of Public SafetyBus.Tel.No.� `L 6 tiG3� Alt.TeL No.: 1 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage -" "S"License: Lic.No. required bylaw. By my signature below,I hereby waive this requirement. I am the(check one Owner/Agent qnormally Signature � owner ■ owner's a;ent. Telephone No. PERMIT FEE: asu—