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Home My WebLink AboutBLDE-23-004978 c''� Commonwealth of Official Use Only r.� Massachusetts Permit No. BLDE-23-004978 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:3/10/2023 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 FRUEAN AVE UNIT G3 . 2 Owner or Tenant PRETTY PICKY(UNIT H) Telephone No. Owner's Address 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: Rewired condenser&air handler(PRETTY PICKY-UNIT H) 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 Initiating Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting 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 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: Licensee: Adair Martins Signature LIC.NO.: 23369 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 Franklin Avenue, Hyannis MA 02601 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: $80.00 vr, 3/23 ke (< <t sl t � `FI-WtAir (r 7 i3 v MAR eq/th of Massachusetts official Use only Permit No.:`7-_.Z. q�'( 0 �1 �t :__. Depar. rn¢nt of Fire Services Occupancy and Fee Checked: Ii ��>; � � F�' I E PREVENTION REGULATIONS [Rev. 1/2023] 'g APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 City or Town of: YARMOUTH Date: C33I 0YI;2,3 To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): 4:2I Ft7>420,,n } ve Owner or Tenant: P►GIf Unit No.: Owner's Address:QL}a, ��n ��„ `"��S EmaiL•.�tis� P� �ti(; �� Is this permit in conjunction with a building permit?(Check �� L Y Phone No -� �v 5 g , Purpose of Building: i appropriate box)Yes❑ No�etmit No.: � � Utility Authorization No.: Existing Service: Amps / Volts Overhead D Underground New Service: Ampsg ❑ No.of Meters: / Volts Overhead❑ Underground❑ No.of Meters: Description of Proposed Electrical Installation: y� - .:4A Ai ( 'r inS dQCelyje Y ..r16 r s Completion of the following table may be waived by the Inspector of Wires. I No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:. 0 No.Luminaires: No.of Recessed Luminaires: No. Wind Genera No.Appliances: KW: No. Water Heaters: KW: No.Transformerstors: Wind KW Rating: Space HeatingTotal KVA: KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Swimming Pool:In-Grnd. Fire Alarm System❑ No.of Devices: 0 Above-Grnd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices: C. No.Oil Burners: No.Gas Burners: No.Air Conditioners: Video System 0 No.of Devices: Total Tons: Telecom System No.Energy Storage Systems: KWH Storage Rating: y 0 No.of Outlets:vice g Security System 0 No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating:0 No.of Electric Vehicle Supply Equipment: C OTHER: 0 Level 1 0 Level 2 0 Level 3 ❑ Rating: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:#'1 600 pal policy) Date Work to Start: 03 ( ��3 Inspections to be requested in accordance with en uMEC Rule 10,ired by tand upon completion. t p FIRM NAME:1(L ,(",t,1 lore-,:,� Master/Systems Licensee: n , A-1 ❑or C-1 ❑LIC.No.: r 14evr S LIC.No.: a 3 3 E q - Kt Journeyman Licensee: a S LIC.No.: ,>�' 5 6 ZZ ® 13 Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: 196 c a n ti-ty Pvevyvl.i S M 4 07,60 I Email:_L rro t�i'Ylcr'r,,ff L temcAn6etL6 A t.ctfn Telephone No.:(j 4)300-liSS Jui_ i _bl}3 I certify,under the pains and penalties of perjury,that the information on this application is true and coi3tplete. ? Licensee: per! a�(hnC r I�� e3 �t- Print Name: �— 1"t etr �1rJ.—6 1�,3 INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may No ssue unless the licensee provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of s e to the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER 0 Specify: 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 0 Owner's agent❑ Owner/Agent: Tel.No.: Signature: Email.: