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Home My WebLink AboutBLDE-23-002603 - Commonwealth of Official Use Only -ttlt+ Massachusetts Permit No. BLDE-23-002603 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:11/10/2022 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) 17 NARROWS LN Owner or Tenant KING DENISE P Telephone No. Owner's Address 7 COLELLA FARM RD, HOPKINTON, MA 01748 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 14 No.of Luminaires Swimming Pool Above ❑ In- ElNo.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. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 Euuivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Euuivalent 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: 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: $75.00 I 4 C-104 )Ulz' cq(7/ 1 i RECEI E D NOV 122` Commonw,�a `7 "la64a44e4e Official Use Only BUILDING D�EPA1 Th st•_e;' I I' partmsni o�.t J.niicse Permit No. `�� _�iJ� ''',, BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 'J APPLICATION FOR PERMIT TO Rev. 1/07] leave blank --- ^c,,, All work to be performed in accordance wilt,the Massachusetts ERFORM ctrical ELECTRICAL WORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) ! City or Town of: YARMOUTHDate: ; ; �Q-i �� To the Inspector of Wires: LBy this application the undersigned gives notice of his or her intention to perform the electrical work described below. ocation(Street&Number) _I-- I�- Nra`R-�Dwz Owner or Tenant 1-/N/✓S t ki hi I Owner's Address Telephone No. 2, 14 GI rIs this permit in conjunction with a building permit? Purpose of BuUdiog Yea E] No 0 (Check Appropriate Box) 'u frxisti Service Utility Authorization No. Amps -----( Volts Overhead❑ Undgrd lY w rvice Amps / g ❑ No.of Meters _ Volts Overhead -- Number of Feeders and Ampacity [] Undgrd g ❑ No.of Meters _ Location and Nature of Proposed Electrical Work: I Lt No.of Recessed Completion o the ollowin; table m be waived b the Ins.ector o Wires. Luminaires No.of Cell.-Sus `o.o ev No.of Luminaire Outletssed Lumin No. P•(Paddle)Fans KVA of Hot Tubs Transformers Generators KVA Swimming Pool ,rode (i n- 'o.o mergency g n �' No.of Receptacle Outlets No.of Oil Burners nd. Bette Units g ^'t' No.of Luminaires No.of Switches FIRE ALARMS No.of Zones t~r No.of Gas Burners `o.o t etec on an No.of Ranges • Initiatin Devices No.of • r Cond. ota • No.of Waste Disposers 'eat ' Tops No.of Alerting Devices ump `um er ons • �� `o.o e Totals: ......_...._..._._........ .. ............._. out ne No.of Dishwashers Detection/Ale , Devices Space/Area Heating KW un No.of Dryers Heating Appliances Local Connection ❑ Other `o.o "a er KW ecu ty ystems: HeatersKW °•o .° ° No.of Devices or E,uivalent age Bathtubs Si as Data Wiring: No.of Motors No.of Devices or E•uivalent No.Ayd Ballasts OTHER: Total HP a ecornmun ca I ons " r ,g No.of Devices or E•uivalent Attach additional detail i ed,or as required by the Inspector of Wires Estimated Value of Electrical Work: Work to Stan: (When required by municipal policy.) INSURANCE COVE Inspections to be requested in accordance with MEC Rule 10,and upon completion. RAGE: Unless waived by the owner,no permit for the performance of electrical work mayissue the licensee provides proof of liability insurance including"completed operation"coverage or its substantial undersigned certifies that such coverage is in force,and has exhibited proof of same to unless CHECK ONE: INSURANCE 1 equivalent. The I certify,under the pains and BOND ❑ OTHER 0 (Specify.) the permit issuing office. FIRM NAME: pen•alties) k..ury,that the information on this application is true and complete. Licensee: L el.,...) iL , `-i% (If applicable,enter"exempt"in the license number line.) Signature', LIC.NO.: �:J i Address: LIC.NO.: Z'ZC,t t fit,/-1 *Per M.G.L.c. 147,s.57-61,security work requires De Bus.Tel No.• i'— �� OWNER'S INSURANCE WAIVER; I Department of Public Safe Alt.Tel.No.: required bylaw Bymy gn am aware that the Licensee does not havehe liability insurance overage n Owner/Agent by la signature below,I herebywaive this requirement. I am the(check one • owner •Signature y Telephone No. owner's a:ent. PERMIT FEE:$