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Home My WebLink AboutBLDE-23-001566 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001566 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:9/26/2022 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) 8 TIMOTHY RD Owner or Tenant GONCALVES WAGNER MONTESSERRAT Telephone No. Owner's Address MOTESSERRAT SHEILLA B, 8 TIMOTHY RD, 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: Install generator&transfer switch. 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 24 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 ❑ Other: : No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent 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 :) I certify, .fperjury, ,under the pains and penalties othat the information on this application istrue and complete. FIRM NAME: ADAIR MARTINS ELECTRICAN Licensee: Adair Martins Signature Tel. NO.: 55688 (If applicable,enter"exempt"in the license number line) Address:215 Palomino Drive, Barnstable Ma 02630 Bus.Tel.No.: 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 RECEIVED __._._._tom._....._....__.•_.____ SEP2 3 2022 Commonwealth`` Commonwealth y�j� / �J o�///aeeachueaEld Official Use Only BUILDING u . L��v �3_(— -R''- C/Y� 1 I ol c-f7 Servicedirs Permit Now A f IT Occupancy and Fee Checked ;, BOARD OF FIRE PREVENTION REGULATIONS [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 C R 12.00 a (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: (23 vZ 0. City or Town of: YARMOUTH To the Inspec or of ires: ,,.i By this application the undersigned gives notice of his or her intertion to perform the electrical work described below. Location(Street&Number) ' T-) y i t cr.,) or Tenant S h j rn r(Gl Telephone No. -}3 ^�1�Gy,! 'h►' • Owner's Address .ice <1 Is this permit in conjunction with a building permit? Yes ❑ No p - B (Check Appropriate Box) Nil Purpose of Building } �`3 old fi Utility Authorization No. Existing Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters rNew Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 100 .4 p } . Ni Completion of the following table may be waived by the Inspector of Wires. th No.of Recessed Luminaires No.of Cell:Sus . No.of Total p (Paddle)Fans Transformers r`"-,,1, No.of Luminaire OutletsKV No.of Hot Tubs Generators KVA ^t" No.of Luminaires • Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grnd. ❑ flattery Units ::•,-t No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners NO.of Detection and l° No.of Ranges Initiating Devices No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Meat Pump I Number 1 Tons [KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW � al❑ Municipal No.of Dryers Connection ❑ Other• iY Heating Appliances KWSecurity ystems: o.o a er No.of Devices or E uivalent Heaters ' ° ° ° ° Data Wiring: Si ns Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP e ecommun ca ons ring: OTHER: No.of Devices or E uivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electric 1 Work: Work to Start: (When required by municipal policy.) r .` Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERA E: 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 c!2rve,pv is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE a BOND ❑ OTHER I certify,under the p ins and penalties o 0 (Specify:) FIRM NAM fpe�f perjury,that the I formation on this application is true and complete. GY,, • r, C. Licensee: LIC.NO.: e e Signature 3� " '4 (If applicable enter••exempt"in the license number line.) LIC.NO.:Address: ¢t ! /� _ Ges 8 *Per M.G.L.a 147,s.57-61 security work regal s 17e r V`'� �� ' Bus.Tel.No.. - 1 t•�3 f Public OWNER'S INSURANCE WAIVER: I am aware that heLiiccen Licensee does Safetyot have the liability insuranceAlt.Tel. covers e "S"License: Lie.No.required bylaw. By my signature below,I hereby waive this requirement, I am the(check one Owner/Agentg normally Signature owner ■ owner's a:ent. Telephone No. PERMIT FEE:$ 0 Cat ( zt