The URL can be used to link to this page

Home My WebLink AboutBLDE-23-004528 Commonwealth of orfic;al UsE Only f 4 Massachusetts Penn;t No. BLDE-23-004528 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) City or Town of: YARMOUTH Date: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) 3 ST ANDREWS WAY Owner or Tenant DEAN CHOUINARD Owner's Address 3 ST ANDREWS WAY, SOUTH YARMOUTH, MA 02664-2048 Telephone No. —' 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 New Service Und d 0 No.of Meters Amps Volts Overhead 0 Un gal No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for generator .4..f _ 4 •INCompletio . e*4 r t rng L �� `,i . ved by the Inspector of Wire o.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans , Total No.of Luminaire Outlets ' '� KVA No.of Hot Tubs Gene fI r KVA 14 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Eme • ,1 j p ting.grnd. grnd. Battery U►its J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No:of Zones No.of Switches No.of Gas Burners No.of Detection and"` No.of Ranges Initiating Devices No.of Air Cond. Ton 1 No.of Alerting Devices No,of Waste Disposers Heat Pump I Number I Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: N-N.of Dryers Connection Heating Appliances KW Security Systems:* of Water No.of Devices or Equivalent KW aters No. of No.of Ballasts Data Wiring: SiHydromassa a Bathtubs s No.of Devices or Equivalent g No.of Motors Total HP Telecommunications Wiring: HER: !No.of Devices or Equivalent M Hated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wired k to start: (When required by municipal policy.) Inspection to be requested in accordance with MEC Rule 10,and upon completion. URANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unles*the licensee provides f of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that,such coverage force,and has exhibited proof of same to the permit issuing office. ,CK ONE:INSURANCE 0 BOND 0 OTHER 0 a,o.�ti (Specify:) fy,under the pains and penalties of perjury,that the information on this application is true and complete. ?IRM NAME: Marcelo R Soares Licensee: Marcelo R Soares Licensee: 'If icable,enter"exempt"in the license num be r line.) Signature LIC.NO.: 13036 lddress:53 FALMOUTH SANDWICH RD, MASHPEE MA 026494307 Bus.Tel.No.: Alt.Tel.No.: Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: WNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my gnature below,I hereby waive this requirement.I am the(check one ) 0 owner CI owner's agent. nature Telephone No. PERMIT FEE:$50.00 E.•1 \'EDI [[QQ ' �. 1 Commonuvaig o�///aaeac�ivaafLe o >it>.4 t i Official Use Only U I L D I N G U.L .743 T .sparttmsni o D g. S Permit No. /. 1 ay __T r gin: arvics6 e, '7:, '„ =OARD 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 4. (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) `� City or Town of: YARMOUTH TTo the Inspector off W �s::�}.. By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 'b r;-T 1: Owner or Tenant f Jr cti v ne No. Owner's Address Telephoju '•-ci c(_ct Is this permit in conjunction with a building permit? Yes ❑ gi Purpose of Building ate Box) Existing Service m s '14 Au • ll P / Volta Overhea'; ` 4 . New rvice Am sI � � } � 4/1P / Volts Overhead 1111., Number of Feeders and Ampacity ft; °•!rP 11�e ens Location and Nature of Proposed Electrical Work: {Lt V w _,.T, kt j, �(; Completion o the ollowin_ table m be waived b the Inspector o Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans '°'° ota eV ;t No.of Luminaire Outlets Transformers KVA r4� No.of Hot Tubs Generators KVA ,-t No.of Luminaires Swimming Pool ' o ove ❑ n- •o.a mergency g mg No.of Receptacle Outlets _rnd. nd. nil Units ' No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners `o.o etec oB an 1`' No.oiRanges Initiatin: Devices No.of Air Cond. ota No.of Waste Disposers 'eat 'ump `um er ors ns No.of Alerting Devices Totals: et o e - onta ne No.of Dishwashers Detection/Alertin, Devices Space/Area Heating KW Local 'un c pa No.of Dryers Heating Appliances 0 Connection 0 Other `o.o "a er KW 'ecu ty ystems: Heaters KW °•o ° o No.of Devices or E I Bivalent __ Sins Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Devices or E E.Bivalent No.of Motors Total HP a ecommun ca ons " r i g: OTHER: No.of Devices or E t Bivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: (When required by municipal policy.) INSURANCE COVERAGE: Unle sInspections to waived by the owner,no permit e requested in accordance the performance of e ele electrical work completion. ssu the licenseeprovidesproof of liabilityinsurance including may lent Theiess undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. `completed operation"coverage or its substantial equivalent. CHECK ONE: INSURANCE IJ BOND ❑ OTHER I certify,under the pains and penalties o 0 (Specify:) FIRM NAME: tkA1IVil,WL,, fper�'ury,that the information on this application is true and complete. �___ `teP-p-t--c Licensee: LIC.NO.: 1�j_` 1?(;-j (Ifo,oplicable,enter"exempt' in the license number line.) Signature Address: LIC.NO.: -ZZ.(,tack,� • *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safe Bus.Tel.No.• '1 �j ;�(4 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurancecAlt.Tel o required bylaw. h'"S"License: Lic.No. By my signature below,I herebywaive this requirement. I am the(check one ❑ Owner/Agent qcoverage normally Signature owner • owner's a_ent. Telephone No. PERMIT FEB. $ S Cell(I—