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Home My WebLink AboutBLDE-23-003113 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003113 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:12/6/2022 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) 34 POWERS LN Owner or Tenant THIRTY FOUR POWERS LANE LLC Telephone No. Owner's Address C/O CHANNING RUSSELL, 315 COMMON ST, BELMONT, MA 02476 Is this permit in conjunction with a building permit? Yes ❑ 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: Basement lighting 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 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 ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent 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 Eauivalent 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: $50.00 l CP AWL, 1/9-aL ( - ) 141(u Cam_- l.6!/F t > AJt SE-U2, `�' al ITS p , cfn. ajoan4s c-up.$) 70e eI RECEIVED a/,� y mOM&of rtyj/aeaxiiaaaite TOffic�ial Use O It l 3 ' j't3;!. O 2 LOLZ cc77 Permit No. EZ5 m—t ni of_}ire Services 'fl 91NiARDb F h 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 Cods(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATIONI City orDate:l02 Oa a`2 of 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) 3 4 py l.Viq ,,,a-S Owner or Tenant � Rt_,ch.-el �SSQ II Telephone No. 6I -9S2--9-S 29 Owner's Address Is this permit In conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Q.r?S i al e .-int.l Utility Authorization No. L `[ Existing Service Amps / Volta Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity 1 Location and Nature of Proposed Electrical Work: (,�',�G tt.t o1 tYts Go ri V�a5 P4,-k(Q.4 4_ Completion of the followingmble m be waived by the bisector of Wires. ill No.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans No.or 7 oral Transformers KVA No.of Lumivaire 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 h No.of Switches No.of Gas Burners -No.of Detection and Initiating Devices l Ill No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: ..............---..._.__.._.-..-. "�'� Detection/Alertin Devices Space/Area Heating No.of Dishwashers SMunicipal P KW Local❑Connection ❑Otber No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts 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:1 6, 500 (When required by municipal policy.) Work to Start:Id._/oz.la 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 cove is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER 0(Specify:) I certify,under the pains and penalties ofperfury,that the Information on this application is true and complete. �G FIRM NAM LIC.NO.:a 3 6q —rcf- Licensee: r Signature A�O L1C.NO.:556 Z g — (If applicable.enter amp! in the license number lure.) Bus.Tel No:srf -aI- a ss Address: a 5 H-o,,,,t I[A(.i r, Rk..p t-.ly,5.n tit C I`.1 s} U26 p I Alt.TeL No.:S o 4-81 S-6 I`- Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 3 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. 1 am the(check one)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. (PERMIT FEE:$ • l-1i i • �,, •