HomeMy WebLinkAboutBLDE-23-001316 Commonwealth of Official Use Only
'A , Massachusetts Permit No. BLDE-23-001316
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.1/071
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:9/12/2022
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) 45 MOORING LN
Owner or Tenant DONAHUE KEVIN M Telephone No.
Owner's Address DONAHUE CAROL PORTER, P 0 BOX 213,WEST BROOKFIELD, MA 01585
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 20
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. Ton l No.of Alerting Devices
Heat Pump Number Tons KW No.of Self-Contained
No.of Waste Disposers
Totals: Detection/Alertine Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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 Siens 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: 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. PERMI EE:
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�'/ �i Permit No.
nv_ -- epartmani Jiro Services
�s BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/007] and Fee Checked
s ) (leave blank)
9 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
eJ 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: 0(--1 I 41? '
City or Town of: YARMOUTH To die 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) 4'G) 1000¢Wt; LrJ
Owner or Tenant ILEVlr') .D,0NNI4 Telephone No. te,-47,'%2-40Cl- -
_, Owner's Address
w
I Is this permit In conjunctionith a building permit? Yes ❑ No�'( ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead❑ Undgrd
g ❑ No.of Meters
L New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
h
V Number of Feeders and Ampacity
1 Location and Nature of Proposed Electrical Work:
`�N� ' 0 n+v� 99 fwv ry A R i�o j trtL iZ ?-,E.
Completion of the followin table may be waived by the Inspector of Wires.
'! No.of Recessed Luminaires No.of Cell-Sus of Total
p.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting
grad. g_rnd. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones
Na.of Switches No.of Gas Burners 'No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. total
No.of Alerting Devices
No.of Waste Disposers Heat Pump I Number'Tons KW No.of Self-Contained
Totals: ....".. 1
Detection/Alertin Devices
No.of Dishwashers Space/Area Heating KW Local Ell Municipal ❑Other
Connection
No.of Dryers Heating Appliances KWSecurity Systems:" '
'No.of Water No.of No.of Devices or Equivalent
Heaters Kam' No.of Data Wiring:
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 ifdesired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: 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 coverage 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 of perjury,that the information on this application is true and complete.FIRM NAME: (V4-41-C, IL- (tAr'S
LIC.NO.: I06Pj
Licensee: Signature OP(If applicable.enter"exempt"in the license number line.) LIC.NO.; lL2(o't f1�
Address: �� Bus.Tel.No.:,.4'C�t(, G'1.711
'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Alt Lie No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hare the liability insurance coverage normally
required by law. By my signature below,1 hereby waive this requirement. I am the(check one owner
Owner/Agent owner's a enl.
Signature Telephone No.