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Home My WebLink AboutBLDE-21-003494 Commonwealth of Official Use Only 4+ N Massachusetts Permit No. BLDE-21-003494 *....' 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 ININK OR TYPE ALL INFORMATION) Date:12/19/2020 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) 105 EILEEN ST Owner or Tenant DONOVAN ROBERT L Telephone No. _Co Owner's Address DONOVAN CINDY L, 105 EILEEN ST,YARMOUTH PORT, MA 02675-2008 Is this permit in conjunction with a building permit? Yes 0 No 0 (C Purpose of Building Utility Authorization No. ^ Existing Service Amps Volts Overhead ❑ Undgrd ❑ {�J+tiA:y� New Service Amps Volts Overhead 0 Undgrd 0 o.of M 44°P-e71 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring of addition. in.7..1 40' Completion of the following table ay ed by th, I, ctor 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 Initiating 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 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 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: (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: ADAIR MARTINS ELECTRICAN Licensee: Adair Martins Signature LIC.NO.: 55688 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:215 Palomino Drive, Bamstable Ma 02630 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 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 c....../.‘ krouGa dl 12/21/7-0 . CA<4.\.°1' . CananOnW*afiM1 o!rr/aasachiautie Official Use Only �[,,-• c7 �i Permit No.1-Z(— ✓ k l I al'.w�/ 2epartment al.. ire Services IJ 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 Coodgg(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE,ILL INFORMATION) Date: L a!IS 12) 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&llem KO er) I 5 (eQ Owner or Tenant �• t 'I 1 On Jv rtM Telephone No.505-q32-,2434 Owner's Address 1 G I E0A� s� + y(j.f rn ll[1�'�'1 M A Oo.6 t5 Is this permit in conjunction with a buildingn permit?�� _ Yes Q No ❑ (Check Appropriate Box) " Purpose of Building'�(UC1f OOM 1111 ljyt ')- Utility Authorization No. Existing Service_ Amps / Volts Overhead❑ Undgrd❑ No.of Meters • New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters ' Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: WI De ACk yyl nil urif'oavl/111 Wt cO‘1Y_ Completion of the followinktable m be waived by the Inspector of Wires. W p No.of Recessed Luminaires No.of CeiL-Sus.(Paddle)Fans No.of � Total Transformers KVA n No.of Luminaire Outlets No.of Hot Tubs Generators KVA s -k No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. 0 Battery Units Zzi 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 i Li No.of Ranges No.of Mr Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: ... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑Monunicioectioo pal CI Other C No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Sys Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HI' Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o El trical Work: (When required by municipal policy.) Work to Start:IO2 (a. Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE:Unless waived by the owner,no pennit 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 ins and penalties of perjury,that the information on this application is true and complete. FIRM NAME: t 11/4.(A{v,,s -TQ EV(hie. �,.,/p�/ � LIC.NO.: 556tSS-a Licensee: �a. Signature .S�t/` �/LQ E.IC.NO.: (Ifapplkabl enter" t'in the license number line.) Bus.Tel.No.• '404-713-6i}3 Address:.ii4q bt] k Sa,44,Vt4 Ala hi.i. Kt4 O2f 04 AIL TeL No.: "Per M.G.L.c.147, 57-61,security work rapines Department of Public Safety"5"License: Lic.No. 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. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 7S