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Home My WebLink AboutBLDE-22-004973 Commonwealth of Official Use Only 1-- , _ Massachusetts Permit No. BLDE-22-004973 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:3/8/2022 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) 39 MARINERS LN Owner or Tenant Pat Mechinski Telephone No. Owner's Address 39 MARINERS LN, YARMOUTH PORT, MA 02675-1231 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 ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Relocate lighting &add receptacle 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 1 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. Ton l 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 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 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 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Joseph H Maciel Licensee: Joseph H Maciel Signature LIC.NO.: 36084 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:3 FOX HILL LN, EAST SANDWICH MA 025371605 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: $75.00 W. '!?12.3 RECEIVED il , IAD 082022 / .. �.-....a. kn of ttladea 14.s.tie Official Use Only DEPARTfvtE al�7 [� Permit No. 7 j--Lt 11— ni Jinr Jirwicas BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked �-: [Rev.l/071 (Icavebiruik) -.- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 F rPLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:or 6�1 City or Town of: YARMO' 'er Lt To th By this application the undersigned gives notice of his her tntion to intention perform the electrical work described below. Location(Street&Number) R q jV1 } N S 1 t V r I Owner or Tenant 3 tst Telephone No.Owner's Address r- s. ( _ �A Is this permit In conjunction with a building permit? Yea Purpose of Building �•- ; c, NO ❑ (Check Appropriate Box) � \ �" UtBity Authorization No. --,I Existing Service e...00 Amps (ID /7 A Volta LrJ,/ New Service Overhead Undgrd❑ No.of Meters _ Amps / Volts Overhead❑ Undgrd �, Number of Feeders and Ampadty ID No.of Meters _ Location and Nature of Proposed Electrical Work: CSS 00cS L i k �r Com'elan o the ollowin table m be waived by the In actor o Wires. tli No.of Recessed Luminaires No.of Ce6:Sus." P(Paddle)Fans °•o ota �; No.of Luminalre OutleU Transformers KVA No.of Hot Tubs Generators KVA -i' No.of Luminaires Swimming Pool ova n_ rod. [] o•a Visits cy g mg No.of Receptacle Outlets "d• Bade Units No.of OB Burners FIRE ALARMS No of Zones ~- No.of Switches No of Gas Burners o o etectto"and l' No.of Range. Initiatin Devices No.of Mr Cood. ota No.of Waste Disposers p um er oue Tons No.of Alerting Devices eat am Totaia: .o e .....,.............._......................_..........- onto ne No.of Dishwashers Detection/Alertin Devices Space/Area Heating KW Local un c pa No.of Dryers Connection ❑"ha Heating Appliances KW eca ty ystema: o.o a er No.of Devices or E uivalent Heaters KVV °'° o.o SI ns Ballasts Data Wiring: No.of Devices or E uivalent No.Rydromassage Bathtubs No.of Motors Total HP e ecommun ca ohs r n : OTHER: No.of:::;':,: uivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as Inspector of hires. Work Val ic Z IcCr (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule I0,and upon completion. INSURANCE C RAGE: Unless waived by the owner,no pern it 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 cify:) I certify,under the pains and penalties ojpedury,that the information on this application is true and complete. FIRM NAME: jai I i C L L C Licensee:.-T t'ti EL LIC.NO.: Slgnatur LIC.NO.: (If applicable,enter exempt rn the licence number line.) •Address: Bus.Tel.No.: 'y ,(yM�-y., Per M.G.L.C.147,s.57-61,security work requires Department of Public Safety••S"License. Alt'TeL No.: i 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 ■owner Owner/Agent Signature owner's ..I. Telephone No.