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HomeMy WebLinkAboutBLDE-23-002861 -a_ Commonwealth of Official Use Only OP r . i, , Massachusetts Permit No. BLDE-23-002861 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:11/23/2022 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) 2 MERGANSER LN Owner or Tenant ANDREW CONDON Telephone No. Owner's Address 2 MERGANSER LN,WEST YARMOUTH, MA 02673 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: Generator&transfer switch. 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 14 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 ❑ 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: 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. PERMIT FEE: $50.00 Z J 1 )4(7i) . CEO/ ED ; 22. j aa'' �i // Commanwsa[th of r//aeeachruatte Official Use Only BUILDING U'a:;K,-�;±e'N. cy, 7 n Pemtit No. �23—Z BY.� �UsParlm�nf o Jin Jowicie II-,3s Occupancy and Fee Checked I. BOARD OF FIRE PREVENTION REGULATIONS [Ray.1/071 (leave blank) v 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: I l IZ7iI'Z� , , City or Town of: YARMOUTH To the Inspector of tres: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Locatlon(Street&Number) l fAe-9-&111Jc -L. /yi UdbcTyp34CLr'rt Owner or Tenant A1400440 Cot.,t3at Telephone No. 0-139C)-1') V Owner's Address Is this permit In conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) N Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters .fin New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Y Number of Feeders and Ampacity `� Location and Nature of Proposed Electrical Work: I4lc-s i (ver Y.kruit-- :,t':rs.l (!y ASE 1 ate}- `aw rtta Completion of the followingtable may be waived by the Inspector of Wires. Ut No.of Recessed Luminaires No.of Cell.-Sasp.(Paddle)Fans No.No. of 7 nsformers KVVAA �/ Tra nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA -' No.of Luminaires Swimming Pool Above 0 In- 0 No.of Emergency Lighting grnd. grnd. Battery Units _ No.of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and tInitiating Devices I l.? 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Monnectiounicipal 0 Other Systems:* _ No.of Dryers Heating Appliances KW SceNo urio mf Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters s n Sl 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 Stan: 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 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: MAgz.ce-i„ c. $0pyth ELFC.t-(Ltt:I1rt,) LIC.NO.: 11)377(0'e, Licensee: Signature v' NO.: 22Gi A- (If applicable.enter"exempt"in the license number line.) Bus.Tel.No:-71E (216 (Fj'Addiess: Alt.TeL No.: 'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I ant aware that the Licensee does trot have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ TV cK 9a7