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Home My WebLink AboutBLDE-23-001819 i Commonwealth of Official Use Only t� Massachusetts Permit No. BLDE-23-001819 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/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:10/5/2022 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) 95 PINE GROVE RD Owner or Tenant CHRIS SAULT Telephone No. _ Owner's Address 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 ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement HVAC 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 0 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 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices Ton. 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 Eauiv No.of Water KW No.of No.of Ballasts Data Wiring: Heaters inns No.of Devices o No.Hydromassage Bathtubs 1•o.of oto Total HP Telecom is ons No.ape is s o utvalen[ OTHER: Attach i de(ail if desired.or as required by the Inspector of Wires. Estimated Value of Electrical Wo : ( e required by manic al 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 OprgtsS *-getxcil 40 jo - V' tweak"I Vaeeachuaeile Official Use(Oni 9 ry'•••11 �i Permit No. C/ J J l - ,,I(77 Occupancy and Fee Checked BOARD OF FIRE REVENTION REGULATIONS [Rev. I/071 (leave blank) t.pING Di:HAR I MENT ► 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: 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) c e ne Q rode Owner or Tenant Lkr�S S, ow It+ 1 Telephone No. SDI) - $6b- s4.4.c1- vOwner's Address exrie,;,fj C. jLei S S . S�1+ CO pi fv 1 .f p rn Is this permit in conjunction with a building permit? Yes ❑ No 2- (Check Appropriate Box) Purpose of Building g i 04.4 4jq,4 Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd n No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters _ Number of Feeders and Ampacity CI Location and Nature of Proposed Electrical Work: at. -(Ni K d CEI,r ru0.0 t2 t Con cel C....1 Sates "r Completion of the following_table me be waived by the Inspector of Wires. i1,: No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of 7 otal 0/ Transformers KVA 'Z) No.of Luminaire Outlets No.of Hot Tubs Generators KVA rc:\ Above in- No.of Emergency Lighting 't No.of Luminaires Swimming Pool grad. ❑ grnd. ❑ Battery Units :-2 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones ~= No.of Switches No.of Gas Burners No.of Detection and c — Initiating Devices Tot 1;' No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-tontained Totals: Detection/Aler�tin Devices J No.of Dishwashers Space/Area Heating KW Local❑ n�i "lclpal ❑ Other Connection No.of Dryers Heating Appliances KWSecurity Systems:1 No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters Sins Ballasts g 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 El trical Work: 4 I r4 t� (When required by municipal policy.) Work to Start: (0`037 2,2_ 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 0 BOND 0 OTHER El (Specify:) I certify,under th p ins and enalties of perjury,that the information on this application is true and complete. FIRM NAME: c 'n LIC.NO.: . 336 9 -/-} Licensee: 'n '1 C Signature LIC.NO.:S S611 - P (If applicable,enter"es pt"in the license number li e.) Bus.Tel.No. SO'3- iS '61�5 Address: as oi"i k.l, ', - a.r��„g �(A- D28()) Alt.Tel.No.: *Per M.G.L. c. 147,s. 57-61,security work requires cpartment of Public Safety"S"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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $