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HomeMy WebLinkAboutBLDE-23-002476 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002476 sa' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:11/6/2022 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 ❑ 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: 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 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. Totalo No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 ❑ (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:$75.00 I116 !i R.. ECEIVEDI • NOV 0 4 2022 /��(` �j 1 -�. NG DEPARTME nwea�h°�rr/��huaa�fe Official Use Only . r_:.,, 2 Z 7 L r'+`;#t:` ,/ -- — cc77 Permit No. 6 m,„., Acpartment o`.}ire Services '_ I I Occupancy and Fee Checked ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) J _ F 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 1 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 "7-7--- City or Town of: vA Ely this application the undersigned notice intention to perform the electrical wTo the Inspector ��des Wires: below. Location(Street&Number) - Ivi+;.t.-t-;•.N-x I w, wcv..4.1 u.rlA ' Owner or Tenant )�j, •e'_r .,7:..)K Telephone No. SLL -�GIFI—'�g7j� V O ANl • Owner's Address • Is this permit In conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) J Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters • v' 19ew Service Amps / Volts Overhead Undgrd n1 ❑ g ❑ No.of Meters >5 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /1 YL it �(a.N�i�Ti v w l iE h1.��i'i (L— 'We Completion of the followingtable mugs be waived by the Inspector of Wires. �' No.of Recessed Luminaires No.of Ceil.-San . No.oU Total o./ p (Paddle)Fans Transformers KVA No.of Luminalre 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 f No.of Zones e. No.of Switches No.of Gas Burners .of Ifetectlon and II! Na of Ran es Initiating Devices S No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste DisposersHeat Pump Number Tous KW No.of Self-Cootalned Totals:I_ `" "" ' ""� - Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal No.of Dryers Connection Other ty Heating Appliances K�,i, Security Systems:* o.o Hwtien KW O.0 O.o No.of Devices orEquivalent Signs Ballasts Data fDg: No.Hydromassage Bathtubs No.of Devices or E uivalent No.of Motors Total HP a ecommun ca ons r g p {ER; No.of Devices or E uivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: (When required by municipal policy.) 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 I certify,under the pains and penalties o e u that the information on this application is true and complete. FIRM NAME: N1,rr+z< f.- N ryr Licensee: LIC.NO.: k 7I-11?G¢j afapplicable,enter"exempt"in the license number line.) Signature ----_ LIC.NO.: Zti� Address: Bus.Tel.No.0-2±3. (,- *Per M.G.L. 61,security work requires Departrnent of Public Safe 5"License: Mt.TeL No.: L Lic.No.OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n required by law. By my signature below,I hereby waive this requirement. I am the(check one • owner • owneormally r's a•ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ ,