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Home My WebLink AboutBLDE-23-001405 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001405 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/07j 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:9/16/2022 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) 183 PINE ST Owner or Tenant WILLIAM CORCORAN Telephone No. Owner's Address 183 PINE ST,YARMOUTH PORT,MA 02664 Is this permit in conjunction with a building permit? Yes❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ 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: Wiring for enclosed seasonal room. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 4 No.of Ceil.-Susp.(Paddle)Fans 1 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 Initiation Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ton. No.of Waste Disposers Heat Pump Number Tons KV1' No.of Self-Contained Totals: Detection/Alertine 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 Siens 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: ROGER J NASCIMENTO Licensee: Roger J Nascimento Signature LIC.NO.: 17024 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: _ Address:29 SHARON ANN LN,E FALMOUTH MA 025366034 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 ❑owner's agent. Owner/Agent Signature n Telephone No. PERMIT FEE:$75.00 aU 611 e/72/ �(N (_l�12li72 1E \LED .. _ m. • ,nweahh o f maiacLett3 Official Use Only ► ,1. EP 15 2022 Permit No. I2- o/ ire Services =Q Occupancy and Fee Checked 0~ _= =�"' ►t-n1 � �: PREVENTION REGULATIONS [Rev. 1 07 y y �_____—- -- (leave blank) if 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 INO0 ' -'TIO ) Date: 7 -/ A .2 City or Town of: n,,,,, • o# To the Inspector of Wires: By this application the undersigned gives notice of is or her intention to perfo the electrical work described below. Location (Street & Number) 3 �, r rr r r Owner or Tenant (A-, /1", a-,-2. (— 'C v 4' .-i Telephone No. l i ;7 Gf s j ,,Jjj / � ` Owner's Address > > f e- 5 r'� ,- c-- '-Ti' �" N Box) Is this permit in conjunction with a building permit? Yes . o ❑ (Check Appropriate o ) Purpose of Building C,--) 6., /a ,s C 1/ r 4 -50-7 /' ✓j4Jti1ity Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd No. of Meters New Service Amps I Volts Overhead ❑ Undgrd No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: i9c/ / c. S - /� %',/j _ 7°,ou ni . /,./ i r ri f -::f rq-eri ii--- &e-e ,te(p__/,--5 1% f )Completion of the following table may be waived by the Inspector of Wires. No. of Total No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans / Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA Swimmin Pool Above — In- No. of Emergency Lighting No. of Luminaires g grnd. grnd. n 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 Tons ; o. 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 p Municipal Connection ❑ Other 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: O Y ,i5, &4„ /7// Attach additional detail i fdesired, or as required bythe Inspector ofWires. f 9 P Estimated Value of Electrical Work: aZ 47 "a' (When required by municipal policy.) Work to Start: 47-- ,2 —,22- 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. CID CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:) x I certify, under the s and penaltie ofperjury, th t the information on this application is true and complete. M FIRM NAME: �4 �J LIC. NO.: Licensee: /4. r r �I/Q,f ci`a..i z .y Pla2 Signatur ' LIC. NO.: Z / l o d (If applicable, ei ter "e e pt" in the lis9tse number line.) Address: �, • rtin .� r ti�c�%'� / Bus. Tel. No.: Alt. Tel. No.: j(. Z ) `[ Li-17 *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 am aware that the Licensee does not have the liability insurance coverage normally required by law y my signa below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's agent. Owner/Agent / /T Signature 6 IIN Telephone 1�1o. /.3 o 5.� 6' PERMIT FEE: $ P �l`