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HomeMy WebLinkAboutBLDE-23-006037 or P Commonwealth of Official Use Only Lt Massachusetts Permit No. BLDE-23-006037 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked lRev.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:5/2/2023 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) 48 LAKEFIELD RD Owner or Tenant DIMITRIUS MANADAKIS Telephone No. Owner's Address 3 CRESTVIEW DR, HARWICH, MA 02645 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 0 o • s New Service Amps Volts Overhead ❑ Undgrd 0 4plo.of4g ` ' Number of Feeders and Ampacity • Location and Nature of Proposed Electrical Work: Install generator 4:>a) Completion of the following table mayy be th• e o►-bl Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of >Total Transformers '� VA 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 Initiatine 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 ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent 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: 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 A 061-0o-tI- aeLS 513( rg Commonwealth of Massachusetts Official Use only Permit No.:�Z'3-Co 4,D Department of Fire Services Occupancy and Fee Checked: IL= i BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/2023] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 City or Town of: YARMOUTH Date: Ot)I(r).I d-3 To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): L1`, LABF(k-t) 12-7 Unit No.: Owner or Tenant: iVlMtrQ4U5 N1tNAUA1A-.1S Email: br)0"D-Cl1-"2J122j- Owner's Address: Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No❑Permit No.: Purpose of Building: Utility Authorization No.: Existing Service: Amps / Volts Overhead 0 Underground 0 No.of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: Description of Proposed Electrical Installation: I`1 V-vJ 6G M'rM.. W t 1U/)' Yxr nr5 -- Sv tilCG1t Completion of the following table may be waived by the Inspector of Wires. No.of Acceptable Outlets: No.of Switches: Generator KW Rating: Type: No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System El No.of Devices: Swimming Pool:In-Grnd.❑ Above-Gmd.El Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount❑ Ground-Mount 0 Level 1❑ Level 2❑ Level 3❑ Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy) Date Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: I. t o V-, ca,DP c ihJ INC. A-I❑or C-1❑LIC.No.: Master/Systems Licensee: kA -CtrL- c DtellcS LIC.No.: ZZbaMA Journeyman Licensee: LIC.No.: 1 70/2(o pj Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: 10 waJOS pLl r.S& FtK tA l� Email: SbiketS r 1 ro r(i-tc ourL..Doz-.Gam Telephone No.: —1114 •V.12 6 EaeG-J,y I certify,under the pains and penalties of perjury,that the information on this application is true and complete. Licensee: At t.Oi 5- Print Name: Cell.No.: -1-ILt-tri7 INSURANCE COVERAGE:Unless waived by the owner,no it e performance of electrical work may issue unless the licensee provides proof of liability 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❑ OTHER❑ Specify: 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 0 Owner's agent❑ Owner/Agent: Tel.No.: Signature: Email.: