BLDE-18-003023 Commonwealth of Official Use Only
.o'
011i \ Massachusetts Permit No. BLDE-18-003023 '
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
.[Rev.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:11/20/2017
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to pert ono theelectricalwork described below.
Location(Street&Number) "•JoJA I-UKtb I KU Urn I 1 r [A' 9 (":15 PLN t4
Owner or Tenant DEMARTIN MAUREEN P TRS Telephone No.
Owner's Address DEMARTIN WILLIAM J, 17 COTTONWOOD ST,YARMOUTH PORT,MA 02675
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 ❑ Undgrd 0 No.of Meters
Number of Feeders and Ampacity _ _
Location and Nature of Proposed Electrical Work: Renew 40 interior 8 4 exterior fixtures. (CAPE COD ALARMS-204 OLD
TOWNHOUSE ROAD)(UNIT G)
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 /� O KVA
No.of Luminaire Outlets No.of Hot Tubs Generators g/Q� <\` KVA
No.of Luminaires 44 Swimming Fool Above ❑ In- ❑ No.of Emer e kit grnd. grnd. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS2/. (�
No.of Switches No.of Gas Burners No.of Detection andO^
Initiating Devices D ./ '
No.of Ranges No.of Air Cond. Tony) No.of Alerting Devices �ltj/•.//�•
(///J
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices0
No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other.
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring: (CJ
Heaters Siena 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((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: Paul M Magalhaes
Licensee: Paul M Magalhaes Signature LIC.NO.: 16722
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:10 CONDUIT ST,ACUSHNET MA 027432634 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
signature below,I hereby waive this requirement.I am the(check one) ❑ owner ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$80.00
C//! tt,, Massachusetts
eusso ,,, (of///assachusetts Official Use Only
_3
Apartment
�� n Permit No.
rr�T♦�� 1J Jnvicis
arae
n� Occupancy and Fee Checked
-- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
AU 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: 11/9/17
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) 204 Old Town House Rd. (G)
Owner or Tenant Cape Cod Alarm Co. (Gene Cormier) Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No aJ (Check Appropriate Box)
Purpose of Building Commercial bldg Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Lighting Retrofit(40 interior fixtures&4 exterior fixtures)
Completion of the following table may be waived by the Inspector of Wires.
otal
No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No.of T
Transformers KVAVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting
grad. grad. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners Na 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 KWLocal 0 Municil
pal ❑ Other
Connection
No.of Dryers Heating Appliances KW SMN *
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 IIP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail ifdesired or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $1.049.50 (When required by municipal policy.)
Work to Start: ASAP Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 0 BOND ❑ OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: M-V ELECTRICAL CONTRACTORS, INC. LIC.NO.:16722
Licensee: Paul M. Magalhaes Signature f 7#/l / LIC.NO.:16722
(If applicable,enter"exempt"in the license number line..) / Bus.TeL No:508-995-3826
Address: 10 Conduit St.,Acushnet,MA 02743 Alt.Tel.No.:508-509-9225
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner 0 owner's agent.
Owner/Agent PERMIT FEE:$ 80.00
Signature
Telephone No.