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Home My WebLink AboutE-18-5785 Commonwealth of Official Use Only a . hal Massachusetts Permit No. BLDE-18-005785 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 INFORAL4TION) Date:4/18/2018 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) 59 GLENWOOD ST Owner or Tenant SHINE JAMES P Telephone No. Owner's Address SHINE BARBARA A, 59 GLENWOOD ST,WEST YARMOUTH, MA 02673 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 ❑ Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Additional work for remodel 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• o No.of Emergency Lighting grnd. grnd. Rattery 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 Imtiatine Devices No.of Ranges No.of Air Cond. total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Num her Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KSV 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 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: 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 ❑ BOND 0 OTHER ❑ (Specify:) /certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: WELLINGTON R SOARES Licensee: Wellington R Soares Signature LIC.NO.: 21075 (If applicable,enter"exempt"to the license number line.) Bus.Tel.No.: Address: 110 BREEDSHILL RD,UNIT 5,HYANNIS MA 026011864 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) 0 owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 eMnc7n gem*44 /3 Alibto aIP-Auf -pnara.r tthitec ' r- ?f'z4i 0 ?5 O Rig-2e 12'j t Uer salt 4 Q 6r cue-j[ n efa 8)3/[8Kg- • te • l.-omrranuieolti of///olSeeY.y.Sc S DitZfiel Use Only • tY PertNo.lJePerfJrr.1'o{.J`1.ro JertrtteS �m / BOARD OF ARE PREVENTION REGULATIONSnea.Ocegency and Fee Checked 7.7 � Rea. 1/D7] APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work ro be performed in accordance wit the Mrssaehuseo5 Electrical Code C),c 7 CMR I LOU (PLEASE PRINT Thr INKORTYPE ALL INFORMATION) Date: 17 IS City or Town of: y MOUTH To the Inspector f Wires: By this application the Ander signed eves notice of his or her intention to perform the electrical work described below. Location (Street&Number) 59 GLENWOOD 51 WEST YR2MO\ail Owner orTenant 7 Telephone No. Owner's Address —________ 0 1 Is this permitin conjunction with a building a A W psmit. Yes No ❑ (Chi Appropri to Rot) cc, I Purpose of Emlemg Utility Authorization No, y Fasting Service Amps F / Volts Overhead ❑ Und��rd❑ No.of Mets W _ - New Service nips / Volts Overhead d El Und gr No.of Meters V Cc Number of Feeders and Ampadty -- • W Q i I Location and Nato. re of Proposed Electrical Wort; ADD etc IN M5TR SED 1U57(111 IWO NE1r<r eti. )14 Lab,'t = f vbs _IN LOFTi w iee 1,Avuoa y/ N5 v IN lei ear FL�si21`�Ei s v_ - .... --.. _.. Comm of the followbre bible mcy be wetved by the lrspecaor ofn v-S No.of Recessed Lnn -s ioei- No.of Ca.-Sasp.(Paddle)Fans • No.of Tort ITraasformers FIA No. of LuminaireOutli: No.of Hot Tubs Generators • KVA No.of Luminaires Swi�++m:ngPool Above o In- No.or r:,mere=ry/251.031.g crud eta d. Li IBaffery Uatm No.of Receptacle Outlet Na.of Oil Earners FTR__.AL-A2rris INo. of Zones No.of Switches No. of Gas iu D ,.ers No.of Dex:taon and • Initiating Devices No.of Ranges Tors No. of Air Cond. Tons No.of Alerting Devices • Heat Pump 'Number 'Tons I KW ``No.of Sett-Contained Totals: I IDeterton/Alc ine Devic Nn,of Waste Disposers No.of Dishwashers Space/Area Heating KW' Local 0 Mttai Connecticipalon OtbP• No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Ecrutezlent No. of No.Heaters KW c.of Data Wiring - SIZES Ballasts No.of Devices or Equivalent 1 No.Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wing No.of Devices or Zunivzlent 01 tuba: _ • • Aaoch odditional detail tderired ores required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to St?rt 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 it substantial equivalent The undersigned certifies that such cov ge is in force,and has exhibited proof of same to the permit issuing office, CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify.) t cern(5, ander the pains and penalties o perjarp, that the{'nformation on this application is true and complete FIRMNAME: Weil)zr nR.. ( [qc ( !Pitriclan Inc LIC.NO.: O 5A Licensee: �f 11 Signature J�76 8 (if applicable, enter "ccempt"in th license number line. LIG NO: 1 'll Address: Bus.TeL No.: 77 yg 1 5 '.d�� /.� ■ ti, ! I5 Alt.TeL No: j `Per!vial-c, 147,s. 57-61,security work requires •epartment of Public Safety"S"License: Lie.No. <c OWNERS INSURANCE RACE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally rreered byent By my signature below,I hereby waive this requirement 1 am the(check one)Q owner t S[gnat¢ Qowncr's ecru. Telephone No. 1 PERMIT FEE: S