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Home My WebLink AboutBLDE-18-007289 ♦ � ft 1 " til / Commonwealth of Official Use Only Massachusetts Permit No. BLDE-18-007289 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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 MINK OR TYPE ALL INFORMATION) Date:6/25/2018 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) 22 HOCKANOM RD Owner or Tenant VANBAARS JOHN Telephone No. Owner's Address VANBAARS LINDA J,22 HOCKANOM RD,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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Kitchen&bathroom 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 ❑ In- o 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 Initiative Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons I KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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: 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 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: WELLINGTON R SOARES Licensee: Wellington R Soares Signature LIC.NO.: 21075 (7fapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:110 BREEDS HILL RD,UNIT 5,HYANNIS MA 026011864 Mt.Tel.No.: *Per M.G.L.c. 147,s.57-61,secunty 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 •410CW {0(27/te SZ i ol 81ist, a 4 l.omrnonweaal o`V assachuseils Official Use Only ffiWel Permit Permit No. rt=1e, . )epartmenf(Pin Serviced %t in'. BOARD OF FIRE PREVENTION REGULATIONS Occupancye0and Fee Checked `''�•.' [Rev. (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK JAll 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: 06 - 2 5- 12 City or Town of: 'i 4 e-A40u t y To the Inspector of Wires: aBy this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) ZZ Ito eta.Non ROAD Owner or Tenant (/a A) i.e-.4 Telephone No. 77+ 9% S&97 Owner's Address Is this permit in conjunction with a building permit? Yes Er No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ 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: CI T eft C.tJ t 3414 R-ooh At no b,=t_ Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Trof Traa KVAnsformers 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 Initiating Devices No.of Ranges No.of Air Cond. Total No. o f AlertingDevices Tons 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 0 Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:'` No.of Water No.of No.of No.of Devices or Equivalent KW Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications NofDeceor EquWirivalent No.of Devices Equivalent Ci OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. s imate• Value of Electrical Work: (When required by municipal policy.) CD IL ` "o -o •tart: Inspections to be requested in accordance with MEC Rule 10,and upon completion. LU =INS .V CE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the I e¢en!-e provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The uynd- i_ ed certifies that such cov rage is in force,and has exhibited proof of same to the permit issuing office. ILI H CK1INE: INSURANCE [ BOND 0 OTHER ❑ (Specify:) V cage,I nder the pains and penalties of perjury,that the information on is ,pplieation Is true and complete. mR IR N• ME: Wellington R Soares, Inc. 1 LIC.NO.: 21075A LA,1111 ke 'JeI {� c w _ el p Wellington R Soares Signature LIC.NO.: 113768 (If avpli le,entgrl(f' C j 14bfi henunn(` ,litiann�is, MA Bus.Tel.No.. 508 778 5036 Address: Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. //475.5b Sts I/ 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 ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ 7S