HomeMy WebLinkAboutBLDE-19-000874 "k
Commonwealth of Official Use Only
E. ;►� Massachusetts Permit No. BLDE-19-000874
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
rRev,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:8/14/2018
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) 4 PONDVIEW AVE
Owner or Tenant DIFIGUEIREDO RONALDO A Telephone No.
Owner's Address 4 PONDVIEW AVE.WEST YARMOUTH,MA 02673
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 ❑ No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Air conditioning system
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- ❑ 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
f nitiatine Devices
No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number , Tons KW No.of Self-Contained
Totals: Detection/Alertine Devices
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:
Heaters Sins 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: 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
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:$50.00
4 O
4 G/ s-//8
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t\ Commonwealth,o/11/addacIauettd ficial Use Only
-0- isry /c7 n Permit No. O €37-1
€:. __aw apartment o/Jire Serviced
\, _ f=3 Occupancy and Fee Checked
%e\ 151
v('JT(1�7\ 151 ° a-tr ,.i BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
�\ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: CR/11`f ) l 5
City or Town of: ttu-I\A(J V•T F 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) 14 pNDvtga AVE IJb67- r4.40 -}
Owner'orTenant 1101-IALp0 1)? &ol¢5no Telephone No. -7261-1116
Owner's Address
Is this permit in conjunction with a building permit? Yes ® No El (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service_ Amps • / Volts Overhead El Undgrd El 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: w1 QkED Am C' A1'Q- I1-A-NO Lt(I_ w 111-4
1) So Nes fiNO Wtiten f-'C, Co110ENCk.9— AND 1 OU'TStPE W. 76
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. f
Total
Traa onKVAsformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
I ti of Luminaires Swimming Pool Above ❑ In- ❑ No.of Units Lighting
grnd. grnd. Battery Units
/-5 I !Al 0 Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
in N°o bf Switches No.of Gas Burners No.of Detection and
.��, Initiating Devices
I(�ft No,bf Ranges No.of Air Cond. Total No.of Alerting Devices
Cri' o Heat Pump Number Tons KW No.of Self-Contained
i No.of Waste Disposers - •----•-
Totals: Detection/Alerting Devices •
,_ •. _._ No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ e
l Connection
—•-- - No.of Dryers • Heating Appliances KW Security Systems:*
No.of Water No.of No.of No.of Devices or Equivalent
Heaters KW Signs Ballasts Data Wiring:
g No.of Devices or Equivalent •
No.Hydromassage Bathtubs No.of Motors Total HP No. Wiring:
No.of Devices or Equivalent
OTHER: •
Attach additional detail ifdesirett or as required by the Inspector of Wires.
Estimated Value of Electiical Work: (When required by municipal policy.)
Work to Start: 00 CA 1 I'C 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 p BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and penalties ofperjury,that the information on this application is true and complete.
FIRM NAME: }AMU Get.° ( - - Sr j 3 V A i-C-t C 044 LIC.NO.: 12)0-72,6 -6
Licensee: IAA-0.-tete (. 0Ahtlt-'j Signature (/ LIC.NO.:
(If applicable,enter"exempt"in the license number line.) v Bus.Tel.No. -I-14-'S1,6-0`e 'i'
Address: 1-230 " izeW ST - RD ' M.�S(T (t/1'V �L 4Cj Alt.Tel.No.:
*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)❑owner 0 owner's agent.
Owner/Agent 1
Signature ' Telephone No. PERMIT FEE: $ j(�'