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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 • 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(�'