The URL can be used to link to this page

Home My WebLink AboutBLDE-19-000955 a Commonwealth of Official Use Only A Massachusetts Permit No. BLDE-19-000955 • BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 1Rev.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:8/20/2018 City or Town of: YARMOUTH ^^ To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform t a ectnc I work duce be b"ooww. Location(Street&Number) 39 DANAS PATH En/�--t/ I Owner or Tenant -VaLierlieriffir Telephone No. Owner's Address_ —4H,39 DANAS PATH,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install generator 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 1 KVA 14 No.of Luminaires Swimming Pool Above ❑ In- 1:1No.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.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 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 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 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:$50.00 efre4 e &9 0I,4(e L- �� _� ammo. mesa&of///a lachiastf! Official Use Only r. . Q�-�i_ ryry, ��77 �n! Permit No. -09$ _a Ili_. 1JaPorlmsn(of girt Jarvrcrs -1'�� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked r. I/07] ' (leave blank) APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK AU work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12.00 (PLEASE PRINT IN INK OR 7TPE ALL INFOIZMrnOA9 Date: OP 17 ( 6 City or Town of: YARMOUTH To the Inspector o Wirer . By this application the undersigned gives notice of his or her intention to perform the electrical work described below. • . Location (Street&Number) pAt 4 M-D1 0 Owner'orTenant ; IDA w A`S DA T\- . wkyr rit-MiAlibleane No. j-t%t€O-205 Owner's Address -- Is this permit in conjunction with a building permit? Yes 0 No ® (Check Appropriate Box) t7 ,Il.I '-'?z Purpose of Building UtilityAuthorization No. (!.11Il m 12 i N 1 s Ridding Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters iv �a Sew Service Amps / Volts Overhead❑ Undgrd _ g 0 NO.of Meters al\ , oNumber of Feeders and Ampacity or' I z Location and Nature of Proposed Electrical Work: Pi � (* _1 kJ i W I I] 11 ta-�S - < W ITC t� '� ��o f�SE I i 1 n '1 Completion of the following table may be waived by the Inspector of Wirer. 140.of Recessed Luminaires No.of CeiL Snap.(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- No.of Emergency Lighting grad eritd. 0 Battery Units No.of Receptacle Outlets No.of Oil Ruiners 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.of Alerting Devices • No.of Waste Disposers Heat Pump I Number ITons IKW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municipal Local0 Connection 0 Omer No.of Dryers Heating Appliances KW Security Systems:• No.of Water No.of No.of Devices or Equivalent Heaters No.of Data Wiring: 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: 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 [if 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: 004-Cw'1-0 - /0 64LK G'nLkC If l) LIC.NO.: ‘9-3).1)C,±) Licensee: VANICeta Ctr0 It flCS Signature 7...k. LW.NO. Address: dress:applicable.meter"ae�ptLn SeeresV.numkeOinq) _Ilei !�• p Bus.Tel No. r(� Add \� [Orf IL � S V `�Lf I I 'Per M.G.L.c. 147,s.57-61,securiwork Alt.Tel.No.: ty rc quires 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 n — 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 Signature Telephone No. I PERMIT FEE:$ SD