HomeMy WebLinkAboutBLDE-19-000956 5
Arg
Commonwealth of Official Use Only
Ar® Massachusetts Permit No. BLDE-19-000956
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
jRev.1/07]
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 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 the electrical work described below.
Location(Street&Number) 8 MERCHANT AVE
Owner or Tenant GARCIA ROBERT EDWARD Telephone No.
Owner's Address GARCIA JUDITH E,8 MERCHANT AVE,YARMOUTH PORT,MA 02675-2235
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service 200 Amps Volts Overhead ❑ Undgrd 0 No.of Meters
New Service 200 Amps Volts Overhead ❑ Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Service upgrade. Install generator.
Completion of the following table may be waived by the Inspector of Wires.
I No.of Recessed Luminaires No.of Cell: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 0 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.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 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 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 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.TelNo.:
*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) D owner 0 owner's agent.
Owner/Agent
Signature Telephone No, PERMIT FEE:$50.00
1 ,. Comma. mutant el.•/ad.4YC W •_ officialUse
=.k,g TP ol.IreS.rlae, aq 5G
_. - e arfinent
Permit No.
_(,I- Occupancy and Fee Checked
BOARD SF FIRE PREVENTION REGULATIONS cv. I/01 ' oeave blank)
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: COPi 11,d (
City or Town of: YARMOUTH To the Inspector of lid
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
. Location(Street&Number) 0 1Ae -C PrA 7•1 r A Vt:
Owner•orTenant 3UT)1> clC 1 A Telephone No. bt?,- -GZ3t%6
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No [K] (Check Appropriate Box)
• Purpose of Building Utility Authorization No.
Existing Service_ Amps / Volts Overhead 0 Undgrd❑ 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: 1LJ 1(.� �2_ Wird 7O) Ace
___-__ -i-MN5rt- i Sw tit l-- A-NO ZOoA S ' -j cce C NCS
- 151~ Completion of the following tableby Inspector of Wires.
� f K maybe waived the
m i s I No.of Recessed Luminaires No.of Cert Svsp,(Paddle)Fans No.of Total
V Transformers KVA
N ••c i No.of Luminaire Outlets No.of Hot Tubs Generators KVA
1 1
.--i ! No.of Luminaires Swimming pool Above 0 In- No. cry Unitsrgency t,tghmng
gmd. Irad. 0 Battery
cm 1 Na.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo,of Zones
V No.of Switches No.of Gas Burners No.of Detection and
No.of Ranges No.of Air Cond. Total Initiating Devices
Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers • Space/Area Heating KW' Local Municipal
❑Connection 0 ?
No.of Dryers Heating Appliances KW Security Systems:* -
No.of Water No.of Devices or Equivalent
Heaters No.of No.of
Da
KW Signs Ballasts No.of Wiring:ices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No of Devices or Equivalent
OTHER: -
Attach additional detail ifdesired or as required by the Inspector of Wires.
Estimated Value of Electrical Worki (When required by municipal policy.)
Work to Start: (it/IA I I a Inspections to be requested in accordance with MEG Rule 10,and upon completion.
INSURANCE COV RAGE: 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 Ci6 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: Mfr-ulcer, V V . Sofia-es •1✓Ler-TRAd(tla LIC.NO.: 1�j_ o�,6_�j
Licensee: MKJLGeLa ,DA-Arc Signature
LIC.NO.:
(IfapPlicable.{nt-er"exempt"in the license number line)
Address: St, 'To{LttAJ 5 1-1:47-- 1L(, MOS W• Bus.Tel.No. �3L3
j Per M.G.L.c. 147,s.57-61,securitywork requiresAlt.Tel.No.
c.No.
OWNER'S INSURANCE WAIVER I am aware that thazeLicenseee does note have the liability insurance coverage nrmally
required
q� by law. By my signature below,I hereby waive this requirement, I am the(check one)❑owner ❑owner's agent
Owner/Agent 1
al Signature Telephone No. . I PERMIT FEE:$