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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:$