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HomeMy WebLinkAboutE-18-6638 ~ f I Official Use Only i y} a. Cr Official of ,ktr� / Massachusetts Permit No. BLDE-18-006638 C BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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 IN INK OR TYPE ALL INFORMATION) Date:5/23/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of ms or her intention to pectoris'the electrical work describ d w.e , r �/ Location(Street&Number) 6 SCOOP CIR s LLS alr Owner or Tenant MURPHY CORAL ATR llll Telephone No. Owner's Address MURPHY FAMILY RLTY TRUST,6 SCOOP CIR,YARMOUTH PORT,MA 02675 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 El No.of Meters New Service Amps Volts Overhead 0 Undgril 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for interior renovations&air handler(See attached) 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 0 In- CINo.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 ❑ 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 Stens 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: WELLINGTON R SOARES Licensee: Wellington R Soares Signature LIC.NO.: 21075 (7f applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 110 BREEDS HILL RD,UNIT 5,HYANNIS MA 026011864 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:$100.00 g12,60c ‘14r118t iecuvf -F9(i"be 1 w•• _� l•,ommonureallh of/t/asoachaaeth Oficial Use Only ._Will) �t cc�� cc77 �a Permit No. -i�11a 2)epartment o/Jire Services i_�_ I Occupancy and Fee Checked .,� -s BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: n 5i l Zi)1 g City or Town of: Y4 2-14 0 0 7 H To the Inspector/of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) 6 Scoop GRGIG Owner or Tenant T/'1 V R.P II Y Telephone No. 779 836 C8 99 Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. • Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ROUGii AND FINl5H —MASTER AREA , KitGWEV LAUNDRy GARAGE l CELO.ND_ LCOR 1-ALL$IGN1 BEDROOM 13 ATH LINE VOLTAGE AIR N. AMP CO N D EilV SE A Completi6bn of the followin&table m be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tonso Tal Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 0 Not LUnits cy Lighting grnd. grnd. Battea ry Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detectionand Initiating Devices Tota No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number. Tons_ KW No.of Self-Contained P Totals:_ — Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other Systems:* onnection No.of Dryers Heating Appliances KW Sec No.uritofDe icresorEquivalent 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 lel No of Devices ors Wiring: Na of Devices 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 cov rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 100 BOND 0 OTHER ❑ (Specify:) I cent*,under the pains and penalties of perjury,that the information on this application is true and complete FIRM NAME: Wellington R Soares,Inc. LIC.NO.: 21075A Licensee: Wellington R Soares Signature IAf fp LIC.NO.: 11376B (Ifapplicable,entg113attima¢¢isn sk nfa tt"96c4\tl tiffs, MA Bus.Tel.No.- 508 778 5936 Address: Alt.Tel.No.: 77&RIR 5877 *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)0 owner 0 owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. IOQ, ,