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Home My WebLink AboutBLDE-19-000486 o. Commonwealth of tz. Official Use Only at Massachusetts Permit No. BLDE-19-000486 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 IN INK OR TYPE ALL INFORMATION) Date:7/24/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perlorm the electrical work described below. /� r� Location(Street&Number) 392 NORTH MAIN ST `"1 2:11 Owner or Tenant LIN-MARCUS PETER Telephone No. Owner's Address 28 MALLET HILL RD,WESTON,MA 02493-1753 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 ❑ 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: Remodel kitchen&bath room.Wire new bath room.Install recessed lights. 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 Ab ❑ In- 13No.of Emergency Lighting grnove d. 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,oras 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: WELLINGTON R SOARES Licensee: Wellington R Soares Signature LIC.NO.: 21075 (If 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!formally required by law.But signature below,I hereby waive this requirement.I am the(check one) 0 owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 ,t)G-H 4368 ( ceion T(2 4 6 et ` `1}\J Commonwealth o`rrtaesachusette Official7 � Use Only,. Q vi `�'` el V� c7 n Permit No.(�ng —Ol C(J G Llr 2 C `eta l Thepartment o/Sirs Jervicee 'l{n j Occupancy and Fee Checked ;' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07 "4,,-•��` (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: 07, 2 q , t Q City or Town of: VA-R-taO V 74 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) 31 rL NJ. /4,40) ST Owner or Tenant A%x gytA G A Telephone No. SD it g 2 7 it 6 o Owner's Address Is this permit in conjunction with a building permit? Yes Er No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters f New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: k'leg-gm .4 4 SA-744o°O H r£MO Dc L 7 ',wet 1. MEW /34111 gooks I ADD WAFEtL PC-ccet-16f) TN-it0Uall Ou7 THC ND°S-C Completion of the following table may be waived by the Inspector of Wires. otal No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No. f T Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting • No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units . No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones' No.of Detection and -" No. t- No.of Switches No.of Gas Burners Initiating Devices I Li t r I Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices > '77 I No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained I ,a Totals: __..._..__..._.—. Detection/Alertingpevices I t 14 ;� Lw No.of Dishwashers Space/Area Heating KW Local❑ CoMnnectiniection pal ❑ Othe CoC.) I -1 No.of Dryers Heating Appliances KW Security Systems:* h�U = No.of Water No.of No.of No.of Devices or Equivale Heaters KW Ballasts Data Wiring: ILC Signs No.of Devices or Equivalent, _ _ No.Hydromassage Bathtubs No.of Motors Total IIP 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: INSURANCELE BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the Information on this application is true and complete. FIRM NAME: Wellington R Soares, Inc. /� ('--'� LIC.NO.: 21075A Licensee: Wellington R Soares Signature V �/ LIC.NO.: 11376B (If applicable, entniymeertagic h fnt;5l7f'!iJSTh?is, MA Bus.Tel.No.:^5p2 $ 3b Address: Alt.Tel. No.: 774 836 5877 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"5"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 IPERMIT FEE: $ 9 C Signature Telephone No. • t