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Home My WebLink AboutE-19-2450 , .07Commonwealth of OfficialUse Only . Massachusetts Permit No. BLDE-19-002450 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 PRJNTININK OR TYPE ALL INFORMATION) Date:10/25/2016 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonn the llectnicat work d ed below. Location(Street&Number) 35 CONGRESSIONAL DR k,1�1J E l>."41.10141 Owner or Tenant PARUTI ANNE M TR Telephone No. Owner's Address C/O PARUTI DAVID,35 CONGRESSIONAL DR,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 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 0 In- 0 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 initiatine 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 Watery 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) Icertify,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 LTC.NO.: 13036 (I[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 NA/L 644 pueus vlj /or/(6 �I22 @evDutr rcf2d/be -ran/ S9r— W -�.r Commonmea&of to uc t& . Mj# Y ( v— >✓= Permit No.Thsprimad 0/ fin-Cervices7.fG i3;413. . ' —_ Ov. 1/07ry and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07j ' (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: (($1 1- {� ( �i City or Town of: YARMOUTH To the Inspector o Wires: By this application the Imdersigned gives notice of his or her intention to perform the electrical work described below. • Location(Street&Number) .7)F7 Con!(acLEc,St ()MAU 1)Q. • $14-11t001-1 pti-- •• .erorTenant (Dt1VE (JAR{/r� 0 Telephone No. (Dt1- r.G-72-05 z s er's Address coLii ZI - 's permit in conjunction with a building permit? Yes0 No El caaa P Utility rpose of Building .... (Check Appropriate Box) a Authorization No. (L o E,fisting Service Amps P / Volts Overhead In Undgrd 0 No.of Meters r— O I w Service V z Amps / Volts Overhead 0 Undgrd 0 No,of Meters W 00 o I,Usher of Feeders and Ampacity c m ; tion and Nature of Proposed Electrical Wort 14. /Lnl C ItftttA ,,,-,4 I C.I'),A$t= Ti.p'nSFta- S(Ail tt I} ,b Completion of thejollowinst table may be waived by the Inspector of Wirer. No.of Recessed Luminaires No.of Cert-Step.(Paddle)Fans No.of Total Transformers KVA _ 1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool Abod.ve E In- No.of Emergency Lighting Ernarnd. Battery Units No.of Receptacle Outlets . No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices total - No.of Ranges No.of Air Cond. 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' Loal 0 Municipal Connection 0 °ther No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of Heaters KV 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 ijdesired or as required by the Inspector of Wires. Estimated Value of Electrical World (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 12 BOND 0 OTHER 0 (Specify.) K cernfy, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: MA$Cfl 2. _oM1e5 L—I.tCTQ.itufsi.1 LIC.NO.: i' Licensee: M/� Lct, eo 6_6 e,Jhrle Signature LIC.NO.: arapplicable,enter"exempt"in the icense number line) Bus.Tel.No.j] Address: G'Z6 r'f q J per M.G.L.c. 147,s.57-61,security o k requires Department f Public Safe Alt Tel.No. c.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally Q required 9� by law. By my signature below,I hereby waive this requirement. I am the(check one) owner ❑owner's agent i Owner/Agentg Signature Telephoto No. ( PERMIT FEE: $ 5 t>"'" I