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Home My WebLink AboutBLDE-19-002603 I °' wt Commonwealth of Official Use Only L' Massachusetts Pernit No. BLDE-19-002603 �-' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Vim l/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:10/30/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertomi the electrical work described below. Location(Street&Number) 3 CAPT DANIEL RD $.0&^aCt— CC Owner or Tenant DELANEY KATHERINE H Telephone No. Owner's Address 3 CAPT DANIEL RD.SOUTH YARMOUTH, MA 02664 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 Ilot Tubs Generators 1 KVA 14 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 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 Siens 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.Tel.No.: 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"5"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 it'--rtid?s4- k Covouzr- t®kf/8 c Q tvi (t e �� yr / /� '/ .of maalachk �� y1 t./ ComMonwsanheelts Offi ' se On Tho/ Services Permit No. a ,tsists WT-WITTeP I _('r. Occupancy and Fee Checked -.seat BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07] ' pea„blank) - APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(b'IE527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORM/MON) Date: EU3o I I le) City or Town of: YARMOUTH To the Inspector of Wires: By this application the tindersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) 7) CA—qt I tJ DAN 10_ RV %O-4 1M-M OU-({ W 0W co • Owner or Tenant KA y 7t'De---1-A- I.l ry Telephone No. - b qt I- 6(ti Z Owner's Address 1 f > N ' a Is this permit in conjunction with a building permit? Yes 0 No O w ® (Check AppropriateBox) cm o Purpose of Building Utility Authorization No. o — i Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters — W O k o New Service _ Amps / Volts Overhead❑ Undgrd❑ No.of Meters Ll! m Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ii-k k-tv Gen/Kik-rue).- cc,1 4 tAhaSFt-t- 4WlTi.R Tl (00/ISE Completion of the followinvable may be waived by the Inspector of Wars. No.of Recessed Luminaires No.of Cet7 Snsp.(Paddle)FansNo.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- No,attery Uof Emergency Lighting grnd. grnd_ Bnits - 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 No.of Ranges No.of Air Cond, Ton 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 HeatingKW' Municipal Loal 0 Connection D Other No.of Dryers Heating Appliances Kw Security Systems:* • No,of Water No.of No.of Devices or Equivalent Heaters No.o[ Data Wiring Signs Ballasts No.of Devices or Equivalent V No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - No.of Devices or Equivalent - (, Attach additional derail if desired oras required by the Inspector of Wires. S Estimated Value of Electrical World -� Work to Start (When required by municipal policy.) 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. r CHECK ONE: INSURANCE Ill BOND 0 OTHER 0 (Specify:) C) I cerafy, under the pains and penalties of perjury,that the information on this application is true and complete. tp FIRM NAME: A 'fl. tp R-• S91f11-&5 a EvC TLLt C1 lrPJ 0776 s Licensee: )."IMCt-'Lo calSignature in. LW.NO.: 2 pfapplicable,enf er"erempgil the license number line) Bus -1 (� yj .TeL No. yt.� Address: h' ` ILewS int- ILO fflfl tilt-W. Iv14 •0264g Alt.Tel.No.: J 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 n — required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent t Owner/Agent d Signature Telephone No. . I PERMIT FEE: $