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Home My WebLink AboutE-18-542 1 -r «� Commonwealth of Official Use Only ® Massachusetts Permit No. BLDE-18-000542 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.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:7/28/2017 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice othis or her intention to pertorm the electrical-work described below. Location(Street&Number) 745 WILLOW ST Owner or Tenant LESE GAIL B Telephone No. _ Owner's Address 75 WILLOW RD, NAHANT,MA 01908 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A nate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 /^�7 o. New Service Amps Volts Overhead 0 Undgrd ❑"v e ° A NumberofFeedersandAmpacity flit, Location and Nature of Proposed Electrical Work: Install two post lights and one light on deck. VVVVV O O (� Completion of the following table may be . s • c cctaor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of tal Transformers A No.of Luminaire Outlets No.of Hot Tubs Generators VA� No.of Luminaires ,Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting lU grnd. grnd. Batten/Units /r 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 No.of Waste Disposers Ileat 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 DCVICtS 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 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: 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"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:$50.00 41_ 7/3//17EX— S. c • /� / yy \% _ lam,r�evi.^�r� of///ns+..4.offi ... : In Oeisl the Only Thcpar6r. fit o{Tire��a Pecans No. �Ql 'I v BOARD OF ARE PREVENTION REGULATIONS Occupancy�Fee Checked . [ .eV l/07) (leave maw) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK Al wort b be wed in aavrizncz with the Massachusetts Electrical Code 7tlzoo(PLEASEPrwn�rOR rfPEALL NFoRIsTIoM Date: 1-- it ?ol-÷Ciy or Town or. YARMOUTH To the Inspector of Wires: . By this application the lnderzlped gives notice of bis or her intention to perform the electrical wort;described below. • Location(Street&Number) —}e15 w1 ALAN Si.. am. Aid-InU Owner'orTenant ALFA, Ir Telephone Na,5ffitzgLates Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No KI (Check A ' Purpose of EPPro Priate Boz) m'h Thirty Authorization No. Ethan Berrice e RFs / Volts Ov r5ced ❑ IIntird❑ No.of Mieters New Service Amps / Volts Overhead ❑ Undrd gr ❑ N'i.of Meters -- P'—'--- � — ' Numfrs of Feeders and 4mPseitp CI 1J w I ^ i. Location and Nature of Proposed Elxtricel Work P.t i'.s o _ ( fiI/fS1pe llGq - igtil 11-1-e. Z car LtC�ctTS ) -- tui N /l•.u' i 41 No. of Recessed - Completion oftha foflowrne table may be wdved by the Inspector of r7"rrS 1 1 j d L•,.,,;.,>• INA. of C&$usp.(Paddle)erns INo.of Total --1 YL 'Transform= • EVA. 1` i 1 No. of Ln Op�� INA 9f Hot Tubs �� KVA . i3'. I_ �Ll' Na. of Ltxmiaan-es ISvrisming Pool d t In- rin.ox ism4-�cp la�png sratl. IHaY�rp Units __._ " Na of Receptacle O ti. No,of Oil Et.ass IMRE ALARMS IND.of Zones No. of Switch= No.of Gas Draws tho.of De;Pctiaa and Initc.tint?Devices No.of Ranges • INA of Air Coed. 1 cal • Tops IND.of Alm-day,Devices No.of Wast:Disposers lime Pump Number 'Tons IKW (No.of 'etf-Contatxnd IDet thon/4lertinv_Devices No.of DishwashersLoel!Q Mttaidnal Sp-ace/Ares Heathy. KW' Cottnectian 0 Other • No,of Dryers 1Reating AFPIia mes gW Security Systems:t No.of Water No.of Devices or Equivalent Heaters KW No.of No,of Data Wiring: Sins Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total FIT Telecommunications Wiring OTHER: No.of Devices of Equivalent • Estimated Value of Electrical W ori Atech additional detail prder&ei( ores regstit:d by the Inspector of Wires. Estimated Start (When regmred by municipal policy) Wort Inspxtions to be req uerzr1 in accordance with MEC RIiie ID,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 it substantial equivalent The tmdersigned certifies that loch coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: WSULANCE gl BOND 0 OTHER 0 (spxify:) r nerd under the pains and perzahia o FIRM NAME: fP�l�P,that iirformatian on[Feer application is true end complete. Mls-C.f4.0 cl- 99Nv t-s • ,t r o t. LIG NO.11 Lie enseclatl i.yA•lL`-5 Signature 5tr- alapplimble.anter number '�1 LIC.N..: Address: • r=aft in t license !nye)'` .' 2 ' , Bos.It Tel.Nor. " r S 6 Art Tel. J `Per M D.L.c. 147,s.57-61,security work tcyu t es Department of Public Safety"S"License: Lie.No. --------- •.,„;c- OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage oanal reOw�d Ag by la . By toy signature below,I hereby waive this requirement I am the(check one 0 owner owner's a eat PERMIT FEE: S Sienaiare• . Telephone No.