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Home My WebLink AboutBLDE-18-003175 opr Commonwealth of OfffcialUse Only 'Et.,►a Massachusetts Permit No. BLDE-18-003175 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.1/07] ___- APPLICATION _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:11/30/2017 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the ectricaldos work e 'bed below. Location(Street&Number) 59 FREEBOARD LN 004-/Or Owner or Tenant LINNELL DAVID J JR Telephone No. A Owner's Address LYMAN SUSAN D,59 FREEBOARD LN,YARMOUTH PORT,MA 02675-2022 Is this permit in conjunction with a building permit? Yes 0 No 0 (Checet 'pria` e Purpose of Building Utility Authorization No. � V Existing Service Amps Volts Overhead 0 Undgrd 0 , i , s 1 • New Service Amps Volts Overhead 0 Undgrd 0 /No. • 4'trT Number of Feeders and Ampacity i j tf (0411r. V,14Location and Nature of Proposed Electrical Work: Replace bathroom fan and add new one. / Completion of the following table may be waived by f. r of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of �� , Transformers ___ A No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- o 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 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/Alertine 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 Siena 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: 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"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:$75.00 lrommonurea�o`V addachudelil ` l Official Use Oql fV (7s I' c C... s "t ®c7 Permit No. C. �i._nla p Theparlmeni of Jiro Serviced 3•_; . t' f" a BOARD OF FIRE PREVENTION REGULATIONS Rev.1/07] and Fee Checked (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: 11' Z 2 ' t 7 City or Town of: Y111-4-10 U TN 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) 59 Fg6E13'4M1D A-4-rl6 , `14-11-1-10 u ill Owner or Tenant Crit v v-o lj b./S,J/J Telephone No. 412 7r9 C 177 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 0 (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: r .EPL*C6 3ATI+g0011 FAN , A-DO Ai ell) BAtaJ BOON FAA) Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Trnf TraaKVAnsformers KVA No.of Luminaire Outlets. . No:of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above o In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units . No.of Receptacle Outlets •` No.of Oil Burners FIRE ALARMS No.of Zones oNo.of Switches No.of Gas Burners No. Initiatingon nDeteand Devices No.of Ranges No.of Air Cond. Total No.ofAlertingDevices 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 o 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, 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: INSURANCE BOND 0 OTHER 0 (Specify:) I certt,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.: 21n75A Licensee: Wellington R Soareslicense Signature W� LIC.Na: 11376R (If applicable,entr110exr�edS Mlle Ha,e snit number line). in). MA Bus.Tel.No: 508 778 59%6 Address: Alt.Tel.No.: *Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 114 83b Mil I 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: $ 'l c Signature Telephone No. i