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Home My WebLink AboutBlde-19-003642 1 Z; Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-003642 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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:12/17/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention t,9.2gst,orm the electrical.w rk described below. G `/ T Location(Street&Number) 845 ROUTE 28 � 'geed 4 FV 6 V Owner or Tenant JANFRA RLTY LLC Telephone No. Owner's Address 87 TONELA LN, BARNSTABLE, MA 02630 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: Replacement furna A':d 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 Above ❑ In- ❑ 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 1 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 ❑ Municipal ❑ 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: 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 72,1App<F, i� //e /25(( 7 li ConunODUsakh 7 ///addac fd Official Use Only nk '•' Oil'- . e s el S - `3 ( `� / Permit No. `- _. -1Japarlms►sf°I Serviced '` BOARD OF FIRE PREVENTION REGULATIONS O Pancy and Fee Checked ` .` jRev. 1/07] (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: 12 I.17 1 i `6 .. 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 electrical work described below. Location (Street&Number) t-15 IZDUT Zf) UN)(T 16 Sov .i \I A-(Lµc.x..)tk Owner or Tenant f V-A N lL- \A AS'r12 9 N p.IJ(z-„9 Telephone No. ri- (o GI- i)4,0 ' 4 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. F.� U -t., Existing Service Amps / F Volts Overhead ❑. Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: CAA 40? fkept-R-ce r) FriQIvAce iN 7) ATTcc_ Completion f thefoiowin&table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell-Stun.(Paddle)Fans No.of Total Transformers ICVq No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grid Battery Units No.of Receptacle Outlets No.of 0n1 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:I Detection/Alerting Devices No.of Dishwashers SpacelArea Heating KW Local Municipal D Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Heaters ' 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 if derirea or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 1�I 1 1 1 1' 1 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 2 BOND 0 OTHER 0 (Specify:) I certtfy,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: IJ1 A{-CE 1_...9 R . S.OML.L S Et... G-rll-t c I A-N) LIC.NO.: 17)0,(7. `6) Licensee: Mikil 1,.,9 SOBS Signature LIC.NO.:7 7(,q(j—a (If applicable,enter"exempt"in the license number line.) Address: 7-)o 17 It- 0.)S'C e 4IL RV �? Mt- Ca- 41 Bus.TeL No.:wl'7�-� J Per M.G.L. c. 147,s.57-61,security work requiresDepartment of Public Safety"S"License: Alt.Lic`Tel�No.. -- OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n—ortn— ally—S required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent al Signature Telephone No, 1 PERMIT FEE: $