HomeMy WebLinkAboutBlde-19-004901 Commonwealth of Official Use only
Permit No. BLDE-19-004901
�,; Massachusetts
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:2/27/2019
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to pertorrji the electrical workfrse;}bed below.
Location(Street&Number) 8 HIALEAH AVE rtl l (v �R-IQ L.r
1 " I l� LI
Owner or Tenant Telephone No.
Owner's Address PR1s-T= ^-Tl'y o R2 ueoo _
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: Remodel bathroom
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 0 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 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 Applia ces Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballas .of Devices or Equivalent
No.Hydromassage Bathtubs No.of Mot s Total P lecommunications ing:
o.of Devices or Eq tva ent
OTHER:
>jd'tional detai zf d sire otassl ired by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.) I
Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon pletion.
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 ❑ (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"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
(.,ommonwea�o`Maaaaci ueette Official Us Only
`_ - QR 90
,� * �� _� � cc�� cc77 Permit No.
'` �1 - .Llepartm,ent o/..tire 3ervicee
=1 = $ Occupancy and Fee Checked
r. 4+? BOARD OF FIRE PREVENTION REGULATIONS [Rev. 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: 0 2.2 2. 1`)
City or Town of: Y 4 0n o 0 1 N 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) g 14 l 4- 1-4=14-/4 A VS
Owner or Tenant fr k.T UN) ,3-A-Ra C-I-i' Telephone No. 203 SD J 6-7C 9
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd.-0 No,of-Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: pr{.R(M p. Opq,
Completion of the following table may be waived by the Inspector of Wires.
N-o otal
No.of Recessed Luminaires No.of Ceil.-Susp. Tran
(Paddle)Fans f T
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- 0 No.of Emergency Lighting
grad. grad. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No. Initiatingon nDete and
Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
g Tons
No.of Waste Disposers Heat Pump Number [Tons KW No.olfSelf-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other
p Connection
No.of DryersHeating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or EWquivaglent
No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNo.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 co rage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE [v BOND ❑ OTHER 0 (Specify:)
I certify,under the pains and penalties ofperjury,that the information on this application is true and complete.
FIRM NAME: Wellington R Soares, Inc. // ,� 1 LIC.NO.: 71n7SA
Licensee: Wellington R Soares Signature l/v LIC.NO.: 11376B
(If applicable, entfrl6etem e till) j e isimiug,briyd il5ls, MA Bus.Tel.No.: 508 778 5936
Address: e Alt.Tel.No.:
*Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. //4 83b 58/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
Signature Telephone No. PERMIT FEE: $ 679/ —
r
Elliott, Ken
From: info@wrselectrician.com
Sent: Tuesday, October 15, 2019 9:02 AM
To: Elliott, Ken
Subject: 8 Hialeah Ave, West Yarmouth MA
Attention!`T s-email originates`outs de of the Qv, � h is rm 7
are dire thls email is from a known sender and y i.know the t is safe Call the,
Hi Mr. Elliott
Could you, please,cancel the open permit for the above address?
Thank You
Elisa
Wellington R Soares Electrician Inc.
1