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Home My WebLink AboutBlde-20-000627 Commonwealth of Official Use Only Massachusetts �E Permit No. BLDE-20-000627 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:8/2/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 71 DRIFTWOOD LN Owner or Tenant SYLVIA TERRY N Telephone No. Owner's Address SYLVIA MARSHA S, 71 DRIFTWOOD LN, SOUTH YARMOUTH, MA 02664-1011 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 ❑ 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: Installation of generator&transfer switch. Completion of the following table may be waived by the Inspector of f 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 1 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/Alertinc Devices No.of Dishwashers Space/Area Heating KW Local 0 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 tj(i kk(61 ''AA�� c - 0 g1(q l ommonrns atth of///y�j a3sacli • Official Use Only • �i_ 7Permit No. E-20—0�2'11 ep �-1� - t ' Occupancy and Fee Checked j BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/073 ______(leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(AEC),,527 CMR 12.00 MA (PLEASE PRINT IN INK OR TYPE ALL INFORTIOII) Date: O E'' /O7/(9 ® H. , City or Town of: YARMOUTH To the Inspector of Wires: 0 y 's application the itindersigned gives notice of his or her intention to perform the eI ctrical work described below. o Lion (Street(It Number) IA `D(-I FTWtxA LI aD-u Ti-t yil./lii avt-Q N C er or Tenant '1 (L� a '-' i " _ �. �1 S�L1/1 p' Telephone No. D�'"��y'�j��j LrL o C 1 er's Address 0 Ix s permit in conjunction with a building permit? Yes E No El (Check Appropriate Box) LLI `C Iir se of Building Utility Authorization No. Ce T ng Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undg rd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (L. (G N (. ,e(2 )et._. (Al I rt4 (00,A SE E ki4S {1- S w 1 -1, Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cet1.Snsp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.of l�mergeacy Lighting ,rid. � _rnd. � Battery Units No.of Receptacle Outlets No.of Ott Burners FIRE ALARMS INo.of Zones • No.of Detection and No.of Switches No.of Gas Burners Initiating Devices 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: Detection/AlertingDevicw No.of Dishwashers Space/Area Heating KW Local❑ Municipal _ Connection ❑ Outer No.of Dryers Heating Appliances KW Security Systems:* IC No.of Devices or Equivalent No.of Water No.of Heaters ' No.of Data Wiring Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent - Attach additional derail if desired or ar required by the Inspector of Wirer. Estimated Value of Elects al Work (When required by municipal policy.) Work to Start: G`ti{v'L�I�i ip P cY•) 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 JBOND ❑ OTHER 0 (Specify:) I certify, under the pains and p o that �'') f perjury, at the information on this application is true and complete. FIRM NAME: i✓UMCe14 V - S.Dp-Ilr5' r✓LeC-Kt (L "4--i.3 �,e..5 LIC.NO.: �`3 9�j(� Licensee: _ M�-l.�� Signature (Ifapplicable enter exempt in the license number lin ) LIC.NO.: 2 . Address. "�' - Ste- e mks L GZ 0-1 Bus.TeL No.: l l 4-2.3 't�� J *Per M.G.L. c. 147,s.57-61,security work requires Dety Alt Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the rnensee does not havethe liabilityLic.No. S required by law. By my signature below,I hereby waive this requirement I am the(check one 0 ownerrance coveoge normalli— Owner/Agent0 owner's a mt.Signature I Telephone No. PERMIT FEE: $ ,�O,i