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Home My WebLink AboutBlde-20-001639 Commonwealth of Official Use Only t Massachusetts Permit No. BLDE-20-001639 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:9/24/2019 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) 7 WEBFOOT WAY Owner or Tenant SPOHN ROBERT F Telephone No. Owner's Address 7 WEBFOOT WAY,YARMOUTH PORT, MA 02675 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 ❑ 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 ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of DI evtces 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 ❑ 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"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:$75.00 tt1ekl9I v _ C.oinasouns¢Crh of assaciuc�afs Official Use __• � � °g �� --.'-:'-:'- ,.-.-7,.;-.. =•i t � [7 [4 21 = 1JaParfinanf o�lira Jarvicsi Permit No. - ' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked °` ZRev. l/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 INFORMATIOI9 Date: 4 Ja 4111 City or Town of: YARMOUTH To the Inspector of Wires: By this application the I ndersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) .4 tlMe)FOOT w AY 1 h Otn44 cQ,.�, `MY Owner.or Tenant .6P0h in Telephone No. ,`( ,�737 --Uwner's Address "'"l • Yes E No 0 (Check Appropriate Bar) -----g t — s this permit in conjunction with a building permit, turpose of Building a Utility Authorization No. . ", xistiteg Service Amps / Volts Overhead ❑. Undgrd❑ No.of Meters t f*ew Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters b.,F :M umber of Feeders and Ampacity ,„k- ?.'j ' Location and Nature of Proposed Electrical Work: ROWU w F1N1514lfllf 81.111-1Ral 0 ct' .4k-,, Completion of the follawing_table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cei'1.-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- 0 "No.of 1 Inergency Lighting - ornd. _and_ Battey 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 Initiatias Devices No.of Ranges No.of Air Cond. Total Tons Tons No,of Alerting Devices No.of Waste Disposers Heat Pump 1 Number I Tons 1 KW No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Cpnnection ❑ Officer No.of Dryers Heating Appliances KW Security Systems:* 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 Telecommnnic'atioas Wiring: - OTHER: No.of Devices or Equivalent Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work Work to Start: Inspections (When required by municipal policy.) in INSURANCE COVERAGE: Unlessswaived by the owner,no permit for the performance with MEC ce of e electri al w completion. the licensee provides proof of liability insurance including"completed operation"coverage or its substantial eq aleork may isn unl Thess undersigned certifies that such cov, rrage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE g BOND 0 OTHER I certify, under the pains and ❑ (Specify:) III pnalttes° perjar� th the i formation on(his application is true and complete. FIRM NAME: 5� I Licensee: ll L LIC.NO.: ai Signature LIC.NO.:73 ` (If applicable,enter" t"in the li ens tuber line Address: N oz6bI Bus.TeL No.: a.I'z! ` - . ,J `Per M.G.L. c. 147,s.57-61,security work requires D artmen of Public SafetyAlt.Tel.No.: at ;:T(, ;-77 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabilityLin.No. ' 1 5 required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑owner Eowner's n ly t Owner/Agent ❑ a Signatureeat ��I Telephone No. PERMIT FEE: $