The URL can be used to link to this page

Home My WebLink AboutBLDE-22-001558 Commonwealth of Official Use Only . Massachusetts Permit No. BLDE-22-001558 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:9/19/2021 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) 39 PINE ST Owner or Tenant RESIDENT Telephone No. Owner's Address NICKINELLO LESLIE A,39 PINE ST,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 ❑ 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: Bathroom addition and remodel kitchen. 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 i ti rnd. rnd. Batt•r nits '` ., w No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS NI.of Zones No.of Switches No.of Gas Burners (No.of Detection d SEP 1 9 2021 Initiating Device- No.of Ranges No.of Air Cond. Total No.of Alerting I •vi B Ul No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Cont 'u'd'— ' o OEt'l Totals: Detection/Alerting Device —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 Ballasts Data Wiring: Heaters Signs 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: 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 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: $75.00 ey›0(2, NIG1-C, c . f Commonwealth o` adaachudrllA Official Use Only ,• ,t cc�� cc77 {7 Permit No. Z2-159 , -� � �� C.Js/varf`msnl o��}irs Jsrvicse ' - 1 i—. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07] (leave blank) i. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK • ` All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 4 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 0, . 0 , 21 QQ City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives noti�jof pis or her intention to perform the electrical work described below. Location(Street&Number) 3 9 J` (1 - (r set- , I. Po- Owner or Tenant vlA�c- e_CA-e— Telephone No. 774 £'36 737/ i Owner's Address I Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) 1 Purpose of Building Utility Authorization No. 1 Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters I Number of Feeders and Ampacity,... Location and Nature of Proposed Electrical Work: $.474'14.9ph 4 141 tt oi) A-N,D k-tTc i•tL- ) Keno (..... df kr Completion of the followin&table may be waived by the Inspector of Wires. \" No.of Total II No.of Recessed Luminaires No.of CeIL-Susp.(Paddle)Fans Transformers KVA C.) No.of Luminaire Outlets No.of Hot Tubs Generators KVA *- No.of Luminaires SwimmingAbove In- No.of Emergency Lighting Pool 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 c. Initiating Devices 1:-? No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained Totals: ' ' Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Monnunici ectp l ion 0 Other, C 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 0 BOND ❑ OTHER 0 (Specify:) I certify,under the pains,and penalties of perjury,that the information on this application is true and complete. FIRM NAME: 1n)L(AA.741 rdh-✓ lei co iY t t t C tr i C:4 A4-v 1 N C LIC.NO.: Z I 0 7S-4 Licensee: 14/L(,I' � 4,� cg�y,1-Y Signature 'i%l//J' LIC.NO.: // 376 8 (If applicable,enter"e t' in the license number line.) Bus.Tel.No.: OR 77k 6 9 Address: 1 0 -�j-b4- 4-JCL- IZO// L, f x->1 _Nf 4. Alt.Tel No.: 77 41 ei4 .5 9 7 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 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 ❑owner's agent. Owner/Agent I Signature Telephone No. I PERMIT FEE:$ 7S'' r