The URL can be used to link to this page

Home My WebLink AboutBlde-21-004489 Nc)\ Commonwealth of Official Use Only c Permit No. BLDE-21-004489 ,�' 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:2/8/2021 C'.O(J City or Town of: YARMOUTH To the Inspector of Wires: A s 11CC, E) By this application the undersigned gives notice of his or her intention to perform the electrical work described below. / r� S, - Location(Street&Number) 51 PARK AVE (y J t(J Owner or Tenant Brad Zelch Telephone No. n Owner's Address �-,, �y,yJCA�' Is this permit in conjunction with a building permit? Yes ❑ No 0 (Chsoir 20,0514 0, / Purpose of Building Utility Authoriz lion No, ,r,, /vf 144 Existing Service Amps Volts Overhead 0 Undg ❑ No.of Meters New Service 100 Amps Volts Overhead 0 Undgr 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Temporary service(W/O 4865525)new house . 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 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/Alertine 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 Siens 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: 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 flebris6 �cAls i/2,11 j3 ,-mi4.) fiD(l,vrip Signature Telephone No. PERMIT FEE: $230.00 ( buy kreatnez- -74424 V--6 12,79 ail) i lz9(7,/ vg Fr;,- - -&A A GQ-6. oi.rot Aj 6. -.3114,1zA 1,-- -.) • xici4 (9.. ..ev,ci)0)4_ eigialiA. /Mai- 2119)07 YE- * -( ) e%lam CE (cLeA /$5tieci ComnwnweaGth el//laddachiudeizld Official Use Only �' .� lit `''t c� Permit No. E'ZE '�4 69 ■ � ' 2 eparfinerJ el3ire Serviced 1+` Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) � a ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 }�i (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 0/, 2 7. 1. I .J City or Town of: YARMOUTH To the Inspector of Wires: `u By this application the undersigned gives notice of his or her intention to perform the electrical work described below. ''' Location(Street&Number) / PR'R-le__ Icv& IA;G S ) y*xM oil i4 Owner or Tenant 6,24 b / :ti y z C- -�t; Le Telephone No. 779 4'e? &77 S i Owner's Address `a Is this permit in conjunction with a building permit? Yes i No ❑ (Check Appropriate Box) t 3� Purpose of Building Utility Authorization No. 1'�"e� SS2 S" -il Existing Service Amps / Volts Overhead fl Undgrd U No.of Meters jNew Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters i Location and Nature of Proposed Electrical Work: TEMP Nivt; 2 0 L� -[v7 cart (A,', Ri/V C� I Number of Feeders and Ampacity L e 0s wG . Li—Cr4. SS25 v' Completion of thefollowingtable may be waived by the Inspector of Wires. v, No.of Total t1,i. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA r1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. 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 11' No.of Ranges No.of Air Cond. Total No.of AlertingDevices g Tons No.of Waste Disposers Heat Pump Number Tons _ KW No.of Self-Contained p° Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ of es 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: 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 BOND 0 OTHER 0 (Specify:) I certify,under the pains and enalties of perjury,that the information on this application is true and complete. FIRM NAME: Vv l,in nl(4Zv4i /. S-0A-A�`, 6G4 C"lam CPA i-.) /.t:(.. LIC.NO.: 2 iC) S Licensee: W�Li,i Nu,ZuE� g s:Gq,L.K7 Signature (- . ) LIC.NO.: //3/E .,C? (If applicable,enter"exempt"in the license number line.) �(/ Bus.Tel.No.: -57:'S' 778 S i 3e Address: Alt.Tel.No.: 77`/ t'S6 S'S j7 *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)Cl owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 2 2 0, -