HomeMy WebLinkAboutBLDE-23-000787 ,, Commonwealth of Official Use Only
• Massachusetts Permit No. BLDE-23-000787
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:8/16/2022
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) 101 WIMBLEDON DR
Owner or Tenant LOWERY MICHAEL C Telephone No.
Owner's Address LOWERY KATHERYN K, 39 LONGMEADOW DR, DELMAR, NY 12054-2325
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: Install generator&transfer switch.
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 1 KVA 14
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. Tonal No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained
Totals: Detection/Alertine 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 Ballasts Data Wiring:
Heaters Siens 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 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: $50.00
C Cl
.RE `CEIVED
1 15 _ 1[AU-6 Cmmo ea of I?J, fu�stb Official Use Only
BUILDING U � i. T Permit No. C-3-ell g 7
Occupancy and Fee Checked
.. BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/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: (it'!(u) j-ZZY
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) 1()t (,VI t hire bon D
Owner or Tenant 0 tki-e L kAli,(t1 Telephone No. P7 1 - i I-'j 91
• Owner's Address I
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❑ Undgrd❑ No.of Meters
New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters
Number of Feeders and Ampadty
Location and Nature of Proposed Electrical Work: 14 y-v. 6; -„- r _ Wt1A-k 2 o tc-S�
o s - it Snj- Sent iz IA-
' Completion of thefollowitut table
may be waived by the Inspec r of Wires.
Noof
W No.of Recessed Luminnh es No.of Cell.-Sup.(Paddle)Fans Transformers TotalKVA
42)
a
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires • Swimming Pool Above ❑ In- ❑ Pio.of Emergency Lighting
Brnd. grad. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
Na of Switches No.of Gas Burners -Na of Detection and
Initiating Devices
Tot la No.of Ranges No.o Air Cond. Tonal No.of Alerting Devices
Na of Waste Disposers Totals:
Pump Number Toms .KW -No.of Self-Contained
Totals: ' — Deteetlon/AlertingDevices
No.of Dishwashers Space/Area Heating KW Local❑ Muniinectionc�ippaall 0 Other
Con
No.of Dryers Heating Appliances KW Security Systems:*
Na of Water Na of Devices or Equivalent
Heaters , No.of No.of Data Wiring:
Sins Ballasts No.of Device"or Equivalent
Na Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wrong.
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 (Speciijr:)
I certify,under the pains and pe of petjuty,that the information on this application is true and complete.
FIRM NAME: M ttw TZ- • i'-1/41 e(. -A CI AJ LIC.NO.: 0299?C 1"
Licensee: Signature LIC.NO.: -7--ZCAf1f A
(If applicable,enter"exempt"in the license number line.) Bins.TeL No.: --lit' ti17( 4:, ..
Address:
*Per M.G.L.c. 147,s.57-61 Alt.TeL No.:
security work requires Depar went 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)[]owner 0 owner's agent.
Owner/Agent
Signatu1e Telephone No. I PERMIT FEE:$ SO I