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Home My WebLink AboutBLDE-21-001409 • Commonwealth of Official Use Only L'Ali Massachusetts Permit No. BLDE-21-001409 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:9/18/2020 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) 11 SIERRA WAY Owner or Tenant EDSON DEMOURA Telephone No. Owner's Address 11 SIERRA WAY,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check • , i• to$6 VI Purpose of Building Utility Authorization No. 3 Existing Service Amps Volts Overhead 0 Undgrd 0 o. • A. New Service Amps Volts Overhead 0 Undgrd 0 e _ Number of Feeders and Ampacity I Location and Nature of Proposed Electrical Work: Remodel&panel changes. /- j 0 i Completion of the following table may be waive I ,r of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of I I Transformers ' A No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- o 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/Alertine Devices No.of Dishwashers Space/Area Heating KWLocal 0 Municipal 0 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: 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 i , in N r f0 a n/� ��ff y�j l � C.oinmonwaaCth o�///aaeac�iuealfe Official Use Only c� :='t cc77 n Permit Net-)-- �4 09 e :. �sparf»anE o�,}iro Serviced �r16•, 11 T Occupancy and Fee Checked - _ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) t ii APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORKal All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 E (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 4 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. w N Location(Street&Number) // i%l< W 4 )' / W 7 y4-4,400-7 4- I �� Owner or Tenant �r0 MOV 2A Telephone No. .57l f' 36o 923 7 0 v V // c1 6-12-4.4I Owner's Address WA`j , 1,0&"..i 7 Y/-1,-,1400 Tri. E Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. 3 Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters a New Service Amps / Volts Overhead❑ Undgrd 1:1No.of Meters O N 70 m 1 Number of Feeders and Ampacity E I Location and Nature of Proposed Electrical Work: e r m P 12>;P�4t,� MAW PANT-I,. NkG-MEtJ'i . (NS74tt„ ntr;W Sru,'3pgnLz[ IN 8 EXisifNG FINISMCP0, in a s t�5-EMfN1.W11�fV�-W ka7crlF� AAD17taJ ,�Nt,uG �tgDCL . INS�f4LC SONE NEw SWt7a�,Pt_VG�N ,v,i1 WocgE P6Q1.1PAtt(AND e )M 9,0 /A) Li("IC?tfl4KCompletion of thefollowingtable may be waived by the Inpectorof Wires, a) o W No.of Recessed Luminaires No of CCeeil�SusNI_ Paddle)Fans• No.of Total m Transformers KVA n 8 n No.of Luminaire Outlets No.of Hot Tubs Generators KVA a) c 47 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting N oo grad, grnd. Battery Units N ro �1 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones M No.of Switches No.of Gas Burners No.of Detection and c { Initiating Devices o 11•+ No.of Ranges No.of Air Cond. TonsTotal No.of Alerting Devices n Heat Pump Number Tons KW o.of Self-Contained m Na of Waste Disposers Totals: "' ' """""""""' Detection/Alerting Devices 00 Co No.of Dishwashers Space/Area Heating KW �❑ Municipal ❑ otic LL Connection a No.of Dryers Heating Appliances KW Security Systems:* 03 No.of Devices or Equivalent M No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent 0- No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:No.of Devices or Equivalent N A OTHER: n v Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) `e Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. Ei INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless v the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The '3 undersigned certifies that such c v ge is in force,and has exhibited proof of same to the permit issuing office. 5CHECK ONE: INSURANCE [BOND 0 OTHER El (Specify:) L I certify,under the pains and penalties of perjury,that the information on this application is true and complete. a FIRM NAME: WELL('JG tot.) -. co 4-4.6-7 £t-e(7/4 i/4#) /NC LIC.NO.: 24047% 1 Licensee: W>;1,14/44,1t0 b) R- c041l-'1 Signature C/ � LIC.NO.: II 376$ E (If applicable,enter"exempt"in the license number line.) 1. �"` Bus.Tel.No.: .408 We 5g34 1- Address: Alt.Tel.No.: 774'836 S'77 e *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. m OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally a required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. } N Signature Telephone Telephone No. PERMIT FEE: $ .yam, —ii a z a