HomeMy WebLinkAboutBLDE-21-003515 VOID w P2 Q /4itot>1•...) S Cetot.t=L.
- A or Commonwealth of Official Us- Only
�:, ►� Massachusetts Permit No. BLDE-21-00 -
" BOARD OF FIRE PREVENTION REGULATIONS Occupancy a '-Fee Checked
Rev.1/0
APPLICATION FOR PERMIT TO PE ' • 0 RM EL - RICAL WORK
All work to be performed in accordance wi Massachusetts Electrical Cod- EC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION)
Dates 21/2020
City or Town of: YARMOUTH T. • pector of fres:
By this application the undersigned gives notice of his or intention to pertorm the electrical . described below.
Location(Street&Number)SI LUMBE ACK TRAIL t
Owner or Tenant Adriana Nascime •lep on0o
410,./
Owner's Address 61 LUMBERJACK TRAIL,WEST YARMO H, MA 02673
Is this permit in conjunction s'tjt a building permit? Yes 0 No 0 , •ck Ap' i i e o
Purpose of Building Utility Authorization , o. S i
Existing Service Amps Volts Overhead 0 Undgrd 0 `o.of Met il
New Service Amps Volts Overhead 0 Undgrd 0 No.of Met rs
Number o eeders and Ampacity
Location and Nature of Pro osed •ctrical Work: 2nd floor lights&plugs, remodel 2nd floor --_
"-- - - --__--->_> . - -
master bedroom, bath : /2 bath. ,
Completion of thi ii.cry
TH t i -r �-,
t its
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans
Fat 4T --r-vvc- t,...),24, , 6% s -
No.of Luminaire Outlets No.of Hot Tubs rS l lO,�y� 13E hS t Li..) 3rd tL
No.of Luminaires Swimming Pool Ag
rnd e ❑ grnd. 0 114A-t t_• A (3uvbo..xa ani i T ci ti
No.of Receptacle Outlets No.of Oil Burners To rc 8Lb —Zr-0013111 Arra Til
No.of Switches No.of Gas Burners C'WJI )2 s Iv44w6 AAA 7Cif ES' AS I)OFI
No.of Ranges No.of Air Cond. Total TIME t vc:+2ri- rbo•w. OA, s-,7-t.7. CAt-tr17l
Tons . t,-. k '4i Crw
Heat PumpNumber Tons KW � l-ri-'��54 G�=
No.of Waste Disposers
Totals:
No.of Dishwashers Space/Area Heating KW _ I1)4) molt Sk„v err,
No.of Dryers Heating Appliances KW 4'7
No.of Water KW No.of No.of t Z/Z5/20
Heaters Siens Ballasts
No.Hydromassage Bathtubs No.of Motors Total HP _ •••-• ---• ••� -�••-s•
INo.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
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