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Home My WebLink AboutBLDE-22-001791 o. a Commonwealth of Official Use Only E� Massachusetts Permit No. BLDE-22-001791 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:9/29/2021 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) 51 LUMBERJACK TRAIL Owner or Tenant BARNARD DONALD A Telephone No. Owner's Address BARNARD NANCY J, 195 SHEFFIELD AVE, LONGMEADOW, MA 01106-3230 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 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: Added lights in kitchen&living room. Replace exterior lights. 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 grad. 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. TTootal No.of Alerting Devices 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 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 Ballasts Data Wiring: Heaters Stens 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 tV q z{ c Kg BSEP 2 8 2021 /� f 1l„ nwea[p(o` aeeac�(fe Official Use Only 1� ., ,; i r!. II r c7 Permit No. C-2:1—\ ( i j' epartmenf oll3ire Serviced ° ` Occupancy and Fee Checked �' _,i,/ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Coddee(MC),527CMR 12.00 :_`k-1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: (Pt(1.-Y,IZr 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) )\ t.ic)M i ijb-4t_,)JCC,'14-- -j-( 1 it.... Owner or Tenant �� y j',mn t A Telephone No. 114. V.0- r)(U r) Ji Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) 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 Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: Pocx- ) c 1 N tG‘�t J .Irk U v r NJ L oi4" Kt-v-k 1 1 Lfrco, ctj 5t DE C Completion of thefollowinktable may be waived by the Inspector of Wires. lit No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of Total CI Transformers KVA 1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA n No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Ligating grnd. , id. Battery Units �t No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones N.- No.of Switches No.of Gas Burners No.of Detection and v. Initiating Devices 11.5 No.of Ranges No.of Air Cond. Tons[ No.of Alerting Devices No.of Waste Disposers Heat Pump Number _Tons .� KW No.of Self-Contained Totals: �' Detection/AlertingDevices No.of Dishwashers Space/Area Heating KW Local❑ Municipalnnection 0 Other _ C No.of Dryers Heating Appliances KWNo oSystems:* yyoDevices or Equivalent No.of Water KW Heaters SNo.of No.of Data Wiring: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 penalties of perjury,that the information on this application is true and completes FIRM NAME: 0P-0-LCito L%LL L) 1--- �9 PC-T1-It (fr) LIC.NO.: ( "moi., l9 ( 0 Licensee: Signature � ( M.NO.:`L (If applicable,enter"exempt"in the license number line.) CJ Bus.Tel.No.tnit-`GA 0-(? .--27y Address: Alt.Tel.No.: *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 Signature Telephone No. PERMIT FEE:$