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Home My WebLink AboutBLDE-22-002642 c Commonwealth of Official Use Only �� Massachusetts Permit No. BLDE-22-002642 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:11/9/2021 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) 90 WINDING BROOK RD Owner or Tenant Pam Maguire Telephone No. Owner's Address 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: Small studio with kitchen 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 grn . 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 KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent 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:) Gtn I certify,under the pains and penalties of perjury,that the information on this application is true and complete. 7Jg 2 39-250 Z. FIRM NAME: Licensee: Ruy Batista Coelho Signature LIC.NO.: 56863 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 15 Namcy St, Hyannis Ma 02601 Alt.Tel.No.: 5085555555 *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:$75.00 aveti l(1 to/74 (,v is L cOL4 Commonwsa[th 41 n/addactiwdfd Official Use Only �r n Permit No. C_1 z 7'i -111',"`.' �sparfmsnf o`�c7 ik Jsrv�cse r+ _w , :.t i f Occupancy and Fee Checked .' BOARD OF FIRE PREVENTION REGULATIONS [Rev. l/07] (leave blank) i APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK k) All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 11.1 City or Town of: YARMOUTH To the Inspector of Wires: iBy this application the undersigned gives notice of his or her intention to onn the electrical work described below. Location(Street&Number) 9a W!/ p/h S ,took got 5. /Qr ss-roc74 O 2 6'6 4/ Cid Owner or Tenant Fel' 117 M 14 to Telephone No.$"8 2 72-lirQ/ t7 W Owner's Address ! / /h jjrooA.. oter 5 ydrm•tge j Is this permit in conjuus ion with b ding permit? Yes ❑ No !1 (Check Appropriate Boz) • C Purpose of Building KC5t with, GI a 4 Utility Authorization No. i Existing Service (09 Amps 1(6 /ZLG Volts Overhead Undgrd❑ No.of Meters / ...4" New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters V Number of Feeders and Ampadty / W 1 Location and Nature of Proposed Electrical Work: A 99V; D / d r 5,.zOLZ 57`v�,-O ! a,&& S L.L ICI rc4es-r ! `Q�� Completion of thefollowingtable maw be waived by the Inspector of Wires. No1.4 No.of Recessed Luminaires No.of Ceil.-Sasp.(Paddle)Fans Transformers Total C' KVA _ C1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA r1 No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting g and. Li 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 t Initiating Devices IliTo 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/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Munidp Cnnedion 0 _ No.of Dryers Heating Appliances KW No. f Systems:* or Equivalent No.of WaterHeaters , No.of No.of Data Wiring: 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: /5-C ea (When required by municipal policy.) Work to Start: 72i '-2 I 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 0 BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: LIC.NO.: ,. Licensee:Rv7 8. &eL 4&' Signature. /� L LIC.NO.: 56863—$ (%� (/f applicable,eager"exempt"in t e license number line.) Address: /3 /Vet ii C yS Gy,�e //Yet h/7I s Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: AltLic 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 7S----)