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Home My WebLink AboutBLDE-22-002668 ►, Commonwealth of Official Use Only �:. �� Massachusetts Permit No. BLDE-22-002668 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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) 8 HIALEAH AVE Owner or Tenant PRIFTI JAMES K Owner's Address PRIFTI DOROTHY P, 82 HARVEST CIR, HOLDEN, MA 01520-1498 Telephone No. Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Purpose of Building Appropriate Box) Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 New Service AmpsgNo.of Meters Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for new bathroom. 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 grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiative Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW N Neeso.of No.of Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to start: (When required by municipal policy.) 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 o perjury, that the information on this application is true and complete. FIRM NAME: WELLINGTON R SOARES Licensee: Wellington R Soares Signature Tel. NO.: 21075 (If Liapplicable,enter"exempt"in the license number line) Address: 110 BREEDS HILL RD,UNIT 5,HYANNIS MA 026011864 Bus.Tel.No.: 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: $75.00 cIIV-L-7 K .- i g4 t...ommontueatth of Massachusetts fficia!Use Only ew 2epartmsnf o1,}' �' Permit No. Csi- 2 jg _? 1!'e Serviced 1'7 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ''-''' [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ‘s 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: City or Town of: YARMOUTH �ector of �� ? � �� ires: Vki By this application the undersigned gives notice of hisor intention to perform thTo the e elect ical work described below. Location(Street&Number) g -4?41 4M' .g-li t t,t)01 Y,4. y pc Owner or Tenant MA R I Nab L l S. Owner's Address Telephone No. �03 �j 53 6�j S? 1. l A (.-6 A 14 AVE , W 5S 7 Y1491--t li t4 Is this permit in conjunction with a building permit? Yes _ ❑ No n fCheck Appropriate Box) (,�� Purpose of Building Utility Authorization No. E'! Existing Service Amps / Volts Overhead❑ Undgrd stf. g ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: \A)( /et-3 147l R��oh tie v:4 Completion of the following.table mi be waived by the Inspector of Wires. ev No.of Recessed Luminaires No.of Ceil.-Susp. No. sfo Total �:.� p (Paddle)Fans Transformers KVA '�.t No.of Luminaire Outlets No.of Hot Tubs `` Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. mod. ❑ Batty %ng No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No,of Gas Burners No.of Detection and i1' No.of Ranges InitiatingDevices No.of Air Cond. ota Tons No.of Alerting Devices No.of Waste Disposers eat ump um er ons oThip o e ontain ._..._.._..:.._................... Detection/Alertin Devices Local❑ un crp No.of Dryers Connection ❑ thher iY Heating Appliances KW ecunty yystems: o.oWater No,of D Heaters KW o.o o.o Devices or E uivalent Si s Ballasts Data Wiring: No.Hydromassage Bathtubs No.of MotorsNo.of Devices or E uivalent e!HP e ecommumca ons inngg: OTHER: TotNo.of Devices or E uivalent Attach additional detail i ed,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: (When required by municipal policy.) 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 0 OTHER 0 (Specify;) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: 6" N 6 TO 1.1 Licensee: W Lc i,a,r, l f0� iz cO r ( ``l /�C LIC.NO.: Z J�,g -tS Signature (If applicable.enter"exempt"in the license number line.) LIC.NO.: as? Address: //p ��p a.c- tail t deo ., Bus.Tel No.: � 77� 593f *PerM.G.I c. 147,s.57-61,security work requires Department >�1ANNIet Alt.Tel.No.: ?� OWNER'S INSURANCE WAIVER: I am aware that the Licenseedoes f Public not have the liability insurance coverage— n—ormal� �7 required by law. Bymysignature "S"License: Lic.No. Owner/Agent below,I hereby waive this requirement. I am the(check one) / ownerY Signature • owner's a:ent. Telephone No. PERMIT FEE:$