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HomeMy WebLinkAboutBLDE-23-000475 r� Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-000475 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:7/29/2022 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 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: Permit for final inspection to close out expired permit E21-1409. 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- 1:1No.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. Ton l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 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 Signs 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 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 . REV E w i l l co,. 11 h-e in ('t_ct 8L-( JUL 2 9 2022 /� aa ff y�j 1/ Official Use Only � �; -.A-� N G U P PA R T M E o •nwsa[th of Maddachudalld t �� !�l (.� .., c� Permit No. l% —4047 k:.,„ , ,,: Ispartmsnl o�.lira .�swu edOccupancy and Fee Checked 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 Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: v 7. Z .2 Z 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) '7 C4�-i< w4 ) / l^' 7 V.4-4,44D(1-1V.4-4,44D(1-10- Owner or Tenant �� lJ C M d ORA Telephone No. 5778 360 923 7 ki Owner's Address 1/ c4 Eve—g—.4 W A'Y , i.,)&--s 7 Y i i V c)i tP S. Is this permit in conjunction with a building permit? Yes Z No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps4 / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty P-11-1,4tT '(0 c UoSE ©Ji Zl — l 401 1- E Location and Nature of Proposed Electrical Work: (L PL4 t MVO lt'A-1461.10 tEt J1. iNS74t4... NEW c1)l -pAt L. IN c. eXiSitNO PtiJ1544CD ails--146"i.Wll ivE40 elic 1c/3 Au:si7/0/o ,DIN/NG leflot9DEI. /N574LC SOUS NEtJ SWi7r ,Pt-'6 W%RF kcaJf51 t;9 A ND NEW P,€t�Eslip /N LI U!N(7(M{H•CCompletion of the following table maybe waived by the Inspector of Wires. �,� #ria bst].cMf.N' No.of Total W No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)FansCI Transformers KVA �1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units �t No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and - No.of Switches Initiating Devices { Total 1.0 No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Sec No s:* of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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 cpv9rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCELE BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the informat/on on this application is true and complete. FIRM NAME: kit)Ei..l-t NCS lot) Z . CO - 6-L L7.2at/4" Z ) /N(_ LIC.NO.: 24070% ,�/' Licensee: WEi-Url( tt)1) R- SO�I�a Signature f/l42 LIC.NO.: II 3768 (If applicable.enter"exempt"in the license number line.) 1. Bus.Tel.No.• 3-08 772 5.934 Address: Alt.Tel.No.: 174 236 .t1?7'7 *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 0 owner's agent. Owner/Agent PERMIT FEE:$ �l/r` Signature Telephone No. f-ItiA � 1 bNt. .a 1•2OhEC& - t2 Y ; i