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Home My WebLink AboutBLDE-21-006701 lt jc 1 iCommonwealth of Official Use Only Massachusetts Permit No. BLDE-21-006701 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:5/19/2021 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) 34 WILDFLOWER VILLAGE Owner or Tenant Frank Stewart Telephone No. Owner's Address 34 WILDFLOWER,YARMOUTH PORT, MA 02675-1474 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: Basement office, living space, bath, hall, &closet. 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 No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Tons TotNo.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* y No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters 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: (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:$80.00 A q-v4(7.1 JL/PJ 17 L , l C a ,,t( X2-7 iLs C,omnaonuieaLth.o f,aesacnuseuj Official Use Only '" ` 'i Permit No. &�—(12c76 ) a0t.. 2ipartmmnL(piglets Serviced -' Occupancy 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 FRNT1N INK OR LIFE ALL INFORMATION) Date: OC) I 1 V 11-1 City or Town of: 1 k4/ Oix l.L. 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) Ijil W 1 LD FI.e7W t4- 1.I , \i A'NM V {-4 Po f-t- Owner:or Tenant "Va.fts4V-- SS'IcVVft T Telephone No. Y dJ)-Li 02.-of-Koy, Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: '(2OQG!'t ..t. ri 01 S 1� Ce ` z ky i M JevIcE, L1v I N G c vfrct `'R,P'oN` 14-A 1- ht c t_QSer Completion of thefollowing table may be waived by the Inspector of Wires. NoTotal No.of Recessed Luminaires No.of CeiL Tr . f (Paddle)Fans r.of 'Iansformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Jmmergency Lighting grad. grid. BatteryUnits 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 Total - No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Na of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices _ No.of Dishwashers Space/Area Heating KW Local 0 grinciRtin0 Other No.ofSecurityS :* No.of Water No.Heating Appliances No.of Nf Devices or Equivalent KWData Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: u' ` g: No.of Devices or Equivalent OTHER j Attach additional detail if desirea4 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 plwrs and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: MA 19–CELO R• SO A"iZtS GLIC.NO.: (7)017 -b Licensee: Signature e9ii...., LIC.NO.: z- X44-A of applicable,enter"exempt"in the license number line.) Bus.Tel.No.; 'mak'nt-6 x651 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 rrequired by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent OwnSignature Telephone No. 1 PERMIT FEE:$ I r i i