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Home My WebLink AboutBLDE-22-001493 V" Commonwealth of Official Use Only ' '41 Massachusetts Permit No. BLDE-22-001493 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:9/15/2021 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) 31 KENNEDY LN Owner or Tenant KRUMINS VALDIS I CO-TRS Telephone No. Owner's Address C/O'JIk$ a ,� R,31 KENNEDY LN,WEST YARMOUTH, MA 02673 Is this permit in conjunction wilds b i ng 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement HVAC. 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 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 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 0 Municipal ❑ 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 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 ❑ (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 il) Itis Commonwealth of//lassachues(le Official Use Only e. 'ft cc 77�� cc77 Permit No. eL`L "r q s • ... . �Us/vartmsnl al.}irs—.civic'se �' 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 v (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: t9q ./u.Z/ City or Town of: YARMOUTH To the Inspector of Wires: tutBy this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 34 k lv N C VS. Owner or Tenant RAM-1J N(,r✓,)L.4 Telephone No. 512 3G7 I U 9 4 Owner's Address Is this permit-in con� building permit? Yes nction with a {�� - No ❑ (Check Appropriate Box) `� f Purpose of Building Utility Authorization No. I Existing Serviceii. Amps Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead ElUndgrd❑ No.of Meters I Number of Feeders and Ampacity - I Location and Nature of Proposed Electrical Work: IA)l P,d/,�- C. jZ 6 PIA Cr N 7 , Completion of the followintable may be waived by the Inspector of Wires. II No.of Recessed Luminaires No.of Ceil.-Snsp.(Paddle)Fans No.ofTotal KVA Transformers KVA r„ 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 Initiating Devices c. 11.i No.of Ranges No.of Air Cond. TotaTons 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 HeatingKW Municipal P Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:/ No.of Devices or Equivalent No.of Water No.KW No.oSigns Ballasts No.ofData Wiring: 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 0 BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties oferjury,that the information on this application is true and complete. FIRM NAME: i41 LL Gh✓ �rtJi,� _ £ {n i 4d.t----, I At C LIC.NO.: 21 0 7dd- Licensee: till e4Lt4t -,./Ji2 . 1 t'Zi./ Signature 74..)/2. LIC.NO.: l/ 376 1.?(Ifapplicable,enter"exe t"in the license number line.) Bus.Tel.No. 6iF 77k 59 Address: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt Lic.No. 77 y Y �� 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:$ SVt