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Home My WebLink AboutBLDE-23-000045 of Commonwealth of Official Use Only ft_. ? Massachusetts Permit No. BLDE-23-000045 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:7/5/2022 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) 41 JERUSHA LN Owner or Tenant Eli Ramos Telephone No. Owner's Address MA Is this permit in conjunction with a building permit? Yes Cl ' 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: UFER grounding(New residence) 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 Initiative 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/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 Euuivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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 my signature below,I hereby waive this requirement.I am the(check one) 0 owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 Z S. RECEIVED [JUL 05 22 Commonureatth of i//aaaac�ivaa(fe .Official Use Only Permit No. BUILDING D "„A,i 2-3 e _,� l+ T 2sparimsnf o/,tiie Serviced OARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [' f V Rev. 1/07] (leave blank) 3 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: Girl-CA) I ZZi City or Town of: YARMOUTH To the Inspector of Wires: Nb By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 4 j -USk+-A cm w Yj4'1-t- c n-1 Owner or Tenant el.-1 A-rncS Telephone No. tjp'j-'Zto- 5 f Owner's Address `) Is this permit In conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Voltsrk: Overhead ID Undgrd g ❑ No.of Meters „i,r New Service Amps / Volts Overhead 0 Undgrd g El No.of Meters Number of Feeders and Ampadty .. 1 Location and Nature of Proposed Electrical Wo 1'?1t�N7e'�cl vaJ ��U�I N G �fL �� a, -4,1-CMtC l--11-4/1CV (DAA(//47U46 sot Completion of the followingtable may be waived by the Inssector of Wires. th fsi No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVq 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 INo.of Zones No.of Switches No.of Gas Burners 'No.of Detection and i No.of RangesInitiating Devices No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number(Tons I KW 'No.of Self-Contained Totals:I.--__...._.. I- Detection/AlertintDevices No.of Dishwashers Space/Area Heating KW Local❑ Co n echo n 0 �� No.of Dryers Heating Appliances KW Security Systems:*o No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts 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: (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 14 BOND 0 OTHER I certify end/ties o,under the pains and 0 (Specify:) FIRM NAME: (vt p f perjury,that the information on this application is true and complete. r4'\ZCe-LJ 9 , a2&S &T t_ lU 1 Licensee: LIC.NO.: 7144P ZZ(74 q)6 Signature ---------- (lfapplicable,enter"exempt"in the license number lute.) LIC.NO.: I (1' C ib Address: Bus.Tel.No.• "1 *Per M.G.L.c. 147,S.57-61,security work requires Department of Public Safe S'License: G�� Li- Alt.Tel.No.: o. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage ormally required by law. By my signature below,I hereby waive this requirement. I am the(check one Owner/Agent owner ■ owner's a:ent. Signature Telephone No. PERMIT FEE:$ S 0—