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Home My WebLink AboutBLDE-22-006268 (,\7)) Commonwealth of Official Use Only E. Massachusetts Permit No. BLDE-22-006268 .` :i:;7 .' 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:5/2/2022 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) 51 LUMBERJACK TRAIL Owner or Tenant BARNARD DONALD A Telephone No. Owner's Address BARNARD NANCY J, 195 SHEFFIELD AVE, LONGMEADOW, MA 01106-3230 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: Finish basement(Per attached) 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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons 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 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 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 Zito 0442t 14 Commonwealth o f//Iaddarhudat`id Official Use Only "X=''v,`=' ct/�� cc77 Serviced Permit No. �S2--. t0 e ;,11'4; �lJs/vartmsn�o�}ira Jarvu sd 1�� Occupancy and Fee Checked '' BOARD OF FIRE PREVENTION REGULATIONS kr-St (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 :1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 0--1' Z L,1 7 7— 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) I L111 1'LSPG1i- -r-12 Al t- Owner or Tenant AO F tfrt* Telephone No. 774-,t(;t- i;)106 Owner's Address 1 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) C Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters NNew Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters ''' Number of Feeders and Ampacity N. -Z f Location and Nature of Proposed Electrical Work: -.,y , -t- V.rN,S H cA-- -17-ySet✓t-wr —9-1 poblo 1 pqi aouvii -76y ct onn .k-I ) C rPN cd vi ,,Iv Completion of the followinKtable maybe waived by the Ins ector of Wires. '! No.of Recessed Luminaires No.of Ceil:Sns No.of Total ,,lp.(Paddle)Fans Transformers KVA 'Z No.of Luminaire Outlets No.of Hot Tubs Generators KVA t' No.of Luminaires Swimming Pool Above ri In- ❑ No,of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 'No.of Zones 1 No.of Switches No.of Gas Burners No.of Detection and tl` — t Initiating Devices 4 No.of Ranges No.of Air Cond. Tong) No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals:I } Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipa Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent 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: 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 ctiverage 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 pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: MA k-et.0 S".)AV-i:s t,1. L-i`i.v....1,m) _ LIC.NO.: +-53.21 C V?j Licensee: Signature :'-c LIC.NO.: 22 EC i A (If applicable,enter"exempt"in the license number line.) Address: Bus.Tel.No.:711 t1t 17 G 6 '),LI Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lie.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 Signature Telephone No. I PERMIT FEE: $