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Home My WebLink AboutBLDE-23-002192 Commonwealth of Official Use Only ` Massachusetts Permit No. BLDE-23-002192 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:10/24/2022 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) 80 ROUTE 28 Owner or Tenant ARIEL SUAREZ Telephone No. Owner's Address 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: Miscellaneous work 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting 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 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: $100.00 l i I RECEIVED 14.T �,�OCT 2 4 2022 nwaa[th oP naedachueafle icial Use Only �:., , 23 -z t 2 r -71,r F c7 n Permit No. _ ,� i iV G U E PA R I M E 'r�uarim�nl o .}1,y Jirvrcta • '� -- Occupancy and Fee Checked • E 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(ME ),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /0` /1 old, City or Town of: YARMOUTH To the Inspector of Wires: Ety this application the undersigned gives notice of his or her inte lion to perfo the electrical work described below. Location(Street&Number) 60 20U�e 9 ,, W PA- YgV011 Owner or Tenants Elv lj 1) _- Telephone No. Owner's Address Is this permi t t In conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. frxisting Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: CNN ✓\,p,), Odw 3 CI iaC.V i j S, /n 6--I all 3 �I ar pixf V) jo <% Completion of thefollowingtable maw be waived by the Ins ector of Wires. tel ls. No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.or Total Transformers KVA '1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA t No.of Luminaires • Swimming Pool Above ❑ In- No.of Emergency Lighting ¢rnd. grad. � 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 Ranges Total Initiating Devices No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number ITons IKW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ConnectiNo.of Dryers Heating Appliances KW ,Security Systems:* �� • No.of Water No.ofNo.of Devices or Equivalent Heaters ' Data Wiring: NO of 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 E ectrical Work: (When required by municipal policy.) Work to Start: O a Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO GE: 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 El BOND ❑ OTHER 0 (Specify:) I certify,under"nuns and enalt•es o )� l� f perjury,that the information on this application is true and complete. FIRM NAME: (�-bba,/ a errV I CI q VI, i YY(— LIC.NO.: ] _ Licensee: Il Signature (If applicable,enter''�ees�ce�mp t!'�in the license number_Line.) ` i LIC.NO.: 3 B Address: LP /9( Hill VW) S hypNN/ 02b01 Bus.Tel.No.• 6 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt Lic.No. , OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally rurally required by law. By my signature below,I hereby waive this requirement. I am the(check one • owner • owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 103.Qo L-.