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Home My WebLink AboutBLDE-23-001428 or Commonwealth of Official Use Only ` Massachusetts Permit No. BLDE-23-001428 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:9/19/2022 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 MCNEILL WAYNE E Telephone No. Owner's Address MCNEILL DOREEN M,29 LANDERS ROAD, STONEHAM, MA 02180 /� Is this permit in conjunction with a building permit? Yes 0 No 0 ( ) ! �� Purpose of Building Utility Authorization No, IS' h Existing Service Amps Volts Overhead 0 Undgrd CI New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Temporary service. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers 1CVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ Ian,.-nd. ❑ No.of Emergency Lighting 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 Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal 0 Other: No.of Dishwashers Space/Area Heating KW Local ❑ Connection HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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 LIC.NO.: 13036 Licensee: Marcelo R Soares Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:53 FALMOUTH SANDWICH RD, MASHPEE MA 026494307 *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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. !PERMIT FEE: $50.00 a. d vp,-/,-, AfOfficial Use Only CammonwaattK elnlQaaac�ivastta 3—1�7� �� ./ c� c� Permit No. ( I : "' ..Vspartmsnd of'giro..)arvicse ' 1'� BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07�y and Fee Checked `` (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 PRINT IN INK OR TYPE ALL INFORMATION) Date: 0() II(, 17-2— City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his oilier intention to perform the electrical work described below. Location(Street&Number) llitAlf 1-k\ ,)61Lu51-\0. LIJ , W1 "f v"Ylwt.dV't'l-k. Owner or Tenant lAl Ail iJ M.c iJl l;Zr 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. l 011142,2 I C, Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service . Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: G'J Lam-}trt E) TM/+Q '7&IL 4‘c 6 ms ' Completion of the foliowin table may be waived by the Inspector ofWires. t� No.of Recessed Luminaires No.of CA.-Snap.(Paddle)Fans No. ansformers KVA 1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above ❑ In- ❑ No.oLmer en Lighting <, No.of Luminaires • Swimming Pol"trod. gnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices t 1•+ Ranges No.No.of o Mr Cond. Total No.of Alerting Devices Tons rs Heat Pump Number Tons _ KW _ No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertin Devices Munidp� No.of Dishwashers Space/Area Heating KW Local 0 Cyyossnnection 0 Other No.of Dryers Heating Appliances KW SecNo of Devices or Equivalent No.of Water KW No.of No.of Data WIring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromaaaage Bathtubs No.of Motors Total HP Tel ?Devices or Equns ivalent 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 BOND 0 OTHER 0 (Specify:) I certify,under the pains and pe lties of perjury,that the information on this application is true and complete. FIRM NAME: M 11-1)-c:-t-'l.z 1-= i C S LIC.NO.: t 22 617) Licensee: Signature LIC.NO.: Z7,6't r!A (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: -1"7 O `1,O7 c, 6'3 t-/ 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 required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent PERMIT FEE:$ Signature Telephone No.