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Home My WebLink AboutBLDE-23-001213 • 0, Commonwealth of Official Use Only till Massachusetts Permit No. BLDE-23-001213 1 -,,.. 3.7 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:9/6/2022 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) 52 PRINCE RD Owner or Tenant PAUL CRUZ Telephone No. Owner's Address 52 PRINCE RD,WEST YARMOUTH, MA 02673 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: Upgrade wiring in garage. 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 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 Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Ton Heat Pump Number Tons 1 KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertinu Devices Municipal No.of Dishwashers Space/Area Heating KW Local ❑ Connection ❑ Other: HeatingAppliances KW Security Systems:* No.of Dryers pp No.of Devices or Eauivalent 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 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 ❑ (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 LIC.NO.: 21075 Licensee: Wellington R Soares Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: o. Address: 110 BREEDS HILL RD,UNIT 5,HYANNIS MA 026011864 *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 0 owner's agent. signature below,I hereby waive this requirement.I am the(check one) 0 ownerI Owner/Agent I PERMIT FEE: $75.00 Signature Telephone No. aCq48 i'. '1 '` Commonwealth�ff al!//jaeaach!uaalle Official Use Only � �� .•� ,. :,t cc77 Permit No. U �{ lit2spartmsnt o/..lira Seruked .11 N,3 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 CMP.12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: D 9. O l D Q % 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. 0� Location(Street&Number) 5 2 ?pi r N C E R D, W C yr./1 R M O UTN c Owner or Tenant ,p�11 L, (,R U Z Telephone No. 771f g 3 ir 5 3 9 gt 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 / Volts Overhead❑ Undgrd El No.of Meters New Service Amps / Volts Overhead[3 Undgrd[3 No.of Meters Number of Feeders and Ampadty 1 Location and Nature of Proposed Electrical Work: P lv1lQLG 6fiftfl6E I.IGNty, pLU6S/ AA3i�lfl'1/N/Tt dv. Ri=P2,4C1 PANgL ALL DEV/C£S ARF ) 1V9TAILED IN ONF;Nt.�yF1) 64Atff65 VI Completion of the following.table may be waived by the Inspector of Wires. No Lb No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans V. of Total f P Transformers KVA i No.of Luminaire Outlets No.of Hot Tubs Generators KVA rA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches Na.of Gas Burners Initiating Devices 11.) No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons No.of Waste Disposers Heatuumis Number Tons_._ KW No.of Self-Contained Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ � Heating Appliances KW Security Systems:/No.of Dryers No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts 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: 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 penalties of perjury,that the information on this application is true and complete. FIRM NAME:{Vv e %/ ,e, s � /Age 1/su A4--) I t:3 C LIC.NO.: 2 l®7.' A Licensee: V" e � �_e d.S#l .Signature Irl✓' LIC.NO.: 41 37 to •B (If applicable.enter"exe p�elicense number line.) Bus.TeL No.:' DI 778 S'q3 Address: /�lO 1 �2 f t C- P0 A-A Alt.Tel.No.: 77 4 S36 .5-e 7 *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 0 owner's agent. Owner/Agent Telephone No. PERMIT FEE: $ 75• n O Signature