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Home My WebLink AboutBLDE-23-000743 or y Commonwealth of Official Use Only ' (, ,1101 Massachusetts Permit No. BLDE-23-000743 4.... 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:8/12/2022 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) 42 RIVER ST Owner or Tenant DEB HEMEGHAN 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 ❑ Undgrd 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity 4— 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 nd. ❑ g rnd. CINo.of Emergency Lighting 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. Total No.of Alerting Devices Tons Heat Pump Number , Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters.ofKW No.of No.of Ballasts Data Wiring: Siens 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 R E C E i V ! D .1 ea&al' ae Official Use Only 1 u 12 2022 cc77 Permit No. C:Z3 -07/�j "�+r, �e, ol.tire-cervicee ILDIBOA1 M5Pr 'REVENTION REGULATIONS fancy and Fee Checked BY.----— — [Rev.Iro7] (leave blank) A- - LICATION 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: O'' 1 la I??-- City or Town of: _YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice ofhis or ber intention to 4.a,,, RA Vim- 4T perform the electrical work described below. Location(Street&Number) Owner or Tenant Txib k (,I 1{kt.) Owner's Address Telephone No. �- ��_-VAC? Is this permit in conjunction with a building permit? Yes 0 No Purpose of Building El (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters _ New Service Amps / Volts Overhead 0 Undgrd Number of Feeders and Ampadiy g'' El No.of Meters Location and Nature of Proposed Elecgrkwl Work: f - 8 9 v i)Lti w 11 LcfiS i��- D Ry r.�- LtIC,�' IIp�.L_ c t ,f�i��' a- k/JK`t S I+J fN i rib k sot') 71,)�l. IN GLZt4 No.ofCompletion of thefollowinntable may be waived by the/ for of Wires. Recessed Luminaires No.olCeil.-Snep,.(paddle)Fans TnafformersKVATotal No.of Luminaire Outlets No.of Hot Tubs Generators KVA 47 No.of Luminaires • Swimming Pool A ❑ In- ❑ No.of Emergency Lighting ''l No.o[Receptacle OutletsInd. Battery Unite No.of Oil Burners FIRE ALARMS [No.of Zones 4. No.of Switches No.of Gas Burners of Detection and I k! No.of Rang Initiating Initiating Devices No.a Air Cond. Tons No.of Alerting Devices Heat No.of Waste Disposers TotalsINunrber}Tons KW NO.of Self-Contained rs J Detection/ No.of Diahwaahe Space/Area Heating KW Local❑ Mub3 No.of Dryers Heating Appliances Cyyonnec:* ❑ Otber No.of Water Heaters KW KW No.of Deviices or Equivalent No.of No.of Data Wiring: No.Hydro S s Ballasts No.oDevi orEquivalent e Bathtub, No.of Motors Total HP e m one gg: OTHER: No.of Devices or trivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to Start: (Whenrequired by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no penult for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"hibofc to ee or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited CHECK ONE: INSURANCE (4 BOND 0 OTHERproof of same to the permit issuing office. I certi,jy,under the pains and penar�o 0 (Specify:) FIRM NAME: �� 'r��'�the hefor►naNaa on this application Is true and complete Licensee: LIC.NO.:- 1"}j0� C P7 (If applicable,enter"exempt"in the license number line.) Signature LIC.NO.: ZZ C[ Address: Bus.Tel.No.• yj -7,ct *Per M.G.L.c. 147,s.57-61,security workAlt.Tel.No.: OWNER'S INSURANCE WAIVER: I am requiresware that theLicensee does ment of Public not havfety e the liability insurance coverage normally "License: Lic.No. required by law. By my signature below,I hereby waive this requirement.Cement. I am the(check one owner • g rurally ■ owner's a:ant Telephone No. PERMIT FEE:$