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Home My WebLink AboutBLDE-21-006487 r 0 Commonwealth of Official Use Only �_ ,I Massachusetts Permit No. BLDE-21-006487 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'5/10/2021 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) 15 BURCH RD Owner or Tenant FERULLO GLORIA R TR Telephonl . Owner's Address 26161 SUMMER GREENS DR, BONITA SPRINGS, FL 34135 �f (�Is this permit in conjunction with a building permit? Yes 0 No 0 liNty,• k A. ,",,, ab 2E0/ Purpose of Building Utility Authorizati l , ExistingService Amps Volts Overhead ❑ Undgrd ■ ,;844 ;Amps Volts Overhead ❑ Undgrd ❑ �'o. , New Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel kitchen, living room, &dining room. (a) 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 0 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: 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: 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(If applicable,enter"exempt"in the license number line.) Tel. NO.: 21075 Address: 110 BREEDS HILL RD,UNIT 5,HYANNIS MA 026011864 Bus.lt. Tel.No.::: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel. OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. (Kostt 5f (3(71 I . 'PERMIT FEE:$75.00 I F . ComnsonweaCth.o'Maedachudeas Official Use OnlyJ .., _-: (f,�• �t l'� ��Y/7 B 7 cc�� cc77 Permit No. `�- �C.Js/vartmsnf o/.}irs Serviced 1' cc ' BOARD OF FIRE PREVENTION REGULATIONS ROev. 1/07)upancy 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 c.0 3• 2 I 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) (S 12-L4 le,049 0b9141. V 00144 Owner or Tenant E 114 C. 0 A tit vi Telephone No. f.;7,8 737 a 5(, 5 5 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building4.L Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead El Undgrd❑ No.of Meters Number of Feeders and Ampacity 4 Location and Nature of Proposed Electrical Work: e4 7Cj.1-6 j , L.I VI N 4 /2-0 0h A-tv 0 )fit A.)t Ai 6 zovh r` M(21)-- L p Completion of the fallowing table meg be waived by the inspector of Wires. No.of Recessed Luminaires No.of Ceii.-Susp.(Paddle)Fans No.of Total Transformers KVA �z 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 c t ` No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municipal p Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters Signs Ballasts No.of KW No.of No.of Data Wiring: 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 co erage 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: /it/ILL(NCa tD&) le- .604,9_ j LAG L7/Lt,[Csi-iJ ,,,tic_ LIC.NO.: 2-4 b2 A- Licensee: (4)u t&)C t D J L- c0M1-07 Signature 6,6),e, ,,.f LIC.NO.: 6( 3 7� a (if applicable,enter"e empt"in the license number line.) � Address: f j(? r 6fll�c D-0AD /in!/7IA+U+��3 N4 Tel.Bus.Tel.No.: �Q 77&.��i3� *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: A1L Lic.No. No 77y 836 77 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 Owner/Agent one)❑owner ❑owner's agent. Signature Telephone No. I PERMIT FEE:$ 7 I