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Home My WebLink AboutBLDE-22-005304 Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-22-005304 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:3/23/2022 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) 169 CRANBERRY LN Owner or Tenant Mike Hussey 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: Install generator 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 1 KVA 20 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. 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 Initiatine 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 Devices or Esuivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Esuivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Esuivalent 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 ❑ BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,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) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$50.00 I (9-2 d (#( * , -r-g.. j a �. E C I V E .1"^ MAR 2 2 202ro ea[[h o` gwah.„th Official Use Only a � 4 , s Permit No. �2 Z-�3 ,LDINL; ub HARTjil nto/ UV erviced 3 'EV�NTION REGULATIONS Occupancy and Fee Checked [Rev. l/071 (nave brank) 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accontance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 ;(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: v( ICity or Town of: YARMOUTH To the Inspector of Wires: ro:ata pplicationthe undersigned gives noticeof hisor herintention ton(Street&Number) (OC` perform the electrical work described below. Owner or Tenant IA\ �) Telephone No. Z'� V Owner's Address Z-Z il- i Is this permit in conjunction with a building �arpose of Building permit? Yea ❑ No ❑ (Check Appropriate Box) Utility Authorization No. zisting Service Amps / Volts Overhead New Service —" l ❑ Undgrd 0 No.of Meters ym, Amps / Volts Overhead❑ Undgrd a Number of Feeders and Ampacity ❑ No.of Meters Location and Nature of Proposed l Work:Electrical b, �.A-N(j 4 r_' ►mow p � Co% `�or�� E Com legion o the ollowin table m be waived b the In for o Wir Ui No.of Recessed Lum usp.(Paddle)Fa inaires No.of Ceil.-S o.o es. Fans Transformers om No.of Luminahe Outlets No.of Hot Tubs KVA Generators KVA 4` No.of Luminaires Swimming Pool de ❑ n- o.o Units cy ng �" No.of Receptacle Outletsd' 0 Batte Units �� No.ofOU Burners FIRE ALARMS No.of Zones l o.of Switches No.of Gas Burners o.o ec on an i`? So.of Rouses Initiatin Devices No.of Air Conti. ° Tons No.of Alerting Devices o.of Waste Disposers 'eat amp 'um yr _en • �' o.o Totals: _.....--.__... Detection/ on a $0.of Dishwashers 'ion n Devices Space/Area Heating KW Local 0 'nn ie , No.of Dryers Heating Appliances u Cyonnection 0 Otbet o.o i No.of Levin:as or uivalent o.o Heaters KW S na Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Devicesa or aivf. No.of Motors Total HP a No.ofDn a na gg OTHER: No. Devices or E uivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the,licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANC BOND ❑ OTHER I card jy,under the pains and naldes o 0 (Specify:) I cRM NAME: fperjury,that on this application is true and complete.A1-C 5012617) Licensee: LIC.NO.: L (If applicable,enter'•exempt'•in the license number line.) Signature �___. LIC.NO.: Address: Bus.Tel.No.. Y. t,-�y *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safe S•'License: Alt TeL No.: Lic.No.OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally regt}ired by law. By my signature below,I hereby waive this requirement. I am the(check one II owner III owner's a:ent. Owner/Agent Signature Telephone No. PERMIT FEE:$