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Home My WebLink AboutBLDE-22-005796 Official Use Only Commonwealth of nMassachusetts Permit No. BLDE-22-005796 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 'LEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:4/11/2022 To the Inspector of Wires: City or Town of: YARMOUTH ;y this application the undersigned gives notice of his or her intention to perform the electrical work described below. ,ocation(Street&Number) 29 REFLECTION WAY Telephone No. )wner or Tenant Claire Hams )wner's Address 29 REFLECTION WAY, SOUTH YARMOUTH, MA 02664-2068 s this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) 'urpose of Building Utility Authorization No. :xisting Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Qew Service Amps Volts Overhead 0 Undgrd 0 No.of Meters number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Installation of New generator with 100 Amp Auto Transfer Switch 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 1 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 INo.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Ton No.of Waste Disposers Heat Pump I Number I Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Local ❑ Municipal 0 Other: No.of Dishwashers Space/Area Heating KW Connection Security Systems:* No.of Dryers Heating Appliances KWNo.of Devices or No. No.of Water No.of No.of Ballasts Data Wiring: KW Sinus No.of Devices or Equivalent Heaters 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.N . 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) 0 owner 0 owner's agent. Owner/Agent I PERMIT FEE: $75.00 I Signature Telephone No. ,! ' t 4 e-O r. gl14?11,1 1 LEIVZ W E'er. CeoLA • . Nor- Cuppazroo.4 NA_ to v 41) t-N RECEIVED G1c- ct4 APR 112022 BUIL DING D P `-_•. - Co�mmonwealthoi aeaa<.hueath Official Use Only • By .h. JJspartnunt oi,}cc77 1,s ssry cse Permit No. t^ a� 2 5-726 BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked •,.' "' [Rev. 1/071 (leave blank) �n`� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 J Date: (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) 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) Olt Re-`Fi,�C rwN) (, Ay Owner or Tenant (',L/rtt s Telephone No.-761-M I- 6 toe) v Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. N Existing Service Amps / Volts Overhead 0 Undgrd g ❑ No.of Meters AI New Service Amps / Volts Overhead❑ Undgrd Number of Feeders and Ampacity g 0 No.of Meters Location and Nature of Proposed Electrical Work: -tti' FW ;,‘A.IT- U ILF �v� 6oMb F - wl no coL kSr �4 `t't y v Completion of the followingjable mey be waived by the In vector of Wires. U! No.of Recessed Luminaires No.of Ceil:Sus . No.of Total p (Paddle)Fans Transformers No.of Luminaire Outlets No.of Hot Tubs KVA - Generators KVA t':' 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 INo.of Zones " No.of Switches No.of Gas Burners No.of Detection and t:, No.of Ranges No. Total ► Initiating Devices g of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number 1Tons I KW 'No.of Self-Contained Totals: """"""'" "" Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Connection Municipal- ❑ Other No.of Dryers Heating Appliances KW Security Systems:1 No.of Water No.of No.of Devices or Equivalent Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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: INSURANCE [j BOND 0 OTHER 0 (Specify:) I certify,under the pains andpenalties o (perjury,that the information on this application is true and complete. FIRM NAME: IA IZCaO jpriiCS Licensee: LIC.NO.: � Signature LIC.NO.: ._ (If applicable,enter"exempt"in the license number line.) Address: Bus.Tel.No.•-7.__ ti3y *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety Alt.Tel.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 owner ❑owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 7S-'cr3 -.121‘. ..0.iCk-V CI i Ley