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Home My WebLink AboutBLDE-22-000364 At . Commonwealth of Official Use Only : '�' Massachusetts Permit No. BLDE-22-000364 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:7/20/2021 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) 39 CENTER ST Owner or Tenant BOSKEY HILLARD M Owner's Address BOSKEY MARGARET M, 39 CENTER ST,YARMOUTH PORT, MA 026751ephone No. Anil . Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Ap ,, 'W Purpose of Building Utility Authorization No. ger Existing Service Amps Volts Overhead 0 Undgrd 0 o _�r, ` New Service Amps Volts Overhead CI Undgrd 0 No. ei>r�` l / Number of Feeders and Ampacity � Location and Nature of Proposed Electrical Work: Install •enerator. ` W'," w rrr dr Completion of the following table may be waived by the ,jr,,z,Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of �� `i/ Transformers KV No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 14 No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I 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 No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Signs Data Wiring: 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: (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 I certify,under the pains and penalties of perjury, J ery, is ur that the information on this applicationtrue and complete. FIRM NAME: Marcelo R Soares Licensee: Marcelo R Soares Signature Tel. NO.: 13036 (If applicable,enter"exempt"in the license number line.) Address:53 FALMOUTH SANDWICH RD, MASHPEE MA 026494307 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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:$50.00 CO )3n1 RECEIVED JUL2 ` h :;.: CommoniuQa o aaaac u� Official Use Only ,,..'""GY c� c7 BUILDING DE f 9'r"T `U*par �o�-�1ia&,vicsa Permit No. ��' 3 BY. ,v.` `' :OARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 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 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) -Date: tI �� 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) Owner or Tenant ! N T t l.i—�( Ey Owner's Address iligge Telephone No. R114-11 tp G-6(6 Is this permit in conjunction with a building permit? YesI Purpose of Building ❑ NO El (Check Appropriate Box) Utility Authorization No.Existing Service Amps ---- / Volts Overhead❑ Undgrd Eil No.of Meters New rvice Amps / Volts Overhead❑ Undgrd Number of Feeders and Ampaclity g ❑ No.of Meters r Location and Nature of Proposed Electrical Work: , T(1!1 N`o Fly ;,v,.� 1 YrnJ C Nr✓R tt L.,..) r> j RSt YtU G1r vi Com,tenon o the ollowin_ table m be waived b the Ins.ector o Wires. No.of Recessed Luminaires No.of Cell:Sns . `o.o e,/` P (Paddle)Fans ota `�;A No.of Luminaire Outlets Transformers KVAa No.of Hot Tubs'` No.of Luminaires Generators KVA Swimming Pool rode 0 °- 'o,o Units cy g ng No.of Receptacle Outlets °d Batte Units g No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners `o.o 1 etec on an, t`r No.of Ranges Initiatin. Devices No.of Air Cond. ota No.of Waste Disposers 'eat 'ump um er Tons No.of Alerting Devices Totals: .........._...._._....... mil e0.t o e - out: ne, No.of Dishwashers Detection/Alert ., Devices Space/Area Heating KW 'un ci a No.of Dryers Heating Appliances Local 0 Cstems:tion ❑ �� `o.o "a er KW ecu ty ystems: Heaters KW `°•o No.of Devices or E uivalent °'° Data Wiring: sins Ballasts g' No.Hydromassage Bathtubs Na of Devices or E uivalent No.of Motors Total HP a ecommun ca,ors r ,g: OTHER: No.of Devices or E B. uivalent Attach additional detail ifdesired,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 the licensee provides proof of liability insurance including permit for the performancecverag of itsel subs al work may issueent, unless undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. "completed operation"coverage or substantial equivalent. The CHECK ONE: INSURANCE DA' BOND I certify,under the pains and penalties o 0 OTHER 0 (Specify:) FIRM NAME: 1perjury�that�th��nfornratinn on this application is true and complete tit A ile-t- ) A-- et- c tc_t,t.,,) Licensee: LIC.NO.: Q� (If applicable,enter"exempt"in the license number line.) Signature Address: LIC.NO.:22(,�4�1 *Per M.G.L.c. 147,s.57-61,security work requires De Bus.Tel.No. OWNER'S INSURANCE WAIVER: parhnent of Public Safe 5" Alt.Tei.No.c—�.-------- OWNER'S by law. ByI am aware that the Licensee does not have the liability insurance overage normally requirOwner/Agent my signature below,I hereby waive this requirement. I am the(check one Signature ■ owner ■ owner's a,ent. Telephone No. PERMIT FEE:$ Sb