HomeMy WebLinkAboutBLDE-22-004740 Commonwealth of official Use Only
�;,�.:Il Massachusetts Permit No. BLDE-22-004740
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.l/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:2/25/2022
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) 128 PLEASANT ST
Owner or Tenant ONEIL GREGORY I Telephone No.
Owner's Address 128 PLEASANT ST, SOUTH YARMOUTH, MA 02664-4551
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 w/Xfr switch.
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 14
No.of Luminaires Swimming Pool Above ❑ In- CINo.of Emergency Lighting
grnd. gIrnd. 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
Ton
No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained
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 Devices or Equivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Signs 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 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
*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. II
PERMIT FEE:$50.00
Ni 3(7 vi- (
R E E D �,�..�..�..,S. Df ��s'<'./f'Cathy
FEB I:'2 s a-•. DF FI Occupancy aadFee Cher.
RE PREVENTION REGULATIDh!S [Lev.1/p7] (
sti" 6I"`' .} - ON FOR PERMIT TO PERFORM ELECTRICAL WORK
BY -------- Al workto be pectiaossi.m seinedisceze rue Wusegicianstke_Gam Code
(p r.P-47F PR.TET.0 r OE TMPEALL. 'OEIL Tl-Clh) ga lO, I -`- - -
City or Town at rdi i To the hrspectOr of Wirer
By-this application f tmeco4nnzd gives=firs ofhis or her intention to pair=the 4 ;r-41 wrzi ti=sraesi hsiloW.
Location(Street&Ninabar) (a•`e.) tiV A14T S .
Owner ar Tenant- Gk O'NO L Telepliohe No 1 „ s-, _t , e.1-;� .Owods Arl ress
Is this permit m coiiiiroctioz.with a b gperimrt7 Yea ❑ No ❑ (ChergApprnpriate Pact)
Purpose of • t1 h y Isifuareatiun Na
Existing-Service Aosta / Volts Overhead❑ Unc:•d❑ Na of hiders
New Perri= Amps / Volts Overhead❑ '6n rd❑ No.of Meters
. Number of Feeders aanka ipmacity
Locafaon and Natant of Proposed.Eitedrieed.Warp I ii 1(- Gico.64.4it-c- -- LC •.°-l. >AcSf
`1#- bj $ ttt=G‘1,
CampIdoe of the f llowie trrbke may be,aged by the Iropeetar grin- .
Na of wed Luminaires a••••inai+-� Na Cep Susp (1`'+d�c)gams Na of Total
I'rdnsfoimea gVA
Nu.of Luminaire Outlets No.of Sat Tubs Cm SYA
Na of T�zoinrvirx g d Ahove ❑ ❑ o.of t metgeacy L ttmg
� erred. -IIui1a
No.of Breeptar3e Outlets No-of 0i1 Besets -I: ' A LA R►urc a of Zones
No.of b�trhes No.of Gras!turners n off Deand
vices
No of kanges Na of Air Con& Tons I a.of Ater g Devices
No.of Waste.Disposers
Sri p Number Toss KW a.of Set Ccur+s;.,�
Totals: T etec icon ertinz Devices
No.of Dishwashersapace/Area.Malin gW Loan 0 0 Ter
No.of Dryers 'Seating-A,pplianers KW 6e:emziy 6patons.:t
No.of W.dzr No.of D E,g
Devices or aivaleat
KW Na of No.of Data Wirinp
HertenSigma Eallasds Na.of Devices or Elgairalent
Na ffpdr oraastage Rathf>�s Na of Motors Total HP Telemmtaa•airuliaon Wiring.
Na of Devices or REVITErakeie
OTSER:
Arta.additional del if darirrr4 ar as r eprirad by theinsprzbr af'ffirrz
FeFh,iFr•d Value Wank (Wheel reed by mmcipal policy.)
Wyk to Eilirt COl ).--- Inspections to be regneslzd is aerke with lv2EC Rnle 10, marl up=ecsapietirat_
INSURANCE COVERAGE: Unless waived by the avowz.,no pr.aurtfor the perFriroinnrr of electrical wark army issue sinless
the liaanse e provides proof of liability i arrears a mr4ndm
m,firq•�ei�r•r1 CCrtIfieS that smith lr�°�� coverage or its sabst�ia].eq¢rValC� The
�veragc is in.forme, aad leas erhEttrzl.proof of sate in the permit issuing of e. •
MEM ONE: INSURANCE Z BoAID 0 OTHER 0 (6pa..LLy.)
I,ertt.,render fhcpains sadpentiier afperjury,gam'tie is formalist as ffzzr trac mid canipleak
E4EM NAME INAA�7.-C LQ V-t 3 P1 C l �is LTC Na.: i7)6`
rk
LIC.NO7 C
(ff,,,,,Jir•„hir a r^ number ft"in the bee= Foe_) C tux.Tel Na i - . P" `(:t6:41
Address: I fi IN Sa''t 146 -W-f't- l nJ iNGt4 MN At Ted.Nil..
*Pea M.G.L. a. 147,s.57-61,seeutrtywork requires Departma t ofPnblie 6
OWNER'S INSURANCE WA1Y t: I am aware that the Licenseesty e t e License:ease: Lie.Na.
req -by law• By my signature below,I hereby waive this does not have the Liability msman a cove�3n�e owner's
gent
Owner/At-exit �"gT"�r"""i I am the(GheGk one)❑owner ❑ owner's
Sigicatare Telephone Na. I P R> k'k''F�`,• $ •CD4 1