The URL can be used to link to this page

Home My WebLink AboutBLDE-22-007428 Commonwealth of Official Use Only - l'�.0" , Massachusetts Permit No. 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:6/27/2022 City or Town of: YARMOUTH To the Inspector of Wires:BLDE-22-0074 y By this application the undersigned gives notice of his or her intention to perform the electrical work described below. �` Location(Street&Number) 11 CADET LN . � Owner or Tenant DRISCOLL JAMES P JR Telephone No.�t' 4 Owner's Address 11 CADET LN,WEST YARMOUTH, MA 02673 ).--' Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appr' r e px Purpose of Building Utility Authorization No. ,° i Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Mete -s New Service Amps Volts Overhead 0 Undgrd 0 No.of Meter Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Generator&transfer switch. Completion of the following table may be waived by the .sector 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 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 No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices 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 ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* Y No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No. romassa H d a Bathtubs No.of Motors Total HP Telecommunications Wiring: y g 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.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: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my agent. ag . signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner'sI Owner/Agent (PERMIT FEE: $200.00 signature Telephone No. JUN 23 2022 \,.._ 14 /� aa�� j // Official Use Only : -7 M E N7 CommonwtaFpi o`�f aeda,hadstt0 '� "7 cc�� 0� Permit No. C- B„ __ ,, • ,.'t._... _.parbn.nt of Jirs Services ev •lki....:-;a.. = Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM al CELECTRICAL WORK All work to be performed p ,� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: �j� I 1) (-L2 - City or Town of: YARMOUTH. To the Inspector of Wires: - - perform the electrical work described below. By this application the undersigned gives nonce of his or her intention to Location(Street&Number) [i C1Vr "t'J e Telephone No. E-�(?'rs-��"•1Lt tr., or Tenant �� J , .� 1�`� Owner's Address ro Is this permit in conjunction with a building permit? Yes ❑ No El (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Loca on and Nature of Proposed Electrical Work: CA.-tom r-ilik — G.3 z't-,, S '`� �''- Ac C m s ( k€Sri I,) L IN'Srrt-tA c, Completion of the following table maybe waived by the Inspector of Wires. yjv tl;� No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans Na of TotalTransformers KVA r~' No.of Luminaire Outlets No.of Hot Tubs Generators KVA (C.N, Above In- No.of Emergency Lighting Kt.: No.of Luminaires Swimming Pool grad. ❑ nd. El Battery Units No.of Oil Burners FIRE ALARMS INo.of Zones :: No.of Receptacle Outlets 'No.of Detection and No.of Switches No.of Gas Burners t Initiating Devices Total No.of Alerting Devices Ili No.of Ranges No.o Air C'ond. Tons No.of Waste Disposersosera Heat Pump Number Lions .._,IKW N . of Self-Contained elf Co Detection/Alerting Totals: Devices ) i� Municipal ❑ may. No.of Dishwashers Space/Area Heating KW Local❑ Connection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunicationso. Devices or Wiring: OTHER: Attach additional detail if desired,or as required by the Inspector of ires. 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (SpeC1fy:) I certify►under the pains and penalties of perjury,that the information on this application is true and complete. � � &I-L-C.i`R Mkt i A-IJ LIC.NO.:` FIRM NAME: �.�'�-c�=� A. : .Tel.No.•LIC.NO.: Z�2tk�.�" Licensee: _Signature �L .?,y (If applicable,enter"exempt"in the license number line.) BuAls.Tel.No.: Address: *Per M.G.L.c. WAIVER I am aware that thehrrL�enseeedoes Safety have the liability insurance coverage normally OWNER'S INSURANCEwaive this requirement. I am the(check one owner owner's a e� nt_ required by law. By my signature below,i hereby PERMIT FEE: $ ��`t� Owner/Agent Telephone No. Signature ( c l L - puree i9 LS'6a1? (zz_ ,or) d Lco Si 2 2--7 -2s0, J REC �!ED NOV 22 2024 UILdi is DE PARTM ART . t� ENT BY- e larjf or up izk Gavt -- ,cue 2