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HomeMy WebLinkAboutBLDE-22-007427 - .,Inmonwealth of Official Use Only fijOIN Massachusetts Permit No. BLDE-22-007427 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 PRINTININK OR I'YPE ALL INFORMATION) Date:6/27/2022 City or Town of: YARMOUTH To the Inspector of Wires: O By this application the undersigned gives notice of his or her intention to perform the electrical work descried below. Location(Street&Number) 11 CADET LN .j l O/ " Owner or Tenant CAQ,i f)5 _rp., g.p j I,,- Telephone Owner's Address 11 CADET LN,WEST YARMOUTH, MA 02673 Alikk C) Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check App " :] Purpose of Building Utility Authorization No. 'c "^•' Existing Service Amps Volts Overhead 0 Undgrd 0 No.of = riO .j New Service Amps Volts Overhead 0 Undgrd 0 No.of Me fr V Number of Feeders and Ampacity '` Ir Location and Nature of Proposed Electrical Work: Remodel of entire house. (work started without permits.) Completion of the following table may be waived by the Inspector of Wir 1No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA Jo.of Luminaire Outlets No.of Hot Tubs Generators KVA ).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 lo.of Switches No.of Gas Burners No.of Detection and Initiating Devices i \of Ranges No.of Air Cond. To No.of Alerting Devices --,of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection i.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent j.of Water KW No.of No.of Ballasts Data Wiring: i;aters Signs No.of Devices or Equivalent b.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent rHER: Attach additional detail if desired,or as required by the fr-vector of Wir timated Value of Electrical Work: (When required by municipal policy.) ork 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 iml4ss the licens proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned,*fins ns that Stiepsi is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) a I certify,under the pains and penalties of perjury,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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $250.00 (\g ('(ti7(zv (TB N iv 74",,,k /re.,..9., -,/t4(•z... tC I ( ref E 6 N21222 ^ _ Commonwaatth,1 Maddacciudatfa Official Use Only `iNG NT '"�► _ m �spartnunt`otP.}c� . Permit No. �- 7L 1 arvicse Occupancy and Fee Checked 7rs 4n , ' BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07] --- leave blank / ' APPLICATION-ION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 ' (P=.,'.18'T'PRINT IN INK OR TYPE ALL INFORMATION) Date: Ofu "Z,t ! LZ�or Town of: YARMOUTH To the Inspector of fires: City I ty this application the undersigned gives s oiihce of his of her intention to Location(Street&Number) i r C t 17&f perform the electrical work described below. 1 Owner or Tenant `� tv--7—L� Owner's Address Telephon No. 't'j .--�. 1 C Is this permit in conjunction with a building Permit? Yes 0 No 0 ( v. Purpose of Building Pro L Bo OP' Utility Authorizatin^o, V w Eaistlug Service Amps / Volts Overhead '"�"'"� • �'.tw ^ rvlr, - ❑ Undgrd❑ V " ;' , '' - Amps / Volts Overhead 0 Undgrd❑ rs v� Number of Feeders and Ampaeity .o rs _ aeatian and Nature of Proposed Electrical n'k: � �' ! Coin tattoo o Nu; ollowin, table m, be waived by the Ins, . 1. bk.of Recessed Luminaires es. Vim' No.otC;ail.-Soap.(Paddle)Fans °o•o eta 'No.04 I.r�tminaire Outlets Transformers KVA CCI ... No.of Hot Tubs Generators KVA Kt" No.of Luminaires 've n- 'o.o Units cy g ng Pool d. ❑ No,of Receptacle Outlets d. ❑ Bette Units g No.of Oil Burners FIRE ALARMS Na.o:hones No.of Switches No.of Gas Burners 'o.o. r etec inn$n - i No.of Ranges Initiating Deatkes No.o Air Cond. ota __. Tons No.of Aiertiug Devices No.of Waste Disposers 'eat nmp ^nm er one ^ Totals: ._...`..._..._ _..........__..._. o.o' elf" rtka Dev No.of Dishwashers DetectionlAlertia Devices Space/Aren Heating KW Local 0 is 'ps, her No.of Dryers Heating Appliances cu Cstem:titan ❑ f 'o.o "a er KW t3 yystems: No.of n gvics's or nivalent Heaters KW 'o.o ^o•o ----- _9__ S :us, Ballasts Data Wiring: No.Hydromassage Bathtubs No.of D vice.i or E i uivalent No.of Motors a ecomtToo►`s:<� r n : Total HP OTHER: No.off De Dea-vices bi: 'i:bivalent Estimated Value of Electrical Work; Attach additional detail lfdesired,or as regr:tt.,.I by,I�e Irrrlrect of Wires Work to Start: (When required by municipal policy) Work to Start: COVE Inspections to be:requested in accordance with MEC Rule 10,and RAGE: Unless waived by the.owner,no work iropiyt: su the licensee provides proof of liability insurance including" ompleted operation"coverage or its sir» tM:ti&equivalent. The permit for the performance of elect,'r^,.t° rosy issue unless undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit is.Mt;t 1 ice. CHECK ONE INSURANCE [ BONDg I certify,under the pains and penalties o ❑ OTHER 0 (Specify;) FIRM NAME: fpedun',that the information on this applkation is true and amplete FIRM M �.:< = V e-CI'-t . ace: LIC NO.: 1 _ 615 . L(If applicable,enter"exempt"in the license number line.) Signature ^ Address: LIC.NO.: Z7 ,C "Per M.G.L.c. 147,s.57-61,security work requires Ile Bus.Tel.No,:ma c. VI)LiOWNER'S INSURANCE WAIVER: I am aware that the d(�not have the liabilityAlt.Tel.No.: ---------- OWNER'S' law. Byto e License: Lic.No. Owner/Agent my signature below,I hereby waive this requirement, I am the(check one insurance coverage normally-" Signature • owner ■ owner's a:ent. Telephone No. PERMIT FEE:$ ( c CiP1/4-. 7- 1-A-i\P T3 - t (0 3 S1 CZ-z_ — 71-( ) a:-3-4&444- Ca2- 6C) L-(--76 ) ,3-J• d 6) 2'2) - (39 8S 73,. , (4. , (1 7_ C2__fa- --D° `--/14 1-0 .2 SO 4 C.-Lz IR E Cky 7.:_p NOV 2 2 2024 UIL I DEPARTMENT ' By: Cb 1W\. e Cb-rL- ON-Gt 40-1:0 7 6--/bv r,----E.cp_ •k lei C N?caNVc4 CL, a Me Drk'L ckl +-c nc 7