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Home My WebLink AboutBLDE-23-003962 Commonwealth of Official Use Only E ..;,� 0 Massachusetts Permit No. BLDE-23-003962 BO'RD 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:1/20/2023 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) 50 ALMS HOUSE RD Owner or Tenant PETERSON JOSEPH FRANCIS TR Telephone No. Owner's Address PETERSON DOROTHY ANN TR, PO BOX 234,WEST BOXFORD, MA 01885-0234 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: Miscellaneous work per attached. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 7 No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 3 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 Tons No.of Waste Disposers Heat Pump Number Tons 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 Siens 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 of perjury,that the information on this application is true and complete. FIRM NAME: WELLINGTON R SOARES Licensee: Wellington R Soares Signature LIC.NO.: 21075 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 110 BREEDS HILL RD,UNIT 5,HYANNIS MA 026011864 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: $75.00 Ci?r4,041 ? Z Tahz acyr.,,S-tAZ"J '`T1't wit% 7 • : -e. 51t0(0C r RE -CEIVT1 f AN Commonwealth o f Maeeachuaatte Official Use Only 71 P ;�t cc�� cc77 n Permit No. L._._. d'zz., 2spartment° iro Serviced BUILDING u�• �.l(v;'1 ' Occupancy and Fee Checked By -- + ` .'.- OARD OF FIRE PREVENTION REGULATIONS [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: (J l O City or Town of: YARMOUTH To the Inspect r of Wires: By this application the undersigned gives notice of his or her intention to perform the electric work described below, Location(Street&Number) 53 `A S k ovA, RD f/�QMQ I,r9 H'� F I Owner or Tenant ' :- iv'j j J i EN cot fijMO y Telephone No. Tiii Lit-7 tp-T7E, Owner's Address Is this permit in conjunction with a building permit? Yes V No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd E No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity 1 Location and Nature of Proposed Electrical Work: �l:,H q- l�11v1-} . lF.S� CLi.Afi 'E3�'�N�l�/t, �- U�Ir I FrL . 4 ZECESSt�D 1lv 74E VI 111_1-E(tj 4• ? alTAXIC,- ► T ►lei -11-1 BEMh, r NA Completion of the follawing_table may be waived by the In ector of Wires. i.h No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.or Total of Transformers KVA ri No.of Luminaire Outlets No.of Hot Tubs Generators KVA <Zl Ki No.of Luminaires • Swimming Pool Above ❑ In- 0 No.of Emergency Lighting grnd. grnd. Battery Units `i 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 1 i•! No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: _ _ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW "cal 0 Mounicinnectp ial on 0 e C _ No.of Dryers Heating Appliances KW Security o Systems:* or Equivalent No.of Water s KW No.of No.of Data Wiring: Signs Ballasts 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: if i 1 Tj Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVET GE: 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 BOND 0 OTHER E] (Specify:) I certify,under thepains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Nft&l,ll (`T(N R.SCAB G,T C I,):'TI f hiG LIC.NO.: 21 ,,,ir�`-t Licensee: 11• Signatures} LIC.NO.: (!37 6 (If applicable,enter"exempt"in the license number line.) t-- �'-� M Bus.Tel.No.• ej:Th?Z I'�E=� Address: 110 j Fkit,i,. (?J) 0'"Tt' -' -1: ,ft. ( r I QC it Alt.Tel No.: i"lt4 f,5t.r?; *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.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 agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 7S—