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HomeMy WebLinkAboutBLDE-23-002478 - -Y Commonwealth of Official Use Only �` 0Massachusetts Permit No. BLDE-23-002478 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:11/6/2022 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) 41 JERUSHA LN Owner or Tenant MCNEILL WAYNE E Telephone No. Owner's Address MCNEILL DOREEN M, 29 LANDERS ROAD, STONEHAM, MA 02180 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 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence 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 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 KW No.of Self-Contained Totals: Detection/Alertine 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 Eauivalent 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 Eauivalent 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 perjuiy,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: $180.00 74.,t,c_:.-! /2/2/2z (Sr`1�'.2 ✓i2sii1,�'Jy��' s-- IL /4 1 7 1-2,z `ZOO.7O(!A)( - NV lT 3.v,rca/ Ar £7�TpZ�01_ /S7 l7GUC.$ 7j 4L�HT 7 /WS•Dir. 2 .il(c (64u.qcn Dwa-oOer„ct_ OtrLST n^9�J �,v 8* I"Tf/S . CA(2a, J y / Le) S/GJ,GF *LA*RG FLO /24/22. //:-CV REC : IVED NOV (14 2022 ...- ., i ('ommon+vsala o/r/taaaachueatio Official Use Only BUILDING 0 :t T ' _y.:�,a r� By , I'� :... ' .1JaPar�nunl'o Permit N0-��3 z- (. C� _ , air,s wk.a �,, :V BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. I/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: kt I G:t I i t--- City or Town of: YARMOUTH To the Inspector of Wires: ny this application the undersigned gives notice of his or her intention to perform the electrical work described below. �, Location(Street&Number) ri ,)-UP.(, JI+}\ AV-E . • Owner or Tenant WAyrvl; MGN 1el,.-- Telephone No. "4-t]_Gi n _j r' v , Owner's Address riot, • Is this permit In conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) O Purpose of Building Utility Authorization No. Existing ServiceSe Amps Amps / Volts Overhead❑ Und rd g E No.of Meters New �� / Volts Overhead ead❑ Undgrd ElNo.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: P-0U(21.k -i �rnx<-i x-k Nt;tr,., Ikv;..) wt-rt-+ c)3(A LL Lam'C .6QAA) $t-ttdtc€ `tvst 4° Completion of the followinn table me i be waived by the Inspector of Wires. .� No.of Recessed Luminaires No.of Cell:Sasp.(Paddle)Fans No.of Total Transformers KVA fs..t No.of Luminaire Outlets No.of Hot Tubs�‘ Generators KVA t No.of Luminaires • Swimming Pool Above ❑ In- No.of Emergency Lighting grad. gr'nd. � Battery Units No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS No.of Zones v. No.of SwitchesNo.of Gas Burners 'No.of Detection and tL+ No.of Ranges Initiating Devices No.of�Alr Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Meat Pump Number Tons KW No.of Self-Contained Totals: ................... - Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal No.of Dryers Heating Appliances KW Security Systems:* on � No.of Water , No.of No.of Devices or Equivalent Heaters No.of Data Wiring: Signs Ballasts 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: 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 unle: 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 I certify,under the pains andpenalties o � (Specify:) f perjury,that the information on this application is true and complete. FIRM NAME: If A 1'---G LN i„-- <.Zs�1 Y( Licensee: LIC.NO.: !�j i h () Signature (If applicable,enter"exempt"in the license number line./ LIC.NO.: �(�f1G( Address: Bus.Tel.No.``I�4`b.'+'y `Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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,1 hereby waive this requirement. I am the(check one Owner/Agent owner owner's a:ent. Signature Telephone No. PERMIT FEE:$ • of'- r' - Commonwealth of Official Use Only t I Massachusetts Permit No. BLDE-23-002478 %'°"ce 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:11/6/2022 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) 41 JERUSHA LN 1-L1i R4 046 c. Owner or Tenant Telephone No. Owner's Address MCNJ r 'l 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 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence 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 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. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $180.00 p,,,,, ..) ,z_t4 c24-? tz.-z__ __ 4 i clA4e__ (I c(-/-3 i _--) ---riat,ci. , 4. cc c‘.3)ti 17 lit z12....3 K- . Jc. t r �