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Home My WebLink AboutBLDE-23-003147 oR r`- Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003147 \\' `' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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 ININK OR TYPE ALL INFORMATION) Date:12/7/2022 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 ELI RAMOS Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. / 7 I 17 69 €�a 024?-9aw Existing Service Amps Volts Overhead 0 Undgrd 0 o.of Meters .7.3 1-% New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters / 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 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 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 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 ❑ 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 El 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 (0_4,-NtiiN Lev,Dvir (21 /vk 1- I-4,^7,, ' (/'22/ '3 Cam, c1 -4'a--t,Si(00 r' A.m., RE_C1VED .�� DEC 07-202 .�..,� // '" Not.. o it wea&o f Maaaachuoalle Official Use Only .. fR w l_DING DEPART Fartnuni o�.}ira.�orvccsd Permit No, `� — 1� 5 ,• a --BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 'L—/T—' J , Rev. 1/07 '------- .J leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC,527 C R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ' 6 1 j�O 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) U':,r lye t 0. Owner or Tenant t 1 k; ,,l�� I U Owner's Address Telephone No. "j " —`I Z 0_ 0-1- 11 iIs this permit in conjunction with a building permit? Yes ❑ No Purpose of Building ❑ (Check Appropriate Box) Y\� _______•__Utility Authorization No. Existing Service Amps r/ Volts Overheads New Se`rvi - ❑ Undgrd E No.of Meters Amps / Volts Overhead❑ Undgrd Number of Feeders and Ampacity g El No.of Meters Location and Nature of Proposed Electrical Work: v) ' Completion o the ollowin_ table m be waived b the Ins.ector o Wires. th No.of Recessed Luminaires No.of Ceil:Sosp.(Paddle)Fans '°'° ota No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA ^'t'"' No.of Luminaires Swimming Pool ' 'ove n- rnd. ❑ a e Unitsmerg cy g mg �t � nd. ❑ Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 'o.o etec on an III No.of Ranges Initiatin 1 Devices No.of Air Cond. ota Tons No.of Alerting Devices No.of Waste Disposers 'eat ump `um er ons ' Totals: o.o e - onta ne No.of Dishwashers 0 CDetection/Alertin! Devices Space/Area Heating KW Localun cipa No.of Dryers Heating Appliances KW ecu ty ystems ou 0 �� `o.o "a er "o.o No.of Devices or E i uivalent Heaters ' ° ° Data Wiring: Sins Ballasts No.of Devices or E 1 uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun ca ons " r 1 g: OTHER: No.of Devices or E i uivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: (When required by municipal policy.) 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 (Specify:) I certifr,under the pains and penalties ofperfury,that the information on this application is true and complete. FIRM NAME: Ali A'i (-c-V 11-L—C 1"1,1:_ c--, r=rt'1 d Licensee: LIC.NO.: +")--°7) Signature t ______ t Cl Q_ — (Ifapplicable,enter"exempt"in the license number line.) LIC.NO.: fl Address: Bus.Tel.No.: .�.�ZZ(�%,a Cy);ta,-1) J *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel o..• 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/Agent owner • owner's a.ent. Signature Telephone No. PERMIT FEE:$