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Home My WebLink AboutBLDE-22-003010 - Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-003010 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:11/23/2021 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) 42 DRIVING TEE CIR Owner or Tenant MILLER DONALD F Telephone No. Owner's Address MILLER DEBRA A,42 DRIVING TEE CIRCLE, SOUTH YARMOUTH, MA 02664 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: Install generator. 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 14 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 Initiatine 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 ❑ 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 I NOV 18 2 ;-M Commonwsa/h.o f M�di.L otie Official Use Only _. - .... � 3 O ^r'It`•. `� ��. s Permit No.( L� BUILDING C E r�r -M�w. sivart`msn f o tna srvresd BY. — ' `(' Occupancy and Fee Checked BOARD 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: 1 t ) 1 Y.,/-I 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) r) 17i'tv i IU � Ire C 11-cL.t✓ Owner or Tenant 'IZIVI L MLi Telephone No. cil Y,-6 (_()ti 1.to Owner's Address I Is this permit in conjunction with a building permit? Yes C No Purpose of Building Ell (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead] Undgrd g E No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity E I Location and Nature of Proposed Electrical Work: Y,. 1Th 1\1•15 ith iL `AA) i-rc t,, UA Completion of the followin&table may be waived by the Ins ector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.or Total /::-) No.of Luminaire Outlets Transformers KVA ram, No.of Hot Tubs Generators KVA F No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting _grnd. grnd. 0 Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners .of Detection and ° No.of Ranges Initiating Devices No.of Air Cond. Total Tons No.of Alerting Devices Heat Pump Number Tons KW 'No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating W Local❑ Municipal.- KW Dryers Connection ❑ Other' No.of D tY Heating Appliances KW ecur ty ystems: o.o a er KW o 0 0 o No.of Devices or Equivalent Data Wiring: Heaters Si ns Ballasts. No.Hydromasss a Bathtubs No.of Devices or E uivalent g No.of Motors Total HP e ecommun ea ons ring: OTHER: No.of Devices or E uivalent 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 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 4j BOND ❑ OTHER 0 (Specify:) I cert fy,under the pains and penalties o FIRM NAME: • 1p that the information on this application is true and complete. Licensee: �' _ LIC.NO.: Signature (If applicable,enter"exempt"in the license number line.) LIC.NO.: Z iCI�'!� Address: Bus.Tel.No.:"1"14 Per M.G.L.c. 147,s. 57-6],security work requires Department of Public Safe S"License: �� Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage —" Lic.No. required by law. By my signature below,I hereby waive this requirement. I am the(check one Owner/Agent owner normally Signature � owner's a-eat. Telephone No. PERMIT FEE:$ _ DO CO+ 13�j Z