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Home My WebLink AboutBLDE-23-004243 ' ommonwealth of ��%`,'t� Official Use Only F " I h 9/l Perm`��. Massachusetts it No. BLDE-23-004243 . BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] `1 ' 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:1/31/2023 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) 36 PEQUOD CIR Owner or Tenant KELLEY DAVID J Owner's Address KELLEY ANN M, 36 PEQUOD CIR, YARMOUTH PORT, MA 02675-1918 Telephone No. Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Purpose of Building Appropriate Box) Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 gNo.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: Finish Kitchen , Bath Remodel (Replace Expired Permit) 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 Aboved. ❑ In- ❑ No.of Emergency Lighting grn grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Signs Data Wiring: 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: 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(If applicable,enter"exempt"in the license number line.) Bus Tel. NO.: 13036 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: Alt.Tel. 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: $50.00 1")‘iaerqr---4--tiv-zsk: 64 lki A q(c q(-2.3 VE a ( 1-s-AA, 649 c S5t �� / 1 IRECF: VED mo 'Pa`'" °{ /�aQchuoatXe Official Use Only _>;� �� N 31 2023 c n . ;� - � y �^ spartmsnt o/. Serviced Permit No. ii� 'JD1NtOlA cU K PREVENTION REGULATIONS Occupancy and Fee Checked leave blank _ Rev. 1/07] jAPPLICATION FOR PERMIT TO PERFORM ELECTRICAL W All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00ORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION City or Town of: Date: c-1 �3, f2�By this application the undersigned givYAtRMhOUTHention to perform the electical To �kdesribed below. Location(Street&Number) 77Owner or Tenant ,�A A t / - I Owner's Address Telephone No. GjUu /i0 C -( yet a0 Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building El (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volta Overhead ❑ Undgrd❑ No.of Meters tfi New Service Amps s Overhead❑Volt " Undgrd El No.of Meters q s Number of Feeders and Ampaclty Location and Nature of Proposed Electrical Work: rJ,S u v.,trc1 VI l p t'f `)Hsu Completion a the ollowin•table m, O'' No.of Recessed Luminairesbe waived b the Inspector o Wires. ., No.of Cell:Sasp.(Paddle)Fans °'° ota `=1 No.of Luminaire Outlets Transformers KVA �x No.of Hot Tubs Generators KVA 0 i` No, •of Luminaires • Swimming Pool ' 'ove ❑ n_ 'o.o mergency g rn rod. d. Batte Units g `t 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 ' No.of Ranges Air Cond. Initiatin: Devices No.of ota Tons No.of Alerting Devices 'eat 'ump `um er"" " ons `o.o e - No.of Waste Disposers Totals: " • " Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW 'un clpa No.of Dryers Heating Appliances KW ecu ty Connection ❑ �� o o No.of Devices or E E.uivalent `o.o "a er , Heaters ' o.o Data Wirin Sins Ballasts No.of Devices or E E.uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun ca ons " ring: OTHER: No.of Devices or E i uivalent Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: (When Tequired by municipal policy.) d in INSURANCE COVERAGE: UnlessInspwaivved by ns to the ownere ,nopermit accordance or the performance lof electrical e 10,and upon w work issueayti the licensee provides proof of liability insurance including ork may ent. unless undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. "completed operation"coverage or its substantial equivalent. The CHECK ONE: INSURANCE ® BOND I certify,under the pains andpenalties o erfu Othat the infoTHER 0 rmation on this application is true and complete FIRM NAME: fp ry, Licensee: LIC.NO.: 13�� •pj (If applicable,enter"exempt"in the license number line.) Signature ______ Address: Alt. LIC.NO.:2 Z�y . *Per M.G.L.c. 147,S.57-61,security work requires De Bus.Tel.No.: --i Ct �to 3 ic OWNER'S INSURANCE WAIVER: I am aware that Licensee doles ot have the liability insurancel. cover""'-- required by law. BySafety"S"License: rali No. Owner/Agent my signature below,I hereby waive this requirement. I am the(check one Se normally Signature � owner � owner's a:ent. Telephone No. PERMIT FEE:$