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Home My WebLink AboutBLDE-22-006980 Commonwealth of Official Use Only > Massachusetts Permit No. BLDE-22-006980 � z`_ 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:6/2/2022 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) 21 VINEYARD ST Owner or Tenant Julie O'Brien 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. 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 ❑ Li- ❑ No.of Emergent +1 htin grnd. grad. Battery Units �� No.of Receptacle Outlets No.of Oil Burners FIRE AL.t4kkii of ZQ :y,r/p No.of Switches No.of Gas Burners No.of D.�.,yf,• 0' nd „�AI� Initiating De . ti i t No.of Ranges No.of Air Cond. TotTons No.of Alerting Devices //_„ �r�rj' Heat PumpNumber Tons KW No.of Self-Co fined Saiir a. —I No.of Waste Disposers t}t ' ,� Totals: Detection/Alerting Devices I albzsrs.- No.of Dishwashers Space/Area Heating KW Local Municipal ❑) , � t 49 Connection / No.of Dryers Heating Appliances KW Security Systems:* �p 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 .frry OTHER: Attach additional detail if desired,or as reyuir'e b i t e Jvps• ector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) CJ 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 f2 i% C19- 0i67-- 6( r O pea ref) ij 1RECE ! YJL \® 1 -AL JUN 02 2027 C y�j�ontmonweacsn.or maesachttdetis Official Use Only ` Permit No,ING DEPART MEWefrarrtneni sbarnunl oPus n7irvicsd. al I ` Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/0?] t) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK J All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 S (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: t City or Town of: qp ector of Wires: ZBy this application the undersigned gives notice of UTH intention to perform the elTo the ect ical work described below. Location(Street&Number) ,.\ v 1 till Y1-9.%) ✓.V i,,t.it:7(.4 Owner or Tenant )1/1-1 ( J 1 L Telephone No. 7 L�;i-7 Owner's Address 1 Q � v aIs this permit In conjunction with a building permit? Yes ElNo ❑ (Check Appropriate Box) NJ Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters `r Number of Feeders and Ampacity c,2 e5 Location and Nature of Proposed Electrical Work: 44 ,, — r 8, c wrt rr tk *�L`t�- w `'c't ( til> rfL 4,t, r` Completion of the following table mf be waived by the Inspector of Wires. tllNo.of Recessed Luminaires No.of Cell.-Sasp.(Paddle)Fans No.o Total Transformers KVA 4-74 No.of Luminaire Outlets No.of Hot Tubs Generators KVA - 1 No.of Luminaires • Swimming Pool Above ❑ In- No.of It mergency Lighting grad. grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.of Zones No.of Switches 'No.of Detection and 4. No,of Gas Burners IQ — Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Pump I Number 4 Tons I h W No.of Self-Contained Totals: 1 Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municip Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* 'No.of Water No.of No.of Devices or Equivalent Heaters KW 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: 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 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ]v1 k L't l...:.' 91-.- (%); LIC.NO.: 1 6 r5 Licensee: Signature & -} __._.. -- (If applicable,enter"exempt"in the license number line.) ► LIC.NO.: Z��{Lt Address: I Bus.Tel.No. 1' y'}j i -- u`t---'*. Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lie.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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$