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Home My WebLink AboutBLDE-22-006503 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-006503 ti147 ;' 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:5/11/2022 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) 259 WOOD RD Owner or Tenant William Murray Telephone No. °\, Owner's Address +..� Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) r, Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead ❑ 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: Upgrade service. i 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- ElNo.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 0 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: Licensee: Frederico De Souza Signature LIC.NO.: 58247 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:41 Windshore Drive, Hyannis MA 02601 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: $50.00 Gr er (CIA....26sk- e +r i u i ? C.t S2_attir I2- ��.,J (2(1/ ki& ts7s 1 > . REC _EIV_ ED ,. �! /�j MAY 112D22 nuweaa e////addachwelld Official Use Only J 1 n B, `e,£q.ING DEPARTMEtd,� 1 ` c, n Permit No. '-"�-2-— 903 �- r .__ lPalWrilJµ OlJIN'0 Jlrvuld .• .I,l,' 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 (1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: :1 City or Town of: YARMOUTH To the Inspector of Wires: S By this application the undersigned gives notice of his or her intention to perform the electrical work described below. S Location(Street&Number) _ j ii LQo,0A tZ-91_ Owner or Tenant C..) ,, tck.,,,,�k r•re J, 7 Telephone No. So g_ C�j_It S Owner's Address ZS c tti ocek Rol. y Is this permit in conjunction with a building permit? Yes ❑ No ,J 0 (Check Appropriate Box) Purpose of Building /Zc Si d e 41 t t1 I Utility Authorization No. .43 4 1 Existing Service /p4_, Amps / /E,try Undgrd Volts Overhead E No.of Meters l New Service 'ZQC Amps (W /Lett} Volts Overhead Er Undgrd g ❑ No.of Meters I 5 Number of Feeders and Ampadty ] ?..Co ,.,•r.r" Location and Nature of Proposed Electrical Work: ,^ A Q Cam+,4�' oh L..) C t t �1fU' Completion of the following Inspector mT,be waived by the of Wires. .) No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA c•-) No.of Luminaire Outlets No.of Hot Tubs Generators KVA rA t' No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grnd. ❑ Battery Units ti' No.of Receptacle Outlets No.of Oil Burners ' FIRE ALARMS INo.of Zones v. No.of Switches No.of Gas Burners No.of Detection and i No.of Ranges -Total-- Initiating Devices >b No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump 1 Number rims i KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection Other No.of Dryers Heating Appliances KW Security Systems:* ' 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: 1% ' (When required by municipal policy.) Work to Start: 5i 5 L i✓iri,. 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 a BOND 0 OTHER 0 (Specify:) I certify,under the pains andpenalties o of perjury,that the information on this application is true and complete. FIRM NAME: -4-•pA .o 't Co N e st-tv-c, E.t¢c..k-.rs C tc . -C. SS VA 3 r Q t� �' � LIC.NO.: Licensee: r'l-at ertC.% PPc7�c t.r,e., Signature r (If applicable,enter"exempt"in the lice a number line.) Ll '.NO.: Address: t Wt.�e S G�cr� � , , Bus.Tel.No.: 5 c+ -53 L-Zt13 vr.ti.v\IS. M!� = 0'LGo t Alt.Tel.No.: ti *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.Nu. 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/Agent Q ❑owner's agent. Signature Telephone No. I PERMIT FEE:$ I