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Home My WebLink AboutBLDE-23-000985 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-000985 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:8/24/2022 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) 18 ANTHONY RD Owner or Tenant VICKY EVANS Telephone No. Owner's Address 18 ANTHONY RD, WEST YARMOUTH, MA 02673 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 A bove ❑ grnd IDNo.of Emergency Lighting rnd. 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: 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.) BusAddress:53 FALMOUTH SANDWICH RD, MASHPEE MA 026494307 Alt. Tel. o.:: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Tel.No.: 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. I PERMIT FEE: $75.00 I _: r rc. , vED ` ° AUG 23 4oa �/J "/�lact+ � Official Use Only �t„, .BUILDING DEPA f. °� }irs�sruicse Permit No. 3 — l.i� 1,1 By -- R$OFF}RE ARE ENTION REGULATIONSOccupancy and Fee Checked [Rev. 1/07] (leave blank _ ) ° APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK J MI work to be performed in accordance withthe Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of: v Date: U�,�2� �ZZ 0 By this application the undersigned gives noticeM his or her O U TH intention to perform the electrical To the Insector�Wires: below. Location(Street&Number) I v andr. 2-0 WO----a ,N1 it ev N Owner or Tenant t1`C4-1 F'V is. l Owner's Address Telephone No.—7ipt}• ��. y Is this permit in conjunction with a building permit? yes U Purpose of Building E] NO El (Check Appropriate Box) 44 Utility Authorization No. Existing Service Volts Amps _/ _ ,li Overhead E] Undgrd E No.of Meters �, New Se►�vice `Amps 1 Volts Overhead 4. Number of Feeders and Ampacity El Undgrd El No.of Meters Location and Nature of Proposed Electrical Work: l4 v,.) ,.t—iz;r Gl t i1 900 lit/+n S F�L-e- kel Completion o the ollowin: table m be waived b the Inspector o Wires. ,,i No.of Recessed Luminaires / No.of Ceil:Susp.(Paddle)Fans °.° ota `;1 No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA t" No.of Luminaires ••ove ❑ n- `o.o mergency g mg Swimming Pool �` No.of Receptacle Outlets rod. nd. ❑ Bane Units No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners `o.I 1 etectton an s No.of Ranges nitiatin l Devices No.of Air Cond. ota Tons No.of Alerting Devices No.of Waste Disposers 'eat 'ump `um er ons ' •• Totals: et o e - onta ne No.of Dishwashers Detection/Alertin Devices Space/Area Heating KW Local 'un ctpa No.of Dryers Heating Appliances ecur❑ Connection ❑ �� `o.o "a er • KW ty ystems: `o.o No.of Devices or E 1 uivalent Heaters ' °•° Data Wiring: Sins Ballasts No.of Devices or E i uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun ca 4 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 Stan: (When required by municipal policy.) INSURANCE COVERAGE: unless Inspwaived byections tothe owner,n permit e requested in for ce the performance ormance with MEC lof a ectrii 10,and upon completion. the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The cal work may issue unless undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [i BOND 0 OTHER :) I certify,under the pains and enalties o er u that the information on this application is true and complete FIRM NAME: p fp � �', tlilk(l-Z�t_J y'1_ c; � ixC p Licensee: i'� �G t JCT.� Signature LIC.NO.: i. '� (If applicable se number line.) ,enter"exempt"in the licen Address: LIC.NO.: Z_ Z_ *Per M.G.L.c. 147,s.57-61,security work requires De Bus.Tel.No.: �7� ij (�t OWNSR'S INSURANCE WAIVER: IPar6ncnt of Public Safe OWNE am aware thatAlt.Tel.No.: required b law. By the Licensee does not have the liability insurance coverage no Y my signature below,I hereby waive this requirement. I am the(check one [] Owner/Agent Signature owner I owner's a.ent. Telephone No, PERMIT FEE:$