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Home My WebLink AboutBLDE-22-007021 4k: ,• 0 Commonwealth of Official Use Only Permit No. BLDE-22-007021 Az �,2�� Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.I/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:6/6/2022 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) 105 BAYVIEW ST Owner or Tenant Kristin DeSouza Telephone No. Owner's Address 105 BAYVIEW ST,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: Remodel basement 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- No.of Emergency Lighting grnd. grd. 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 lnitiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Ions K\\ 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 Siens No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent OTHER: Attach additional detail if desired,or us 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: WELLINGTON R SOARES Licensee: Wellington R Soares Signature LIC.NO.: 21075 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 110 BREEDS HILL RD,UNIT 5,HYANNIS MA 026011864 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: $75.00 Commonwealth of"/amachadettd Official Use Only Ct ccA c7 Permit No. �Z-'-'-7 O'LA r '?, dJspartment of.}ire Serviced l i= Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) • , APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 1" (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: OS,2 to.2 2 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned notice of his or hdr intention to perform the electrical work described below. 1495 g Location(Street&Number) 4 Cj y✓l eW '? Owner or Tenant k-(71$-(l iJ V-se'Ug-A Telephone No. 774 2$7 6 8'Z I( gOwner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) pun.of Running--- _ Utility Authorization No.su, - - - - flk Existing Service_ Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 'AD(ekf l Ni 2si4 131kfrEM 0111 t)D-2(,. am Completion of the followinktable m be waived by the Inspector of Wires. otal Us No.of Recessed Luminaires No.of Cell.-Sasp.(Paddle)Fans No.Transformers KVA C1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4-.N. k No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting grad. ❑ grad. ❑ 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 • Z. Initiating Devices IQ Na.of Ranges No.of Mr Cond. Tons) No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW al❑Municipal ❑�ti, Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs Na.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail lfdesired,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❑ 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: C'Q Ce-*� rQ (/vc7at to ax..) I tJ C LIC.NO.: 2107.5 A Licensee: VJ C. F—'.Spe* gtgnature �f� LIC.NO.: 41 374 13 (If applicable,enter"exe pt'i he license,ember line. Bus.Tel.No:SD bo'770$936 Address: f o i�r L(, �A A Alt.Tel.No.: 77 4 AI.6.5 '7 7 *Per M.G.L.c.147,s.57-61,security work requires Depart meat of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent.Owner/Agent Signature Telephone No. I PERMIT FEE:$ 76/ - - ' . 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