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Home My WebLink AboutBLDE-23-002666 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002666 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:1 1/15/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention o perform the electrical work de ibed below. Location(Street&Number) 396 ROUTE 28 ( k_761�I �.11 �'C, Owner or Tenant LOVELETTE KATHLEEN TR Telephone No. Owner's Address 396 MAIN ST REALTY TRUST, 119 HIGGINS CROWELL ROAD, WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes ❑ 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 sub panel in garage. 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. 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: 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: $100.00 0 iL 1 /tlo/ZZj4 - Commonwealth,a/Maedachueett� Official Use Only / c'� Permit No. -- 6Cv * e .' 2)epartment al.]ire.Service ;r'cOccupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) ''L.ICATION FOR P RMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (P.I.EA,,SE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 I - 01 .Z L City or Town of: . '- ;!_4--lo ii" Z.I't• To the Inspector of Wires: By this application the undersigned aives nu ace of his or her intention to perform the electrical work described below. . Loca x ( .treet aI l\tt r V1:1x!,.16 I k)weLR'h3 t,t, Prf iJC`f Owneror enant 110 i,Av G—i 11� Telephone No. 01I S `fSS� Owner's ;,:,ddress 3q6 ►IA-IN s1 w£S7 `ltik-nl o'7M Is this per7r it in conjunction with a building permit? Yes No _ (Check Appropriate Box) Pur o - ci 3u lding Utility Authorization No. F'w sthgr „:L v ce Amps / —Volts Overhead El Undgrd❑ No.of Meters Y ins / Volts Overhead ❑ Undgrd 11 No.of Meters Ntu_ I; Feeders and A_ipaciiy Loaatiun -A Nature of Proposed Electrical Work: la QtAte t)-{701.4,14,L i N 67411-4 % • Completion of the following table may be waived by the Inspector of Wires. rr.._�. ._ — No.of Total I NNo. of Re essed Luminaires No.of Ceil:Susp. (Paddle)Fans Transformers KVA !No. al Lo > unwire Outlets No.of Hot Tubs Generators KVA _____ Above In- No.of Emergency Lighting No. of L.L.fininaires Swimming Pool grnd. ❑ grnd. ❑ Battea_Units . No. of Rk oeptacle Outlets N'c.of Oil Burners FIRE ALARMS No. of Zones No.o S arches I�io.of Gas Burners No.of Detection and nr Initiating Devices Total INo. of Ranges rages No. of Air Cond. Tons 'No. of Alerting Devices No.-- of Waste Disposers Heat Pump Number Tons KW No. of Self Contained Totals: Detection/Alerting Devices No d ; ;wsheYs Space/Area Heating KW Local❑ MuniciW Connection Di Other No. of r.yers Heating Appliances KW Security Systems:* No.of Devices or Equivalent --- �`o. o rya r 1No, of No.of Data Wiring:j _.,,,;.,eaters KW Signs Ballasts No.of Devices or Equivalent INo. I--0ytlromassa aBathtubs No. of Motors Total HP !TelecommunicationsofDeiceor Wiring: g ! No.of Devices 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 '.;gar: Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSLRn: CE 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 unhersigoe certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK O'•.E: Th/SURANCE E BOND ❑ OTHER ❑ (Specify:) I cert ¢7y, °: _-ler the pains and penalties of perjury, that the information on this application is true and complete. F1T; a : Wellington R Soares, Inc r LIC. NO.: 21075A Wellington R Soares Signature C/6- LIC.NO.: 11376B Ifc,r _ ra9r ' r,z t"in l license n r 5 er line.'. Bus. Tel No.: '11u reeds Nil ila unit iyannis, MA 508 778 5936 Ad.l E s; Alt.Tel.No.: 774 836 5877 *p,.r T., .CC'._ . c. 14?, s. 57-61,security work requires Depa=ti ent of Public Safety"S"License: Lic.No. 01W t` = 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 en wt_ 1wut fg,.ent eiga v�_� Telephone No. PETIT FEE: $ �++ / i C� Z