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Home My WebLink AboutBLDE-23-004246 Commonwealth of Official Use Only 4,:. / I8, Massachusetts Permit No. BLDE-23-004246 t: N - ;. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:1/31/2023 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) 82 CHIPPING GREEN CIR Owner or Tenant HAMMOND WENDY M Telephone No. Owner's Address C/O BROWN RAYMOND, 10 ANDREWS DR, UXBRIDGE, MA 01569 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 oo.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ " ete to Number of Feeders and Ampacity (tp / 4 Location and Nature of Proposed Electrical Work: 14 KW Generator With Transfer Switch / 0 !� ? Completion of the following t e/W'`s iv l•1 r of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans NNo.of formers` 0 A 14 No.of Luminaire Outlets No.of Hot Tubs Generators 1 VA 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 Initiatine 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 ❑ Municipal n 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: 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: $50.00 Ik e- �P T.TA Commonuwatth a`rtlaeeackceelle Official Use Only �N , n--:N'•.7;1 ccyy cc77 Serviced Remit No. E -,2-3._/%/„Z l) .- 1lepartmenl ol. ire Serviced VLe.' ]'` J Occupancy and Fee Checked 6V.-\NG -' BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07]y (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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: v l I l Iv, City or Town of: YARMOUTH To the Inspector of Wires: 'v By this application the undersigned gives notice of his or her intention to perform the electrical work described below. CLocation(Street&Number) a C 14 i pp I nib (2t2et./ Cr&GLE ZOwner or Tenant e-py -1779-31.,..) Telephone No. 71/"6-2l 1.--t,e,o i C) Owner's Address is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) v Purpose of Building Utility Authorization No. Existing Service Amps / Volta Overhead❑ Undgrd❑ No.of Meters At New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: I4ICIA/ C:r.,-Ned-;-,->_ Lsjifl 1(ij/1•(---1-'2;1n6P-r11-Sul rc if vv Completion of thefollowinEtable may be waived by the Inspector of Wires. Us No.of Recessed Luminaires No.of Cell.-Sosp.(Paddle)Fans No,of lots! 0/ Transformers KVA nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA d" No.of Luminaires Swimming Pool Above Q In- Q No.of Emergency Lighting grad. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of Detection and ~= No.of Switches No.of Gas Burners No.Initiating Devices II., No.of Ranges No.o}Air Cond. Totaln 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 Local 0 Municipal 0 Oma, Connection No.of Dryers Heating Appliances KW Security No. f Devices or Equivalent No.of Water KW No.of No.of Data Wiring: HeatersSigns Ballasts No.of Devices or Equivalent No.Hydromasaage 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 co erage 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 p aides ofperjury,that the Information on this application is true and complete. FIRM NAME: �.)1Fa,GL-"1-.,7 Q.- 4q S LIC.NO.: 172.734 Licensee: Signature LIE.NO.: Z4.-64gr ri (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.• -1 1 t-f "'ell 6 6v=,.1 Address: Alt.Tel No.: 1 Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$