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Home My WebLink AboutBLDE-23-003515 1 Commonwealth of official Use Only U Massachusetts Permit No. BLDE-23-003515 .:' 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:12/28/2022 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) 25 CAPT WRIGHT RD Owner or Tenant BRUNEAU NORMAN A TRS Telephone No. Owner's Address BRUNEAU EMILY V, 9 TUCKER ST, NATICK, MA 01760 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: Wire indirect water tank to existing boiler. 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 0 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: 12/21/2022 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: $50.00 Cia) ll Ee/z t / Official Use Only E:-_ C, /�ommonweatk o/ a6each.uaett� c7 Permit No. �.Z3 3 5' �'� , e men$ moire�ervtce� Occupancy and Fee Checked k, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) y .I � llON FOR ''E iIi TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 J` (' - 'RI.A,TT.IN INK_ OR TYPE ALL INFORMATION) l ate: I 2 . 2 i • 2 Z ..::ity or Town c t: .Y'- 1"t0'li-1, To the Inspector of Wires: g,.) By tr.::: application the undersigned gives notice of his or her intention to perform the electrical work described below. ti .. _ N Z.5 Cep-tAIO (A)ILI 6_l41 VA0 ..`., 'errant �'Q�Ij D f.ONNO(Z� Telephone No. 6/ "7 92 I 5?0 t_'Sr :+Gf'ev3 _ __ __ `s t' z t.:r .it in conjunction with a building permit?` Yes n No (Check Appropriate Box) - ' u;ldiug .t Utility Authorization No. . . . , -_.—vlee Amps / Volts Overhead Undgt d No.of Meters • _Amps / Volts Overhead ❑ Undgrd n No-of Meters .‘A.:.-,. _ .�dersand?.spacity .._. _. ''i.rur•e of Proposed Electrical Work: WI A 1 N IYl 1Z6c7 WIc'l'g It, l4-r---A-7 E2- T O C Y I S 1 it) G 19I I,C--r-- NQNV' Completion of the following table may be waived by the Inspector of Wires. - .:ssed Lur�-rinaires No.of Ceil.-Sus addle Pans No.of Total P t?' ) Transformers KVA KVA :. r tr<asre Outlets No. of Hot Tubs Generators �- Above In- o.oY Emergency Lighting No. of La-.ninaires Swimming Pool grad. grad. ❑ ':attery Units ri .ptac1e Outlets No.of Oil Burners ,FIRE ALARMS No.of Zones :._d._. ._.- . --- ---- -- 'i t No.of etection and ;. :-.7A.:.i.c_es No.of Gas Burners Initiating Devices ;_.._.___.__ --. --- ---- Total lNu. f R:• ges No.of Air Cond. Tons No.of Alerting Devices No, of W�:ste Disposers Heat Pump Number Tons KW No. of Self-Contained P Totals: Detection/Alerting Devices 1.-'- W -m — I Municipal Into.c.'Dishwashers Space/Area Heating KW Local❑ Other :Connection 1 1 eaten Appliances Security S y stems: ;No. o: �, •ers g pP KW No.of Devices or Equivalent 1 Ne. of A -::e r I Nr.o off`— No. of Data Wiring: -,eaters KW Signs Ballasts _No.of Devices or Equivalent :No. ;a °dr•iomassa a Bathtubs No. of Motors Total HP fielNo ofDeiiceso ors quitx 3 g I No.of Devices Equivalent OTHER: L- —" Attach additional detail if desired, or as required by the Inspector of Wires. Estimated "clue of Electrical Work: (When required by municipal policy.) Nork to S.rrt: _ _inspections to be requested in accordance with MEC Rule 10, and upon completion. • INN,_ _; - E COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless :he lF c;n,r e provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The u;i,::ei s;g .i certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. C 1E K,_,'iF: INSURANCE f] BOND ❑ OTHER 0 (Specify:) .r certify, , ;der the pains and penalties of perjury,that the information on this application is true and complete. r"R:V1` : _ ';_�Atel' ngi on R Soares, Inc, / ) LIC. NO.: 21075A <.... . `✓`lellingtor; R Soares Signature C/V -_` LIC.NO.: 11376B J I, • e t11u bareeas run run KO,'runrt 5 riyanrus, MA Bus. Tel No.: 508 778 5936 _ At-':: : ,• _ Alt.Tel.No.: 'r' :.i' c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. 774 836 5877 : ' . -. iNSURANCE WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally - law. By nay signature below,I hereby waive this requirement. I am the(check one) ❑ owner fl owner's agent. =«t _ Telephone No. ` PERMIT.SEE. $ �! •*eV. 444* ar%