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Home My WebLink AboutBLDE-22-004736 i• Commonwealth of Official Use Only � Massachusetts Permit No. BLDE-22-004736 �--' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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:2/25/2022 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) 29 SUMMER ST Owner or Tenant - Sarah Hinckley Telephone No. /� Owner's Address /. Is this permit in conjunction with a building permit? Yes 0 No 0 (Chet , . s•.HatytB( Purpose of Building Utility Authorization No. . Existing Service Amps Volts Overhead 0 Undgrd 0 New Service Amps Volts Overhead 0 Undgrd 0 No.'.W yi� ��j‘ Number of Feeders and A Proposed y ��,'� Location and Nature of Proposed Electrical Work: Install generator w/Xfr switch. / //'� Completion of the following table merlia��ve WhgM.firi.for of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of •/ VC formers Z A No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 20 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: Detectton/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 Sipes 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 ❑ (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 Commontvaa[h of Maeeachueette Official Use Only ^Nr ig N c� Permit No, 2Z�{7 3 (,,ra,., 5 1).partmsnt of�en�irwicsd BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: C.); 1)11 .yr- 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) }C\ `.'S`'1"1V`.4-5-:- Owner or Tenant S Ai2 1% 1-I 1 iti- 14-1-1 Telephone No. I1 ' 11-A ?„U—]t) Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Misting Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters flew Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampadty Licadon and Nature of Proposed Electrical Work: • ,) �-rL S to.rG 14- " sib u, Lv Tl; �Y' ,9,� 7t'-� VI j0. Completion of the following fable maw be waived by the Ins ector of Wires. tit No.of Recessed Luminaires No.of Cell:Sasp.(Paddle)Fans No.of Total �t No.of Luminalre Outlets Transformers KVA �, No.of Hot Tubs Generators KVA t No.of Luminaires Swimming Poolgold.Above In- No.of Emergency Lighting � d. grnd. ❑ Battery Units `' No.of Receptacle Outlets No.of OilBurners ' 1FIRE ALARMS No.of Zones v. No.of Switches No,of Gas Burners No.of Detection and = t t No.of-Ranges 1 Initiating Devices No.of Alr Cond. 'fatal Tons No.of Alerting Devices No.of Waste Dis posers HeatPump�lumber Tons KW p Totals No.of Self-Contained Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ un c pa No.of Dryers Connection � Odler rY Heating Appliances KW ecu ty ystems: No.of Water , 'No.ofNo.of Devices or Equivalent Heaters No.of Data Wiring: Si ns Ballasts No,of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun ca OM r ng: OTHER: No.of Devices or Equivalent 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:0-- ICl -) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: Unless waived by the owner,no permit for the performance of electrical the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalence The ss undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 8 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties operjury, o pp jthat the information on this application is true and complete. FIRM NAME: M.A et...:, -- `�4-('.-c/s 1<l. t C t Licensee: LIC.NO.: t�Q C5 Signature LIC.NO.: -2-14.A` (lf applicable.enter"exempt"in the license number line.) Address: Bus.Tel.No.: L • ( C: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safc S"Liccnse: Alt.Lic.Tel.N . OWNER'S INSURANCE WAIVER: I am aware that the Licensee does no: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 Owner/Agent Signature Telephone No. PERMIT FEE: $ . c-e-)