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Home My WebLink AboutBLDE-22-005303 Commonwealth of Official Use Only 1fi Massachusetts Permit No. BLDE-22-005303 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:3/23/2022 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) 70 OUT OF BOUNDS DR Owner or Tenant Angela Levy Tele • •4► Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 • . i i i 45 ox) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 New Service Amps Volts Overhead 0 Undgrd 0 N . Number of Feeders and Ampacity .0 Location and Nature of Proposed Electrical Work: Installation of generator5ti/f-ki *6 Completion ofthe followingtable a wai he Inspector ofWires. P 6 p No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 14 No.of Luminaires Swimming Pool Above 0 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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: 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 (I[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 FE : $50.00 / et CF. 11- 3/261i -' I CEiVED A l AR 2 2 2022 c- aaea!!h.///laeeachiaeette ^W, Offiow useyyOnly • c7 ?'. ' ':Department o f lire Seevicee Permit No. //._ J 2 7Q3• „ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] (leave blank) 0 v APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC,527 CMR 12,00 f. (PLEASE PRINT IN INK OR TYPE ALL INFORMATIOM Date: O 2-Z ZZ CIty or Town of: YARMQ TLt By this application the undersigned gives notice of his or orh ti ltentiontoto To the enspector of wok descr Location(Street&Number perform the electrical work described below, Owner or Tenant_ a:LA Ixvy A� Owner's Address Telephone No,(D2-2:_ -T'I'1r)— Is fhb permit in conjunction with a building permit? Yee [I No N Purpose of Building ❑ (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volta Overhead❑ Undgrd❑ No.of Meters w rules Amps / Volts Overhead Number of Feeders and Ampacity ❑ Undgrd❑ No.of Meters _ Location and Nature of Proposed Electrical Work: I4 kW RNSrM1 jinntCN LW �UkSE Completion a the ollowin•table m be waived b the Ins.ectoro Wires. LitNo,of CeiL Saep t No.of Recessed Luminaires .�'/ (Paddle)Fans �O•° ota �` No.of Luminaire Outlets No. KVA No.of Hot Tubs Generators KVA `t- No.of Luminaires Swimming Pool ,r"d.e ❑ n ❑ 'o.o mergency g ng �' No.of Receptacle Outlets "d Batts Units .t,, No.of CHI Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners `o.o t etec on an t,' No.of RangesInitiatin!Devices No.of Air Cond. Mil Toonsn. No.of Alerting Devices No.of Waste DbposersIiiiMaii,, ,. _ `o.o e onta ne. No.of DishwashersLocal doniAlertln Devices Space/Area Heating KW 'un c •e No.of Dryers Heating Appliances L u 0 Connection ❑Other `o.o "a er KW ty ystems: Heaters KW °•° o° No.of Devices or E.uivalent Sins Ballasts Data Wiring: No.Hydromesaage Bathtubs No.of Devices or E.uivalent No.of Motors Total HP a ecommun ca ions "r ng: OTHER: No.of Devices or E.uivalent Attach additional detail if desired or as required by the Inspector of Wires, Estimated Value of Electrical Work: Work to Start: -- (When required by municipal policy.) INSURANCE COVERAGE: Unless waived by the owner,nopermit accordance the performance of e 10, lectrical work may issue unless —_ P requested and upon completion. 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 1 BOND 0 OTHER I cerNjy,under the pains and penalties o e u 0(Specify:) FIRM NAME: M]>r Rc��l> j0 ryp 4-vt the Information on this application is true and complete Licensee; LIC.NO.: I120176 6 (Ifnpplicable,enter"exempt" Signature _ Address: P in the license number line.) LIC.NO.: Z .Per M.G.L.c.147,s.57-61,security workBus.Tel.No.•.-1 -by OWNOWNER'S INSURANCE WAIVER: requires Department of Public S. -g••License:Alt.TeL No.: // ed ' law. I am aware that the Licensee does not hove Lin. c By my signature below,I hereby waive this requirement. liability insurance coverage p— Owner/Agent by la q rement. 1 am the(cheek one •owner Signature �•own Telephone No._—_