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Home My WebLink AboutBLDE-23-000221 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-000221 �—' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked j Rev.l/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:7/13/2022 City or Town of: YARMOUTH To the lnopecstor of Wirer: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 15 WINSLOW GRAY RD Owner or Tenant Jennifer Calle Telephone No. Owner's Address 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 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Basement remodel per attached. 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 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 Ton, 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 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 Sians 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:) —636—t s 934 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,thereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$250.00 / RECEIVED JUL G . c� /'�� Lo � Commonwaa&o/ aedachudatfd Official Use Only =' 2 c7 Permit No. ri G uY arvlCad BUILDING " a;�;°,-'j F NT Occupancy and Fee Checked nv -- BO'RD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ) 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION] Date: 07 I Zv 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) I Cj W i k)S i.--r3W Eilp1 -i-) y 6A f1 Owner or Tenant UT-4-'1 _ Ctt . Telephone No.likt-` () CA0q I 1 Owner's Address IIs this permit in conjunction with a building permit? Yes ❑ No D (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd n No.of Meters New Service Amps / Volts Overhead❑ Undgrd g 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1Z-DUo1a fi F,N'Sµ OF 7D pS ,r-,r 1-71.Pot ro(X'^ 1 ''1'J 22(xvl) 1)3.14-114 ibCtsil kri NACompletion of the followinKiable may be waived by the Ins ector of Wires. 11�, No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.of Total r f Transformers KVA .1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA • t No.of Luminaires Swimming Pool Above ri In- No.of Emergency Lighting grnd. grnd. ❑ Battery Units No.of Receptacle Outlets No.of OH Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners 'No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons J KW 'No.of Self-Contained Totals:I "� Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Otter No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' Data Wiring: No.of Signs Ballasts 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: 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: A P,Z c I.J Q. 5-q\{tc5 &?-t-c-VIt c.I Az,J /N L ] LIC.NO.: 13 �� 6(� Licensee: Signature `� `_� 7 LIC.NO.: Z-26Ct qA(If applicable,enter"exempt"in the license number line.) Address: Bus.Tel.No.�� Y�Lt )7(o ( y�o3y No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt Lie.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. 1 am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. ` PERMIT FEE: $ aS0,00 7 S/-75--L l�� a