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HomeMy WebLinkAboutBLDE-23-000046 '" Commonwealth of Official Use Only 7 ` ,:NI V 'l\ Massachusetts Permit No. BLDE-23-000046 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.I/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:7/5/2022 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 o .41..... Location(Street&Number) 95 LEWIS RD �i ( � Owner or Tenant Philip Pears elephone 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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Renovations per attached. (Up to 3 inspections) 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 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 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 ❑ (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:1 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: $150.00 ti W CAVR i WA) , e", GI 1.1 J3(4)6,-Pe<ZA4rr OS Arestij d 647 r io 4_ San,) 7/( - 0 1g 64A-(/ 1 'WI n I new ` Pt. ot 14-rcjj r harty) R Cryg ck)rzr 3(,*� Ka (P a:.ai e7a/'�4,..., .z- -t�, R-ECEIVEID L JUL 05 2E2 J aa� y� C�ruvsa[th of///aeaachmaffd Official Use Only�� BUILDING D T tI ��"]/ n Permit No. ll::.'��(((...iii3 elf,``/ By_-- -- - - PMY/YnI of,}ya /ralLad BOARD OF FIRE PREVENTION REGULATIONS [Rev.Occ 1/07]y and Fee Checked (leave blank) cr APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 11-j 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: U 7 G 7-LCity 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) Gtt5 �WlSR7Wy/i.aMtat' Owner or Tenant N.41 LIp t7,-1(� Telephone No.Ulf`(�-1{�5•-(¢fi}. Owner's Address JI ' Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) v; Purpose of Building Utility Authorization No. :D Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters .1) New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters r Oi Number of Feeders and Ampacity -I i Location and Nature of Proposed Electrical Work: \L1r[(tEN -r l741\49 ti C,t111 - ) Gxcp- C MUO(FIL-t7 Ty UVe7,,P)Lc S)Ac>< (M.l'"A--f)-1 ?Durk vat L?X:S11 NC, C,p(I,A-6E Va rr Completion of the following table nury be waived by the Inspector of Wire.,. U No.of Recessed Luminaires No.of Ceil.-Snsp.(Paddle)Fans No.n Total Transformers KVA �t No.of Luminaire Outlets No.of Hot Tubs Generators KVA I` No.of Luminaires Swimming Pool Above 0 In- 0 No.of Emergency Lighting Rind. grnd. Battery Units �,' No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones r.- No.of Switches No.of Gas Burners No.Init1atinR Devices t 1' No.of Ranges No.of Air Cond. Tool No.of Alerting Devices No.of Waste D'uposers Meat Pump Number Tons KW No.of Self-Contained Totals: . .._................................. Detection/AlertinIn Devices No.of Dishwashers Space/Area Heating KW Local 0 Monnectiounicfpal n Other C No.of Dryers Heating Appliances KW Security Systems:. No.of Water No.of Devices or Equivalent KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Rydromassage 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 EV 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: p/Sq-l1 C6 p.. 5-W t-s L C TO-I C I LIC.NO.: i 5 L) C Pj Licensee: Signature LIC.NO.: 2Z(GCr�fb (If Addressable,enter"exempt"in the license number line.) v Bus.Tel.No.. —7-7 i+ Y i)(, G''7l'1 "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. I am the(check one)0 owner 0 owner's agent Owner/Agent Signature Telephone No. I PERMIT FEE:$ S 5/ . C(4i1129