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Home My WebLink AboutBLDE-23-005901 (�U Commonwealth of 1(M? Official Use Only C' Massachusetts Permit No. BLDE-23-005901 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:4/24/2023 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. l Location(Street&Number) 31 BLISCOTT AVE Owner or Tenant OLIVEIRA GERVANIO S Telephone No. V \�� Owner's Address 31 BLISCOTT AVE, SOUTH YARMOUTH, MA 02664 47 4,1 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) . Purpose of Building Utility Authorization No. l 2(.'7 (`3 Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Afeters New Service Amps Volts Overhead 0 Undgrd 0 No.of4e)sr., Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence. , , r Completion of the following table may`hc"wiIivetl by the Aspectof". „Wires. - No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total / ,-,T Transformers ,' VA ,'�i No.of Luminaire Outlets No.of Hot Tubs Generators v,, w\ 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 Eouivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters ,Signs No.of Devices or Eouivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eouivalent 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: 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $180.00 t e/A '5 i(-4123 kS (No ACs-c=5s i t-to use) i'`c,tz3 kg- 5'0WI 8k, 6A((23 _ [RECEIVED 1 APR 2 41023 i Ca gUsaiMN a ARTM EpNT Official Use Only / -q C/ cc''yy�� ttli c7 nn L Permit No. L 0 l �.j?, .Urpartmant of Jiro Jswicsa .I I �• Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK C 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: 04. I c, 2 3 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. al Location(Street&Number) f 1 f 3s t—I S CO 17 Avt • 1 Owner or Tenant UMNi A WE OLl V El 24 Telephone No. ,fig %L/ /SSZ, g. Owner's Address Is this permit In conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) \"..) Purpose of Building Utility Authorization No. Existing Service AmpsIti / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps ! Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity i Location and Nature of Proposed Electrical Work: NE lni Sc=n,v 1 L. i.i)I(Lt tJ 6, A—i.O N,i----v-, COLS, J E4 tJ(, '0, Completion of the following table may be waived by the Inspector of Wires. Us No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of Total Transformers KVA 'i No.of Luminaire Outlets No.of Hot Tubs Generators KVA C. Above In- No.of Emergency Lighting •k' No.of Luminaires Swimming Pool grad. ❑ grnd. ❑ Battery Units j 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 Tota 1 11 No.of Ranges No.of Air Cond. Tone No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Po Totals: . ........._............................. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipalonnection ❑fie, C No.of Dryers Heating Appliances KW Sec riNo o Syyf Devim s or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TeIecommun No.of DevicesoorsEquivalent 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 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-:,,tfv e e Ce-+s/ � -,- FAc7tM cn A-s..> I tit C LIC.NO.: 2 i 07S A `` Licensee: V3 e-ELt l •SO/'lr.Signature Plc1/_ 111�it' LIC.NO.: f t 37 Co B (If applicable,enter"exe pt'in he license number!Arm.) Bus.Tel.No.'SD I'778$936 Address: /TO Pficc. //'✓o7 Alt Tel.No.: 774 Rib 6-Rn77 *Per M.G.L.C.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does trot have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ I f 0,