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Home My WebLink AboutBLDE-20-2184 r� / f � q - R to Comonam weacu/�o`rrtasaacnuulis Official Usc Only L. . 7 �y1 p_fit 11 ccryry� cc�-� (� Permit No.C1-�` .-- - / t> "` :=,r;.: 2ieparinunL el irs Serviced 1I- Occupancy and Fee Checked i BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/071 (leave blank) �—j APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK �� / All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 C.iR 12.00 (PLEASE PRINT IN INK OR TYPE ALL LNFORMATIONI Date: j t ( -7 f C1 ��,� �� Cityor Town of: To the Inspector of Wires: YARMOUTH p By this application the undersigned gives not' a of his or her intention to perform the electrical work described below. 1 Location(Street&Number) IN '/ (� �. iVtvV (l / '� Owner or Tenant -OW, )1Z0i Telephone No. 1 Owner's Address / -a'!cl Is this permit in conjunction with a building permit? Yes Z. No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. 1L `-,-" Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters tom\ New Service Amps 1 VoIts Overhead Li Undgrd El No.of Meters / Number of Feeders and Ampacity ' Location and Nature of Proposed Electrical Work: It',i C 1+ ?v h•A ' itTtt i ,;(--%tt1 C, L t/lt D ill-- t„,+tlt t1 VZ.rc i.., rN 4,r (.(v /tt A") t -t 14+1, vA Completion of the following table a be waived by be Inspector of Wires. No.orTotal '' No.of Recessed Luminaires No.of Ceil:Snsp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above in- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones and No.of Switches No.of Gas Burners Na.of Detection on Devices No.of Ranges No.of Air Cond. Tool No.of Alerting Devices 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❑CoMunicipalnnection ❑ Other No.of Dryers Heating Appliances KWSecurity Systems:* No.of bevices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Eqquivalent R E C 1" !L� V Pn No.Bydromassage Bathtubs No.of Motors Total HP ITelecommunications Winng v _ fU I No.of Devices or Equivalent • OTHER: DEC 0 6 2024 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. BUILDING U E PA R T P✓E N T INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless By: _ the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coy rage 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: in A f fie w i t7 cl cn �.1.& k L(:_ n Licensee: V a'f-C e-t-) r r'-f Signature A.zi, LIC.NO.: " 6 Ci 41—4 (tfapplteabte,enter 'e empt"in thf.license number line A t Bus.Tel,No..�-1 i 5 t`L i'�� Address: �`' -t 1�.7'7 7— C / M 4 6 14-t 4t1 Alt.Tel,No.: 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor 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 agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ Sredt ( le-.1-i O( C ( 6ifi.-TF/G0 4 ' 6.-)t Commonwealth of Official Use Only a Massachusetts Permit No. BLDE-20-002184 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1:07j APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance with the Massachusetts Electrical Code (MEC),527 C"M (Pt EAS'E PRINT/NINK OR TYPE ALL INFORMATION) Date:10/18/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pesiefro the electrical work described below. 6 Location(Street&Number) 43 ELTON RD A.0 Owner or Tenant Telephone No. Owner's Address 43 ELTON RD,WEST YARMOUTH,MA 02673 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: Kitchen&bath remodel.Recessed lights in living room&light in hall. Cotnploion o;t/ic following table may be waived/v the Inspector of It errs. No.of Recessed Luminaires No.of Ccil Susp.(Paddle)Fans No.of Total : Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool ke ❑ [grnn-d. a llo.of Emergency,Tghting grbOs'nd. Batters.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 Initiating 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 I>evic.s No.of Dishwashers Space/Area Heating KW Local ❑ Municipal p Other: Connection No.of Dryers heating Appliances KW Security Systems:'* No.of Devices 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 Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail rfdesired,or as required by the inspector o1-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. CIiECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: Marcelo R Soares Licensee: Marcelo R Soares Signature LiC.NO.: 13036 gtapplicable.enter"etemnpt"in the license number Ion', 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 signature below,I hereby waive this requirement,i ant the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00