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Home My WebLink AboutE-19-391 1 Commonwealth of , Official Use Only ia Massachusetts Permit No. BLDE-19-000391 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:7/18/2018 City or Town of: YARMOUTH To the Inspector of Wires- By this application the undersigned gives notice of his or her intention to pertorm the e(dlneal work described below. Location(Street&Number) 34 REID AVE Owner or Tenant KALAITZIDIS DIONIS TelephoneNo.( f1P7 — I •oC9/01 Owner's Address 148 BEECH ST,ROSLINDALE,MA 02131 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.Add sub panel. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans i 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 10 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 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 Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 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 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 tfdesired,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. Q CHECK ONE:INSURANCE 0 BOND ❑ OTHER ❑ (Specify:) 6 (7-780o-tors I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Michael R Conway Licensee: Michael R Conway Signature LIC.NO.: 10339 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 100 ROUNDTOP RD,FRAMINGHAM MA 01701 Mt.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 am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 g04.1 2(Zo (l 133 I /74/4ccotc 9� oie t p/J myr�yy l-omonweat'th o/tr/aasaclugaatia Official Use Onlyi.,, cty�, ec7/ ��aa Permit No. Fit ' IBIS- Theparimanl o/Jin Jarvicel �I=t BOARD OF FIRE PREVENTION REGULATIONS 'Rev.Occupancy and Fee Checked �S•(� (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M C),527 CMR 12.00 ___._.__—• (PLEASE PRINT IN INK OR TYPE ALL INFORILMATION) Date: 7/)/3�f3 l' o --.--, ' City or Town of: /qp u�( To the Inspecto of Wires: ..4i , 1 By this application the undersigned gives notice of�/his or her intention to perform the electrical work described below. F , Location(Street&Number) 3 I C fit / �% 1 Owner or Tenant Rill Re / U'n/yfreet /LC ) Telephone No. 119-0263-Z245 —i bcc V i �,.i {O I Owner's Address 1<0 ic,, a AItA'a'r ,QD/ � i z Is this permit in conjunction withAt building permit? Yes �No 0 (Check Appropriate Box) j9 � rposeofBuilding 17W1/7/Kt Utility Authorization No — 1 > xisting Service Amps JJ / Volts Overhead 0 Undgrd 0 No.of Meters Dm Ttstsk— ew Service _ Amps / Volts Overhead 0 Undgrd 0 No.of Meters M Number of Feeders and Ampacity Location and Nature of Proposed Electrical� Work: / it a �� 5'ir_1�)Anr/ I44 /7ri/jr Ar ,D]/ Put. Completion of the follmvin&lable m be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CelL-Susp.(Paddle)Fans Na of Total _ •C) ,Tnnsformen KVA mac`., No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Abovegrad. pi ¢ra21%1 L:" BaNo. ttofery EmerUnitsgency Lighting No.of Receptacle Outlets /0 No.of Oil Burners FIRE ALARMS No.of Zones and Q No.of Switches No.of Gas Burners No.of Detectionng Initiating Devices To O No.of Ranges No.of Air Cond. Tons No.of Alerting Devices \! No.of Waste Disposers Heat Pump Number Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers / Space/Area Heating KW Lel 0 Connection ❑ other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KWNo.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of MotorsTotal HP Telecommunications Wiring: Na of Devices or Equivalent OTHER: Attach additional detail iifdesired or as required by the Inspector of Wires. Estimated Value of E ectri 1 Work: L/ (When required by municipal policy.) Work to Start Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE VE GE: 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 coovege is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 9 BOND 0 OTHER 0 (Specify:) I certify,under the ains a d pe , ties ofperjury,that the lnformatio on this application is true and complete. FIRM NAME: 4/ /Pii zy 1,p Ai/ / LIC.NO.:/n-3,37/3 Licensee: 4' , , ., / Signature _ LIC.NO p-J3 fa (Ijapplicable,enter" empt"In/�' license n ber ling Bus.TeL No.•n/7 f9a-.�/,z Address: AV Karzes 6f/ Rot , tn/x IqM A 47/70/ Alt.TeL No.: *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 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 I PERMIT FEE:$ Signature Telephone No.