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Home My WebLink AboutBLDE-19-004982 •' � Commonwealth of Official Use only u'` Permit No. BLDE-19-004982 Massachusetts 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:3/5/2019 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) 9 FLAKEYARD LN Owner or Tenant BETRON CLIFFORD I Telephone No. Owner's Address BETRON PATRICIA S, 381 TAHMORE DR, FAIRFIELD, CT 06824 Is this permit in conjunction with a building permit? Yes 0 No 0 ( : ropr►ate&BoI)�q,.. ,, 1: Purpose of Building Utility Authorization i'�`� {jvV Existing Service Amps Volts Overhead 0 Undgrd C 5 eters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for garage with living space above. Cotyledon 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 0 Municipal ❑ 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 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 ofperjury,that the information on this application is true and complete. FIRM NAME: Aliaksei A Kuharenka Licensee: Aliaksei A Kuharenka Signature LIC.NO.: 20711 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:564 W YARMOUTH RD,WEST YARMOUTH MA 026731456 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 am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $180.00 k‘appurr /(Lity AA(Aig eg l! (1 �'�t 3/1-,r(kk e-& r U - Commonwealth o`Ma�sacha4ette fficiall Use Onlyq i , t c/� Permit No. ( —C—I I � - rj 2epartment o f Sire Service6 1t� / r ' ( Occupancy and Fee Checked / 1 v ,,-- BOARD 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(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3-4-19 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)9 Flakeyard Lane Owner or Tenant Cliff Betron Telephone No. Owner's Address Same Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building Residence Utility Authorization No.2305480 Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service 100 Amps 120 /240 Volts Overhead❑ Undgrd ® No.of Meters 1 v_ Number of Feeders and Ampacity CD`�� I Location and Nature of Proposed Electrical Work: Wire detached garage with living space above Llil c„ i7 0 4 1 Completion of the fodlowin�table may be waived by the Inspector of Wires. ,t, y No.of Total Lt O No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA C % ,_ No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting LJ.! L. s�_ No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units I` 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 Tons 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❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Kam, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications No.of Devicet ions Wring: s 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:3-4-19 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 IX] BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Coastal Light Electric LIC.NO.:20711-A Licensee: Alex Kuharenka Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:508-274-9981 Address:46 Nickerson Farm Way, S. Yarmouth, MA 02664 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 Signature Telephone No. PERMIT FEE: $