The URL can be used to link to this page

Home My WebLink AboutE-20-939 Commonwealth of Official Use Only 0111t1 Massachusetts Permit No. BLDE-20-000939 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:8/20/2019 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) 34 REID AVE 6 LJ/i.) S LA-c/(st Owner or Tenant KALAITZIDIS DIONIS Telephone No. 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New A/C condenser. 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 0 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 Imtiatine Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertinc 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 Siens 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 of perjury,that the information on this application is true and complete. FIRM NAME: Gary L Gordon Licensee: Gary L Gordon Signature LIC.NO.: 15290 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:37 BILLINGSGATE DR, DENNIS MA 026382234 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 kc�b f o If f,�l _:�= Commonwealth of //a3saciutsal cial Use Only ` "' Apartment cc�7� 2POR 31 r� 5 1JaParfmars�of emirs Permit No. • erviced W - - BOARD OF ARE PREVENTION REGULATIONS Occupancy and Fee Checked liti [Rev. l/07] . (leave blank) APPLICATION FOR=PERMIT TO PERFORM ELECTRICAL WORK All work to be-performed in accordance with the Massachusetts Electrical Code(ME ),527 CMR 12.00 t `.1 A (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I` j I (� t City or Town of: YARMOUTH To the Inspector of�ir By this application the iindersi ed ' gn gives notice of his or er in ention to perform the electri work described below. GAG'[ Location (Street&Number) V .6 . Owner or Tenant _c----Wt yA- Telephone No. /,M Owner's Address soiw Is this permit in conjunction with a A.Ming permit? Yes ❑ No (Check Appropriate Box) tal Purpose of Building 0 Utility Authorization No. Existing Service/O) Amps / ___.pyji_Volts Overhead Undgrd❑ No.of Meters / New...Service Amps / Volts Overhead❑ Undgrd ,- r z g ❑ No.of Meters `, � tuber of Feeders and Ampacity �' 9 _ C.pca ion and_nandre of Proposed Electrical Work; Camplerion of the following table may be waived the Inspector pector o 1rer. .of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No.of Total Transformers KVA > o.or Luminaire Outlets No.of Hot Tubs Generators KVA (' i ----'Ni.® Luminaires Swimming Pool Above ❑ In- ❑ No.of lmergency Lighting --- -- grad. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FlRE ALARMS No.of Lones \o o No.of Switches No.of Detection and No.of Gas Burners Initiating Devices_ Total Z No.of Ranges Na.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number (Toss KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Loral❑ Municipal UConnection ❑ Other `2 No.of Dryers Heating Appliances KW Security Systems:* No.of Water No of No.of Devices or Equivalent No. of V Heaters KW Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or EQuivalent Estimated Value ilec ' al Work �ttach additional detail' desir /' tf ed or as required by the Inspector of Wires. CP 7, (When required by municipal policy.) Work to Start: O /9 Inspections to be requested in accordance with MEC Rule 10,and upon completion. lO INSURANCE CE 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 O undersigned certifies that such coverage is in force,and has exhibited proof of same to the poermit r its substantial issuing oaf equivalent. The ® CHECK ONE: INSURANCE' BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties o O FIRM NAME: � ��t�the information on this application is true and complete. Licensee: 2 t G �� LIC.NO.; fl�s'o?7® S r� Signature / Addre(If ss:applicable, m ph 1h/ t/7. '7"7 r 1}'ne.J^ t ^ � LIC.NO.: Address: ! ��/ryy'q l jC ///tom!lie +/G//J t f� e? Bus.TeL No.: 21274,0,0 J Per M.G.L. C. 147, s.57-61,sec `K1 Ait.Tel.No.: rk requires Department of Public SafetyAS"License: Lic.No. - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n�'- S required by law. By my signature below,I hereby waive this requirement. I am the(check one 0 owner o Owner/Agent ❑owner's a enL Signature,.._______________Telephone No. PERMIT FEE: $ 0