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Home My WebLink AboutBlde-22-001362 Commonwealth of Official Use Only L Massachusetts Permit No. BLDE-22-001362 ' 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:9/9/2021 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 RUNE STONE RD Owner or Tenant Matt Regan Telephone No. Owner's Address 9 RUNE STONE RD,SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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: Basement wiring Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 20 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- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 9 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. TTotal No.of Alerting Devices n No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: ,Detection/Alertine Devices No.of Dishwashers 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 Ballasts Data Wiring: Heaters Siens 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 ❑ OTHER 0 (Specify:) ✓i7If-- -(4?3 - I certify,under the pains and penalties of perjury,that the information on this application is true and complete. �_1I I FIRM NAME: Licensee: Lazar Mitev Signature LIC.NO.: 56442 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 lecki6et4 ir97 Commonwealth o f f/laaeac?.udslfs Official Use Only a x. " r cc�� c(�d �ZZ-1 3�_. } .Usparlixenf o�pits Jsruccsb Permit No. '1. s ,' Occupancy and Fee Checked r a BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07] (leave blank) . 'PLACATION FOR PERMIT TO PERFORM ELECTRICAL WORK A!!work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (P1 l• SE PRINT IN INK OR TYPE ALL INFORMATION) Date: 08/ 2.021 City or Town of: 7arAcoGa To the Inspector of Wires: By application the undersigned gives notice of his or her intention to perform the trical work described below. Loca,.on(Street&Number) 1 1�� .,( Ow n.;r or Tenant i- y� Telephone No. Owner's Address v�� Is tits permit in conjunction with a building permit? Yes PI No ❑ (Check Appropriate Box) Puri. a of Building Ol th j_ Utility Authorization No. Exi ;:.g Service & Amps `lam liee Volts Overhead Undgrd Ej No.of Meters if Ness ;rvice Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Nurr:ucr of Feeders and Ampaelty Loc,,,;an and Nature of Proposed Electrical Work: rth ky 4..-<5 n ')z Completion of thefollowingiiable may be waived by the Ins ector of Wires. No ..: Recessed Luminaires G0 No.of Cell:Susp.(Paddle)Fans No.of Total .__ Transformers KVAVA a No, ,.a Luminaire Outlets No.of Hot Tubs Generators KVA No. vt Luminaires •�'" SwimmingPool Above In- No.of Emergency Lighting grnd. ❑ grnd. ❑ Battery Units No. ...I Receptacle Outlets 24f2 No.of Oil Burners FIRE ALARMS No.of Zones No. Switches No.of Gas Burners No.of Detection and ..__ Initiating Devices No. .,1 Ranges o Tons No.of Alerting Devices No. „A:Waste Disposers eat Pump Number Tons KW No.of Self-Contained __ "._, Totals: Detection/Alerting Devices No. .1.Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other _..__ Connection No.vf Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent : o,of Water K`,` No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Nu. :t;dromassage Bathtubs No.of Motors Total HP Telecommunications Wlrin No.of Devices or Equivalent 0`1' : R: Attach additional detail if desired,or as required by the Inspector of Wires. Est:i..aed Value of Electrical Work: (When required by municipal policy.) Wort: Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSt.;<tANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the liL.msee 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. CHEt is ONE: INSURANCE ❑ BOND ❑ OTHER 0 (Specify:) I certij i', under the pains and penalties of petjury,that the information on this application is true and complete. FIR NAME: _L __..�,� EtCG�7'lCcxr GCS LIC.NO.: Lice„s,-e:_151 /kL�__-- Signature LIC.NO.: 564'1.r.Z. (If up1 Grable.cote, "exempt-in the license number line.) nn--I� Bus.Tel No.• Address: r � t WY'J , tx_ Afri"1/ / 026,v Alt.Tel.No.: *Per:'',1.G.L. c. 147,s. 57-61,security-4ork requires Department of Public Safet'"S"License: Lic. No. OWNi•:R'S INSI_"RANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally rcqui .1 by law. By my signature below, 1 hereby waive this requirement. 1 am the(check one)0 owner ❑owner's agent. Ownc,-tAgent Signor d re _ Telephone No. ( PERMIT FEE: $ 40.---1).- -17 61