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Home My WebLink AboutBLDE-22-004464 Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-22-004464 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'2/10/2022 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) 52 WILFIN RD n Owner or Tenant Valentina Karcha Telephone No. ( (�e Owner's Address �y{�` •` W0 Is this permit in conjunction with a building permit? Yes 0 No 0 ( ''` . ,x) m,li vP Purpose of Building Utility Authorizatio I,. . ' t l" Existing Service Amps Volts Overhead 0 Undgrd . 'o.o `e e" New Service 60 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install temporary service. 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 ❑ 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 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 Space/Area Heating KW Local ❑ 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 Signs 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: Zachary A Kandelaki Licensee: Zachary A Kandelaki Signature LIC.NO.: 12199 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:52 EASTWOOD DR,WESTFIELD MA 010851824 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: $80.00 RECEIVED F _'��1- 2022 Commonwealth o/Yladdachudettd Official Use Only/, r, 1Q �� * Et c/� n Permit No. -22 -- `'[`-46 y_ , 2epartmuent of"ire Serviced BU I L l;� 1 f ay RTM E NT Occupancy and Fee Checked BY - **. ;i - _ •. I 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)1 Date: -L l 0jr'a-3- Cityor Town of: I / Yu-w► ow(t To the Inspector of ires: By this application the undersigned givesnotice of his or her intention to perform the electrical work described below. Location(Street&Number) SZ Ii✓i/f,to id Owner or Tenant Vo,It vt"ti v1 GI k G✓cA A Telephone No. d{13 Li 7 is— O OO 3 Owner's Address i t 3 cVe t v I e4/ La N- f tA49 N i II I "IA Is this permit in conjunction with a building permit? • Yes [ No ❑ (Check Appropriate Box) Purpose of Building 12e.4.4 a( D tweA1 i "I Utility Authorization No. 78 0 0 (b�'1 Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters v�+pp New Service 60 A TLArtips I Z O I ZY4 Volts Overhead Undgrd 0 No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Te,f,.1 p , tit-.1;ciL Completion of the followin&tuble may be vaived by the Inspector of Wires. 1 .of Total No.of Recessed Luminaires No.of CeiL=Sus .(Paddle)Fans T P Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grad. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No.InDeteitiatinng `and Ingon Devices Tot No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local 0 Connection 0 Other Heating Appliances KW 'ecurity Systems:* No.of Dryers No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or E•uivalent No.H dromassa a Bathtubs No.of Motors Total HP TelecommunicationsNofDeieor quiv y g No.of Devices 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: 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 cov age 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: 7,0%C/6 a✓ k-a✓ts:iaA it: 2-LIC.NO.: ' I 0I9 Licensee: ZG c. Z,a✓y tea A 11; Signature LIC.NO.: II-(9 0) (If applicable,enter "exempt in the license numb r line.) Bus.Tel.No.: 1-1 l 3 sr I-6 5-I L 6 • Address: 7.7_1 Pi'f_t/L`� f4 /'tO 44O tMY1- f /1/4 °t Ot f 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 • owner 0 owner's a l ent. Owner/Agent PERMIT FEE:$ Signature Telephone No. • a