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Home My WebLink AboutBLDE-22-005646 Commonwealth II IIDI wealt/� of Official Use Only If Massachusetts PennitNo. BLDE-22-005646 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:4/4/2022 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) 30 VIOLET GLEN RD Owner or Tenant GRABOWSKI BOGDAN S Telephone No. Owner's Address GRABOWSKI PATRICIA B, 30 VIOLET GLEN RD, SOUTH YARMOUTH, MA 02664 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: 100 Amp meter replacement with 14 Kw generator 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 TotalTransformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 14 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. Tons TotNo.of Alerting Devices 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 Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required Value of Electrical Work: (When q uired b y municipal policy.) y' 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: RICH M MELVIN Licensee: Rich M Melvin Signature LIC.NO.: 11476 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:8 REARDON CIR,S YARMOUTH MA 026641207 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. I PERMIT FEE: $50.00 th )2/WVL Comnronwsatth o`'Maddadt0.60t14 Official Use Only e �c� cc77 n Permit No.6. - 2 " 4' L/ .partn+snt ol�`it,s Serviced t i - Occupancy and Fee Checked t ''a.` BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) v APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFOR'ViAT7ON) Date: 3 3o baa City or Town of: Ai�(.y%10lifk To the Inspect° of Wires: 1 By this application the undersignedgives notice of his or her intention to perform the electrical work described below. 041 Location(Street&Number) 30 it/a L E-*- a 05/0 jd Owner or Tenant pAl2...(7d.4'6- 14 t i l Telephone No.sSSP 3982itts- . Owner's Address S A MF i4 S 19 bou€ N. Is this permit in conjunction with a building permit? Yes D No [211 (Check Appropriate Box) Purpose of Building p we(tel N Utility Authorization No. Existing Service Amps )207 V-it,Volts Overhead,E Undgrd 0 No.of Meters / New Service Amps l ZO/ ZNO Volts Overhead J] Undgrd 0 No.of Meters / Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 00 /i• v L_ _ _nu . _ ,. �`' Completion of the followinktable may be waived by the Inspector of Wires. �'` No.of Total '.t. No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans 0. Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators /V KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.or 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 AlertingDevices Tons No.of Waste Disposers 'Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/AlerUng 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 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: '1JO, 000 (When required by municipal policy.) Work to Start: ti. hi, 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 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: riL}{ M 1.-Lit C.e LsGht,c.ta i, /� LIC.NO.: //q7t!,L3 Licensee: 1( 4 M6-1-11(A.1Signature ' /(._ LIC.NO.: //t/7(e Q (it-applicable,enter"exempt"in the license number line.) Bus.Tel.No.• J1,PISZ//(o0 Address: . t.✓. GsKA (FiSao ted 644ale-./r frig otro Lig 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:$ 50 .0-1