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Home My WebLink AboutBLDE-22-006832 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-006832 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:5/24/2022 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) 64 PAYSON PATH Owner or Tenant KAYNAKIAN GREGORY S Telephone No. Owner's Address 64 PAYSON PATH, WEST YARMOUTH, MA 02673 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: Replacement boiler. 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 1 No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Tn Total No.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 ❑ Municipal ❑ 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 Egnivalent 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: Licensee: John Weiss Signature LIC.NO.: 22602 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:63 Uncle Bobs Wy, South Dennis Ma 02660 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: $50.00 gk q2iiiivr. l'eilati , RECEIVED J MAY 2 4 �� ...�•w,, l,omme oa o` aeeaclfe Official Use Only ry:=pt,w , • s .U I L D I N G U E PA f c7 Permit No. �i`li�vTj 3 Z CTI S taY ;1' 'y BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code i 12.00 WORK l`�' (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: city or Town°f: YARMOUTH To the Inspector of Wires: cBy this application the undersigned gives notice of is or her intention to perfo the electrical work described below. Location(Street&Number) 6 t Q cws , ,7 Owner or Tenant e70 71 / figEjclN Telephone No. c/2)-35,-05."7 , Owner's Address Is this permit hi conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) c4 Purpose of Building Utility Authorization No. it Existing Service Amps / Volts Overhead❑ Und rd g ❑ No.of Meters j New Service Amps / Volts Overhead 0 Und rd g ❑ No.of Meters Number of Feeders and Ampadty (. C Location and Nature of Proposed Electrical Work: ke c„...,, i `E� Completion of the followingtable may be waived by the/erector of Wires.rNo.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans No.of Total �t No.of Luminaire OutletsTransformers KVA �A No.of Hot Tubs Generators KVA ' No.of Luminaires Swimming Pool Abovgni&e ❑ In- No.of Emergency Lighting ' No.of Receptacle Outlets �Od• ❑ Battery Units No.of OU Burners FIRE ALARMS INo.of Zones .11 No.of Switches No.of Gas Burners No.of Detection and II t' No.of RangesInitiating Devices No.of Mr Cond. Total Tons No.of Alerting Devices No.of Waste DisposersHeat Pump Number Tons KW No.of Self-Contained Totals:I"" "� ."I" "- �- Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Munidpal� Connection ❑ Omer No.of Dryers Heating Appliances KW Security Systems:* No.of Water KW No.of No. No.of Devices or Equivalent Heaters of Data 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 of E tri 1 Work: Attach additional detail lfdesired.or as required by the Inspector of Wires. Work to Start: 2 2Z- Inspections to be requested in accoirdance with MEC Rule 10,and upon completion. INSURANCE C VE GE: Unless waived by the owner,no permit for the performance of electrical work may isue 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 theins and penalties of perjury,that the information on this application is true and complete FIRM NAME: 'tiy 6.i1c.'1>) Licensee: Td-7 h ,,LIC.NO.: 22 Li, _)S Signature /li ts e-� LIC.NO.: (Ifapplicable.enter"exempt"in the license number line.) Address: Bus.Tel.No.• *Per M.G.L.c. 147,s.57-61,security work requires Departm of Public Safety"S"License: AIL Lie inNo.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally by law. By my signature below,I hereby waive this requirement. I am the(check one ■ owner ■ owner's a:ent. Owner/Agent Signature Telephone No. p PERMIT FEE:$