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Home My WebLink AboutBLDE-22-001926 Commonwealth of Official Use Only ._ k, Massachusetts Permit No. BLDE-22-001926 .,` 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:10/5/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention Co perform the electrical work described below. Location(Street&Number) 503 ROUTE 6A Owner or Tenant WAGNER NATHAN A Telephone No. Owner's Address C/O WENDELL PATRICK A, 503 ROUTE 6A,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 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: Kitchen&bath remodel. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 5 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 10 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 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 Numbet Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent _. 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 Eauivalent 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. y� /� CHECK ONE:INSURANCE 0 BOND El OTHER 0 (Specify:) I / I` y. v1� I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: SIMON D BABA Licensee: Simon D Baba Signature LIC.NO.: 53025 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:568 SKUNKNET RD, CENTERVILLE MA 026322738 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&V A O "blar#etu1YO '2U / fg(41948Arn tr Alor 4usisi t 12 Io/�7/Z, S !2T✓Isr3 ' 170474 f frt I< btt oie i sp hc- - c a POP tie D (4(364, te _ Commonwealth o f addachudeth Official Use Only - 0 �--_rif_r cc�� Permit No. 11.1 Orr 2)epartment o1.gire Serviced I �.1 1 Occupancy and Fee Checked 1 `" e , BOARD OF FIRE PREVENTION REGULATIONS 1 N i [Rev. 1/07] (leave blank) u� o IQ. ' PLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK c,); V Z All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 U.i ' c.) t , E PRINT IN INK OR TYPE ALL INFORMATION) Date: /D —S— z _f 1�� m City or Town of: ' o the Inspector of Wires: • . application the undersigned gives notice of his or her tention to-perform the electrical work described below. Location(Street&Number) 3 RT A Owner or Tenant ((kV! Telephone No. - Owner's Address SO-3 KT / A i Is this permit in conjunction with a building permit? Yes V No n (Check Appropriate Box) Purpose of Building rc.)✓h'L Utility Authorization No. Existing Service SILImeAmps / Volts Overhead I I. Undgrd I I No.of Meters - New Service 14v Amps / VoIts Overhead❑ Undgrd ❑ No.of Meters J Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: r it,[,,„ 1- re14Ac o` 1 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 5 No.of Ceil.-Susp.(Paddle)Fans NoTotal Tr of KVA Transformers KVA $1 o g No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting $ No.of Luminaires I Swimming Pool and. ❑ grnd. ❑ Battery Units 11 o 1 No.of Receptacle Outlets I 0 No.of Oil Burners FIRE ALARMS No.of Zones N g • No.of Detection and Z gi No.of Switches• 3 No.of Gas Burners Initiating Devices Total Q a No.of Ranges No.of Air Cond. Tons No.of Alerting Devices 0 +,� No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices ft.e 0 No.of Dishwashers l . Space/Area Heating KW Local El nnne f ion ❑ Other 1 NI SecurityS stems:* No.of Dryers Heating Appliances Kw y No.of Devices or Equivalent g Ir' No.of Water I No.of No.of Data Wiring: �� g Heaters Ballasts � � Signs No.of Devices or Equivalent No.Hydromissage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: • ay Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: q 500 (When required by municipal policy.) Work to Start: 10- y- Z i 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 01 BOND ❑ OM ER ❑ (Specify:) I certify,uncle).the ains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: 1 mo-K. IS6)Dla LIC.NO.: 5 3025-8 Licensee: St/Mon -6(4961 Signature LIC.NO.: (If applicable, enterQ "exempt" 'n the license number line �� A, Bus.TeL No.:77Y Cr/ O2SS Address: Z 7 �'� a i �(,Yry�B( L h n ke �"LA AIt.TeL No.: *Per M.G.L.c. 147,s.5 -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 ❑owner's agent. Owner/Agent PERMIT 1'LE: $ 1 Signature Telephone No. (Ce r'c4t/L i✓ w u- N644 w .� Jly o LAr1 11 80-his✓P D 'w 1Z/L COlVd4 L c,,2 /2rt�j ? O[_A w"fT n.),.•, N4(L ✓1 .+',t 134nf to/G. c. Too S,*),2,' e(-t ✓N S crGc)rt . N✓� iN Cr� N,G /4-771