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Home My WebLink AboutBLDE-22-003553 r oi, \- Commonwealth of Official Use Only Massachusetts Pennit No. BLDE-22-003553 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:12/27/2021 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) 24 PINE GROVE RD Owner or Tenant Peter Afouxenides Telephone No. Owner's Address 24 PINE GROVE 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 ❑ 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: Replacement HVAC. 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. rnd. 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 Initiating Devices No.of Ranges No.of Air Cond. 1 Ton l No.of Alerting Devices 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 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. (..(41 -101—fF/Q 12.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: Nicholas Afouxenides Licensee: Nicholas Afouxenides Signature LIC.NO.: 53531 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:210 CABOT RD,TEWKSBURY MA 018764846 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 (tlieS /1L{h/7/ke I mita-fl te— j� e A �cco,�� / Official Use Only ..1 to i �Llepar n,0p11 m.�5:prieae Permit No. c,LZ S5 R E C - I 3'D Occupancy and Fee Checked - '` .. ,O BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) DE 2 7 APP (CATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 UILDIN TYPE ALL INFORMATION) Date: "I 0 7 /0U 1 City Or Town of: \f6 if PN d✓fth. To the Inspector of Wires: By this application the undersigned gives notice of his or her in on to perform the electrical work described below. 3' Location(Street&Number) a4 F 1 n Y 6(049 IZ U Owner or Tenant P e'I c r / -104e h c►t' Telephone No. G 17— i'74'01-3/ • Owner's Address 4-S f(;✓t r St A t l i^j t a Is this permit In conjunction with a building permit? Yes 0 No Vg. (Check Appropriate Box) -, Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters "' New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters 4" Number of Feeders and Ampacity t 0.44 I( � .,, L4(' ,. , Location and Nature of Proposed Electrical Work: 1 �' FI , !�'; /4_ ( g' lett, ;/,‘,1 Completion of thefollowingtable mg be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cdrl.-Susp.(Paddle)FaNo.of Transfon nen KVA KVA ms's No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires swimmin Poo, Above ❑ In- 0 ivo.or Emergency Lighting g mored. grad. Battery. Unit No.of Receptacle Outlets No.of Oil Burners (FRE ALARMS No.of Zones 1,,,- Nf Detection and No.of Switches No.of Gas Burners °'I nitiating Devices , I i€ No.of Ranges No.of Air Cond. Tot` No.of Alerting Devices Na of Wade Dhrpssers Heat Pump Number, Tons KW No.of Self-Contained _ Totals: ""� .. : __........._...�_ Detection/AlertingDevices No.of Dishwashers Space/Area Heating KW Local 0 C a ectlsn 0 Other , No.of Dryers Heating Appliances KW Security Systems: No.ofDevises or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or',trivalent • No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsofDvr i No.of Devises or Ea t OTHER: Attach additional detail tf desir ed,or as required by the Inspector of Wires. Estimated Value of Electrical Work: J Cu ci e.0 t (When required by municipal policy.) Work to Start: (11).7/21 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 in BOND 0 OTHER 0 (Specitj•:) I cep*,ander the pains and penaMtes ofp orfdry that the informadoaAn this application is true and complete, FIRM NAME: Al;C�u 16S A.{ov rn; ci e L,c thSri 1:k t/,C;h,N . LIC.NO.: 5 3 C-7 I-6 Licensee: ; S A4uv ? ' t Signature 2 ,1 LIC.NO.: y 3 ti)i —fl afappikable, mor"exempt"in the 1 ?wiser line.) / Bus.Tel.No.: C It—43-691k Address: (0 Cti y of k� I t.a)U.S bay MJ' g1(s / Alt .TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department o lic Sa `-"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not ave 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 FEE: Signature Telephone No.