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Home My WebLink AboutBLDE-22-004902 ieVti/J Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-004902 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:3/7/2022 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) 66 PINE GROVE RD Owner or Tenant Armen Apelian Telephone No. Owner's Address 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: Rewire exterior walls of 2 bed rooms&living room. 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 10 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges -No.of Air Cond. TTotal No.of Alerting Devices n 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 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 Siens 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: WILLIAM H NELSON Licensee: William H Nelson Signature LIC.NO.: 26513 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:871 BUMPS RIVER RD,CENTERVILLE MA 026323321 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 I Q.(441_ 4401,0 a/e/ f (/.x/22 Comm:muum o/f1aooachuiett.4 Official Use Only �' __-:-_14,--i2: .., D Permit No. L� t Q� civ' Apartment o/ ire Servicee 1- Occupancy and Fee Checked iMAR 'c;!.-�2 O'RD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) L BUILDING iU-A Ih ' TION FOR PERMIT TO PERFORM ELECTRICAL WORK By -- --------- ----Al work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 MR 12.00 (PLEASE PRINT IN INK OR TYPIE�LL INFO TION) Date: VI ..OICity or Town of: t r`'//O, To the Insr o Wires: By this application the undersigned ry notic f his or intention to perfo the electrical work lle cribed belloq. Location(Street&Number) b j/)P_ W.intention i�L ,x S6 Owner or Tenant Arikt GLV ® eJ l4-n Telephone No. Owner's Address .9._(:., ;ci-e4 e S I''. Ltrvl i`ie"1''l /Nr4 e>;:` 4/ Is this permit in conjunction wit a bui ng pe mit? Yes No ❑ (Check Appropriate Box) Purpose of Building 0 /-' /r k(7 00/.7,/ Utility�Iry Authorization No. Existing Service Amps / Volts Overhead n Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd D No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: v"�' God/'G �}(4e(�/p r- G ,,J,IS a Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:SusP Fans Tf Total�addle) Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets /c) No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Total VNo.of Ranges No.of Air Cond. Tons 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 Connection ❑ Other • No.of Dryers Heating Appliances KW Security Systems:*No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent xs) 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. ' 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CA rn CHECK ONE: INSURANCE, ] BOND El OTHER ❑ (Specify:) AI certify,under the pains and penalties ofperjury,that the information on this application is true and complete. 0 FIRM NAME: LIC.NO.: Sie ,O8r LIC.NO. , 7,� C Licensee: /ate._ / • L -Cs'. v gnator � Q (If applicable,enter "exempt"in the license nuffibggr Me.) , Bus.Tel.No.: W Address: /.1 S !'Xvt -C v i' t- S-1 14. 1O G'r� 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)El owner ❑owner's agent. Owner/Agent PERMIT FEE: $ 95^O-cs Signature Telephone No.