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Home My WebLink AboutBLDE-22-004882 Commonwealth of Official Use Only RIE*14 Massachusetts Permit No. BLDE-22-004882 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:3/4/2022 City or Town of: YARMOUTH To the Inspector of Wires: (Keit. _ t. /�60) By this application the undersigned gives notice of his or her intention to perfo the electrical wor escribed below. /c7"'' CLJ Location(Street&Number) 49 SHAKER HOUSE RD LA t 7 L t� Owner or Tenant S TelephoneNo. Owner's Address 51114601414KWAREA1,49 SHAKER HOUSE RD,YARMOUTH PORT, MA 02675-1927 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: Remodel kitchen&2 bathrooms. 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 rnd. 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 Initiatine Devices No.of Ranges No.of Air Cond. Tot l 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 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 Siens 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. 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: Lazar Mitev Signature LIC.NO.: 56442 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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 (7)-jkle_ejeyjr) 6,0 1 i215#4116.11(Z. ern.er-1-4212fki Setil.7W ColiT011S. 'V t_A ttx: Frq,,l" (A) A-77 A X- rY-" ,Vel Strome° (Ze-litv e,(27,,,Kg 5/2 dT qc4/vim. 14 C a o` Official Use Only o, ,� c7 n -CZ— L YD8v 0, • '/ 2apartamai al lea J Permit No. M ervsue Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 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 INFORMATTON) Date: C? 'U ?OG.' City or Town of: l/�ii - 'i P/ To the Inspect o -Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) (/ J 2 / 7VZ Owner or Tenant .' !'Lt)7 /,()fa 19) le liTelephone No. , f'2- -6r9----8707 Owner's Address I Is this permit in conjunction with a building permit? Yes D No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 2,90 Amps 4Z7 /,2 7 Volts Overhead[I Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty `s Location and Nature of Proposed Electrical Work: /4-44),0,' tturi 2 6,-,z% .S ��L,,.,,c be waived by the Inspector of `t Completion of thefollowtable ay LI No.of Recessed Luminaires No.of CeiL�.(Paddle)Fans No.of Wires. ,i Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA n �t No.of Luminaires Swimming Poo( Above ❑ I.- ❑ No.of Emergency■ey Ligattng g trod. grnd. Battery Units -1 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 11 No.of Ranges No.of Air Cond. Tis No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: ..". '' `_. Detection/Alertln Devices No.of Dishwashers Space/Area Heating KW Local 0 Con icneclioIpaln 0 other. No.of Dryers Heating Appliances KW SecSystems:* ofor Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or`�t unications No.Hydromassage Bathtubs No.of Motors Total HP TSN of ofDev orEgan, nt OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: ltd' 6' (When required by municipal policy.) Work to Start: f9)p 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 [y BOND 0 OTHER ❑ (Specify:) I certify,under the pains and esasalties of perjury,that the information on this application is true and complete. FIRM NAME: //72 t Zriair LIC.NO.: Licensee: Le124r )141/1-ed,. Signature LIC.NO.: 92- 4,*Z-> Of applicable,enter"exempt"in the license number line.) Bus.TeL No.. Address: 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)❑owner 0 owner's agent. Owner/Agent Telephone No. PERMIT FEE:$ Signature