The URL can be used to link to this page

Home My WebLink AboutBLDE-22-006199 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-006199 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:4/27/2022 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) 16 SILVER LEAF LN Owner or Tenant OBER SCOTT M Telephone No. Owner's Address OBER STACEY A, 16 SILVERLEAF LN,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: Finish basement Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 12 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 15 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. To 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 0 Municipal 0 Other: Connection No.of Dryers 1 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. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,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 12, </ w Ston eD 7/26 f'z,Y�<jrs &tic- cr�1 River — Uvee . �-fes{'• �tlftz � ` E`CEIVED APR 27 !_?*- ;.----- -,...7.,6 _. _ A� Commonwsa&o f Mamachtmotie Official Use Only R 1`"'� cc�� cc�� Permit No. Z'1(C L U I L D I tJ G U -, ^ T �Us/vartmsnt t',, ra ssrvic., n :II ` - =OARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked a�"�v [Rev. 1/07J (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: - 2 7 — 22 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her int tion to perform the electrical work described below. Location(Street&Number) IL+ 511 ler 1e�,�- Owner or Tenant c j-d- n leer � Telephone No. I e,�, Owner's Address �`'� S 3 Q 32. 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❑ Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity 1 Location and Nature of Proposed Electrical Work: 1� � , ,y� -c',� v bw raavhla,/ /,L 6C�„-t o kyr „,./ 12 rc��ss �� Completion of the followingtable may be waived by the Inspector of Wires. 1!- No.of Recessed Luminaires No.of Cell.-Sas . No.of Total �< 12 p (Paddle)Fans Transformers KVA 't No.of Luminaire Outlets No.of Hot Tubs Generators KVA rk t',' No.of Luminaires I Swimming Pool Above ❑ In- No.of P mergency Lighting grnd. grad. ❑ Battery Units �' No.of Receptacle Outlets 1 s No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches y No.of Gas Burners No.of Detection and II r Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons I KW No.of Self-Contained - 1 Totals: 1 Detection/AlertingDevices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other No.of Dryers I Heating Appliances KW Security Systems:* No.of Water KW No.of No.of Devices or Equivalent HeatersNo.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 Electrical Work: / Attach additional detail ifdesired,or as required by the Inspector of Wires. V ,a. (When required by municipal policy.) Work to Start: y_24 -2-2 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 cove ge 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 nalties ofperjury,that the information on this application is true and complete. FIRM NAME: 5; , ; b ' y„ LIC.NO.:Atl Licensee: !'Mhr '' Signature v 4-, (ifapplicable, nter exempt in the license number lin ) LIC.NO. Address: � • 0.Li . . l" , rtnikt I . 4 076; Bus.Tel.No.:7;7y 99y�2SS s *Per M.G.L.c. 1 7,s.57-61,security work requires Department of Public Safety"S"License: Alt.TeL No.: Lie.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 one below,I hereby waive this requirement. I am the(check Owner/Agent • owner ■ owner's a:ent. Signature Telephone No. PERMIT FEE:$