The URL can be used to link to this page

Home My WebLink AboutBLDE-22-005651 Official Use Only 1 - Commonwealth of E Massachusetts Permit No. BLDE-22-005651 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:4/4/2022 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) 744 WILLOW ST Owner or Tenant Bartlett 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: 2nd floor remodel of two bedrooms, bath, laundry,2-hallways 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 5 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 20 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 8 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers 1 Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers 1 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 Eauivalent No.Hydromassage Bathtubs 1 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: Simon Baba Signature LIC.NO.: 22714 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:29 Captain Lumbert Lane, Centerville Ma 02632 Alt.Tel.No.: 7749949255 *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 O - 11/0Iz� : � 14 SI4 Commonwealth o/Maadachadetid Official Use Only 1,at �(Jeioart~mer o ..}i! re Serviced Permit No. �f 65 rviced . }i l7 t 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 INFORMATION) Date: Li- y - 2 'Z 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) 7'14 Gv:tloc_, S 1." Owner or Tenant ¶qj-+ic f t Telephone No. Owner's Address Is this permit In conjunction with a building permit? Yes Er No ❑ (Check Appropriate Box) Purpose of Building 1f1.QLne Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity 7 iLocation and Nature of Proposed Electrical Work: 2nd 1^cna Q t, 1Gs!v t t-lAtA ,l/J{ + 2 llwflw S � ria• " jv Completion of the followinktable m be waived by the to ctor of Wires. U), No.of Recessed Luminaires No.of Cell.-Snsp.(Paddle)Fans No.ofd Total `''=� Transformers KVA ZNo.of Luminaire Outlets No.of Hot Tubs Generators KVA t" No.of Luminaires 5 Swimming Pool Above ❑ In- No.of Emergency Lighting grad. grnd. ❑ Battery Units No.of Receptacle OutletsNo.of Oil Burners .,4FIRE ALARMS [No.of Zones No.of SwitchesF3No.of Gas Burners "No.of Detection and i No.of Ranges Total Initiating Devices g r No.of Mr Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I 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 Water No.ofNo.of Devices or Equivalent Heaters KW No.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 Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 0,000 (When required by municipal policy.) Work to Start: V-2- 2.1. 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 gr BOND 0 OTHER 0 (Specify:) I certify,under the ,sips and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: i rNOn Licensee: . l t LIC.NO.:-��ZsI� m ��ti Signature tj / (if applicable.en r exe .t"stn the licens number line.),_ A LIC.NO.: ,Z z Q Address: , • r yin cr ,, eat i' to/VU`t Bus.Tel.No.• SS *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.Alt.Tel.N .. 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/Agent owner ■ owner's a:ent. Signature Telephone No. PERMIT FEE:$