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Home My WebLink AboutBLDE-23-000200 • ' 1 �0 Commonwealth of Official Use only Permit No. BLDE-23-000200 � , Massachusetts '....' 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:7/12/2022 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) 357 LONG POND DR Owner or Tenant Melanie Khederian Telephone No. Owner's Address 357 LONG POND DR, 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 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead Cl Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting gird gird. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Ton Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local 0 Connection 0 Other: HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Eauivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required Value of Electrical Work: (When q uired by municipal policy.) y') 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: , LIC.NO.: 57770 Licensee: Michael Lyons Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address: 44 Sheldon Street,Milton MA 02186 *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 'PERMIT FEE: $50.00 I Signature Telephone No. nt(i(4,_ r i I1 /-W R .�' i nsl G et j2. ).. ..... jUL 2 2D22 , ,ntv a&al V aaaachueolle Official Use Only ,,,7, WI i t,G DEN ART-ME c c7 Permit No. 2-3 "" . . !,_.• ---- �varimenf o`.}irs Serviced 1 i Occupancy and Fee Checked s 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: 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) '357 Lt7i't1 p Dth,c. 'Ea Owner or Tenant Md G(vi jt'_ k deri GIVI Telephone No. (617)-614 1057 c. f Owner's Address 1)5 7 Po-( j,i t._ act., K ,c- / 11 d 1 D 2664-t JiIs this permit in conjunction with a"lbuilding permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Re i-de '/ Utility Authorization No. Existing Service /O0 Amps /20/2(/l7Volts Overhead Undgrd❑ No.of Meters ,n New Service 24.20 Amps /20/ZciOVolts Overhead❑ Undgrdn No.of Meters Number of Feeders and Ampacity 12 / 2004 .�r Location and Nature of Proposed Electrical Work: 2004 treiic _ tApyir,,1 kE�: Completion of the followinktable may be waived by the Inspector of Wires. UNo.of Recessed Luminaires No.of Ceil.-Snsp.(Paddle)Fans TrNansformers Total 'mot No.of Luminaire Outlets No.of Hot Tubs Generators KVA r`.A ,i No.of Luminaires SwimmingAbove In- No.of Emergency Lighting Pool grad. ❑ 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 Initiating Devices 1: No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump lumber Tons KW No.of Self-Contained ' Totals: .Detection/AlerttngDevices No.of Dishwashers Space/Area Heating KW Local❑ Municonnelc tlpa ilon ❑ Other C No.of Dryers Heating Appliances KW SecuriNo Systems:* or Equivalent No.of Water No.of No.of Heaters ' a Signs Ballasts DatNo.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: u Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: %5 C7() (When required by municipal policy.) Work to Start: 0-//322� Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERAGE: 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 BOND 0 OTHER ❑ (Specify:) I certify,under thip^ains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: /l!tc -� Lt cv'S LIC.NO.: 6777e7-8 Licensee: / 1i (/ L p(s Signature ! hos,��_ LIC.NO.: 57770- 13 (If applicable,enter"exempt"in the cease number line.) Bus.Tel.No.03M)-2.3 S!)2.i$- 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$