The URL can be used to link to this page

Home My WebLink AboutBLDE-23-002111 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002111 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:10/20/2022 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) 27 CHECKERBERRY LN Owner or Tenant KOLLIOS KONSTANTINOS Telephone No. Owner's Address KOLLIOS DOROTHY A, 27 CHECKERBERRY LN,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) ,1( �, ) Purpose of Building Utility Authorization No — Existing Service 60 Amps Volts Overhead 0 Undgrd ❑ . rs New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters to Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Service upgrade 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 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tonal 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 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 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: Darnell Cauley Licensee: Darnell Cauley Signature LIC.NO.: 11662 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:54 CAPTAIN BESSE RD, S YARMOUTH MA 026642805 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: $50.00 �3f D- teisq�� ct dy lV D •r 1 OCT 19 2M Com nonwea[th.al Maeeachueatla Official Use Only 1_.___ B .,"I c� �7 Permit No.l -l.�-- J ( 1B U I L u i rtl— 0 oc. ,11,..1., T �sparlmsnl o�.}ia+r Jirvacse Y Occupancy and Fee Checked r► ,f =OARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 U- (ql -a City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned.�j'veinotice of his or her intention to perform the electrical work described below. Location(Street&Number) , ,(7 (0 heCYr,6zri ( nl( Owner or Tenant 0c� --1-;� Kit).oS y Telephone No. so$--DI-C i 36 Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building1Yl < ` Utility Authorization No. , f 6 . ji 6 Existing Service i> -% Amps i IN-'/Aft =Volts Overhead Undgrd❑ No.of Meters I New Service ,,:; Amps 1 A ; /` t`ice Volts Overhead[ Undgrd g ❑ No.of Meters \ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: —5{ ,,,,:;:, k._fei e�c-, vo Completion of thefollowing table may be waived by the Inspector of Wires. IliNo.of Recessed Luminaires No.of Cell.-Scrap.(Paddle)Fans No.of Total • a..✓ Transformers KVA (A.<74 No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of LuminairesSwimmin Pool Above In- No.of Emergency Lighting g �tvd. ❑ grnd. ❑ Battery Units `l 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 kJ No.of Ranges No.o Mr Cond. Tonsi No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons _KW_ 'No.of Self-Contained Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Munic naecNoipaln 0 Other C No.of Dryers Heating Appliances KW Security fy o Devices or Equivalent No.of Waterg KW No.of No.of Data Wiring: HeaSigns Ballasts No.of Devices or Equivalent _ No.Hydromassage Bathtubs No.of Motors Total HP Tel No of Dee or Wiring 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: 1 j P 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 gi BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalises of perjury,that the information on this application is true and complete. FIRM NAME: 1, L :, (.,-.,;' y 1 �, Licensee: / LIC.NO.: , ec> ,J 445,i Lk y Signature .',)�t v._c l-�- ,,.,.-.c (f LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: -7 74, , ) -�'S%G Address: `. *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Mt.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. I PERMIT FEE:$ 5VI • cil9S1-1