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Home My WebLink AboutBLDE-23-000789 Commonwealth of Official Use Only € Massachusetts Permit No. BLDE-23-000789 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:8/16/2022 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) 135 WEBBERS PATH Owner or Tenant STOILAS THEODOROS Telephone No. Owner's Address STOILAS PANAGIOTA, 135 WEBBERS PATH,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 0 No.of Meters ' Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement boiler. 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 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons 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 ❑ C Municipal ❑ 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 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 ❑ 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: JULIAN ROBINSON Signature LIC.NO.: 58376 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 126 Santuit Road, Marstons Mills MA 02648 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 --:g4 Commonwealth of///addachudsiid "Official Use Only w di .. 't 2slvarinuni el Serviced Permit No. Ci?3 —�7 03 - iro �'i lOccupancy and Fee Checked ,,._,,,, BOARD OF FIRE PREVENTION REGULATIONS [Rev. l/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CM 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: n /'f/Z t L3. 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) 13 T fit/e L bet-5 P w 4 L Owner or Tenant 12.(tin S--o i I'-S Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building (Z eft c,�.� • �0 i p� � (Check Appropriate Box) Utility Authorization No. Existing Service Lie Amps 1 1-0 / 240 Volts Overhead® Undgrd 1 g ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: c St%Nets#- R � � New V6f(C., a, V' ‘11)t Completion of the following f table m be waived by the Inspector of Wires. o 4 f No.of Recessed Luminaires No.of Cell.-Sasp.(Paddle)Fans No.of Iota! Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA ';• No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. and. ❑ Battery Units -.F No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS [No.of Zones v 4 No.of Switches No.of Gas Burners f -No.of Detection and B:r No.of RangesTotal 1 Initiating Devices No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Numb er 1 Tons J 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 KWSecurity Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Whin OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires, Estimated Value of Electrical Work: 30 0 (When required by municipal policy.) Work to Stan: ce/Il4t671 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 E] 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: S is 1 V'i 4%. &t 6 of LIC.NO.: 7`- Licensee: To 1 t&i, PA 11-5 it, Signature 9.,,...A„.-% �� LIC.NO.: {(3 7`- (3 (Ifapplicable,enter"exempt"in the license number line. Address: (�£ c4<,A. .- We'W11°1- 1 kV/ Mc-1_(#ac.t v�ills MAG20�us.Tei.No.`77tf-3t;Y-Gs�2Y *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.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'b w,I hereby waive this requirement. I am the(check one • owner ■ owner's a,ent. Signaturegent �j , g ✓�'",J�> Telephone No. 7 7Y-36 S--6 k2 PERMIT FEE:$