The URL can be used to link to this page

Home My WebLink AboutBLDE-22-005001 \�� Commonwealth of Official Use Only E, Massachusetts Permit No. BLDE-22-005001 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:3/10/2022 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) 52 WILFIN RD Owner or Tenant Valentina Karcha Telephone No. Owner's Address �/1 Is this permit in conjunction with a building permit? Yes 0 No 0 - s„x) . Purpose of Building Utility Authorizatio • -f - "= t Mai Existing Service Amps Volts Overhead 0 Undgrd , New Service 200 Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence(Up to 4 inspections) 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ton 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 ❑ 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 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. !-�� A`� CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) L,/`I v.26 - J z6, I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Zachary A Kandelaki Licensee: Zachary A Kandelaki Signature LIC.NO.: 12199 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:52 EASTWOOD DR,WESTFIELD MA 010851824 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:$230.00 -ttefq249 ON1314.t.;Rai) po up_AT) (.41/0 1 kr-Tta(C4-5 34otztli __....) (4 �, ,,i,, r0J 2J e1.g(Jz,/ A C..omrnQncvea ol Naddac't�dttfs Official Use Only c7 Serviced Permit No. �ren-5-e9e7( epartneent onire Serviced - 4 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (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: 40.. 07-J-J--. City or Town of: S-o,,aG4 `/c,,r,M,,,..t7f.t► 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) S 2. (,✓;If(v' le 4 . Owner #r Tenant Va it vr:4- v'A k A v.G in A Telephone No. Lit 3 y 7 g O(003 Owner's Address //._ Cfe-5 fi vi a 1"✓ Lob - ce.e4 v� h;I II /VA Is this permit in conjunction with a building permit? - Yes Er No 0 (Check Appropriate Box) Purpose of Building £e. i eLe.+c a/ Dwell;k,9 Utility Authorization No. 7.9v 9�®3 Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service 2 041 Amps 11o/2..4 OVolts Overhead Qr Undgrd❑ No.of Meters ( Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: NPR r) , U/,r; - Le/'V r Cam. Completion of the following table may be-xaived he for of Wires. No.of Recessed Luminaires No.of Cell.-Snap,(Paddle)Fans No.off . Transformers KVA' s No.of Luminaire Outlets No.of Hot Tubs Generators � A °°�„ ' No,of Luminaires Swimming Pool Above ❑ In- ❑ No.of Eine ttcy nag j6 4 ,. grid. grid. Battery Units `'%' No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS. �l ' . / No.of Switches No.of Gas Burners No.of Detection anc� �,or'� °� Initiating Devices No.of Ranges No.of Air Cond. Total Tons .No.of Alerting Devices Ni Na.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained Totals: ...... - „_. „. e Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW ❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security gystemns:* _ No.of Water No.of Devices or Equivalent No.of No.of a Wirin : Heaters KW Signs Ballasts DatNo.of Devices or Equivalent No.Hydromassage Bathtubs Na.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: 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE (BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,th the information on this application is true and complete. FIRM NAME: Zci c.-it.A.r y k c,vt G It ' LIC.NO.: I L 1 g 9 Licensee: ZQ, [„a f y kaa✓t A is ; Signature LIC.NO.: It I el l (If applicable,enter"exempt'in the license number line.) ' Bus.Tel.No.: ti I. 4(Z4 S l t�,Address: 7.'LI Q I tcA.,e- - I /�to oPtic,r7 /"1I 0I0$I Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department f Public Safety"S"License: Alt.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 below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$