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Home My WebLink AboutBLDE-21-007136 0 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-007136 - 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:6/9/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 585 ROUTE 28 Owner or Tenant ZAMBELIS EVANGELIA K TR Telephone No. Owner's Address WHY ME REALTY TRUST, 585 ROUTE 28,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: Change recessed lights,install new lights&exit signs, Remove unpermitted receptacle from patio. 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 Arno e ❑ g-nd. ElNo.of Emergency Lighting r 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. Tons Tota No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertinc Devices HeatingLocal 0 Munici al Space/Area No.of Dishwashers P KWConnection 0 Other: HeatingAppliances No.of Dryers PP KW Security Systems:*No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: Rex A Burger LIC.NO. 17037 Licensee: Rex A Burger Signature (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:2045 MAIN ST, MARSTONS MLS MA 026481864 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 signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent 'PERMIT FEE: $80.00 I �� qSignature Telephone No. , ,,�tgrZE (1ct„Z � e sJ) CT 'a' cAc Gd '`.w- ) /� p q�q Official Use Onl C ommorcwealElz of /�/as�ac�ueeEEs ✓] =x== Permit No. 6 E_ q�_ cc�� 4�_ � eUeparEmenE o� ire �ervccel _=;= Occupancy and Fee Checked _�=�= = BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPEALL INFORMATION) Date: 5/a 6l o10 a i City or Town of: / a r Y►)O u'f'11 To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 5`a S R+ 2$ W• >/c ✓ o v f'L Owner or Tenant A n 5)'- Z.el WI 64a1 S Telephone No. Owner's Address 1\0,1 ac e_ ac c-4(/ S c c lip Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Reg+ 4 V ra h"t" Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity • Location and Nature of Proposed Electrical Work: C hGtb%SC— eXs S111;1s c .5Sa -gty. LDS `a wn L a_ D cke_ky f -t-rii is , hafts v► l i s t 1 h di et1 wS r.O.i , add ex('f- s ISH s• ! e M 61lrj O v-}-k-t o p% I".. iplPion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires Lt 0 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 ❑ grrn d.❑ Not.t eoryf E Umneirgency Lighting 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 Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices No.of Dishwashers S ace/Area Heatin KW Local ❑ Municipal ❑ Other nnecrion P g Co No.of DryersHeatingAppliances KW Security Systems:* PP No.of Devices or Equivalent No.of Water No.of No.of Data Wiring Heaters KW Signs Ballasts No.of Devices or Equivalent No.H dromassa e Bathtubs No.of Motors Total HP Telecommunications Winng: y g No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work/U/ 000 (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 cove age is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER ❑ (Specify:) I certify,under the pains andnalties of perjury,that haatthe information on this application is true and complete. ��37 FIRM NA RE` tXVrStP w£ 1 ric'� T- r LIC.NO.: A l Licensee: K 2k iJv1-34/ Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:5-69 3 32-6q/S Address: 964 s' 14 ih sf Al arsivlts /fe11((S MA b X ee y w' 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) ❑ owner ❑ owner's agent. Owner/Agent PERMIT FEE:$ Signature Telephone No.