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Home My WebLink AboutBLDE-23-000331 Commonwealth of Official Use Only °� Massachusetts Permit No. BLDE-23-000331 14\ 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:7/21/2022 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) 25 ELMCROFT WAY Owner or Tenant JOHN MASSOTTA Telephone No. Owner's Address 25 ELMCROFT WAY,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes ❑ 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: Sunroom addition per attached. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires 4 No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Swimmin Pool Above ❑ In ElNo.of Emergency Lighting No.of Luminaires g grnd. grnd. Battery Units No.of Receptacle Outlets 8 No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches 2 Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal ❑ Other: No.of Dishwashers Space/Area Heating KW Local ❑ Connection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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: LIC.NO.: 22714 Licensee: Simon Baba Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: 7749949255 Address:29 Captain Lumbert Lane,Centerville Ma 02632 *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 oliability in coverageowner'urance s aers normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) I Owner/Agent 'PERMIT FEE: $75.00 Signature Telephone No. V [ - et\Th-G 611( , RECEIVED 61. Official Use Only Co .J4 o`Kedachadatid _ alit' f, U�. `�{� 2a22 . Permit No. L�3-O 3� ( e ..� ,.r t.__.._ Al ep linsnt o/.,}ire Serviced i{ DING DEPARTMENT Occupancy and Fee Checked *a,'^, _ BOARn QE t=RF •REVENTION 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: 7 Zo -2 Z 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. U Location(Street&Number) 2S aIr,,C Owner or Tenant Jd�h I44sso � Telephone No. Owner's Address 7S 6/1y c r t" Is this permit in conjunction with a building permit? Yes El No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd ElNo.of Meters Number of Feeders and Ampacity I Location and Nature of Proposed Electrical Work: U11 roams c yal�it l 4 recess +I ca11 Q,.-t 1 Steak 1,61/4-- krt! Completion of the following table may be waived by the Inspector of Wires. til t. No.of Recessed Luminaires Y No.of Ceil:Snsp.(Paddle)Fans No.of Total iv KVA C.1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA T€ No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting _grnd. grnd. Battery Units ti No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 No.No.of Gas Burnersof Detection and Initiating Devices s.'` No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump .....umber Tons KW No.of Self-Contained Totals: _ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipa ❑ Other, Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring. No.H y gNo.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Oaf (When required by municipal policy.) Work to Start: 7..2 L -2 Z Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCEVERAGE: 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: g h Bab; LIC.NO.: 2271s A Licensee: Si'"r0'^ Signature , Zs-.) LIC.NO.: 5302.58 (If applicable,e r'exempt"in the license number line.) Bus.Tel.No.•77ef O]S-$ Address: Z Cm towl *- 1.0,..e 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.