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Home My WebLink AboutBLDE-22-007363 # 181 Commonwealth of Official Use Only f14:1 Massachusetts Permit No. BLDE-22-007363 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:6/22/2022 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) 179&181 SOUTH ST Owner or Tenant Bohige Acaker Telephone No. Owner's Address 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: Permit for work done without inspections or permits at 181 South Street 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. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting 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 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: Sami S Mezian Licensee: Sami S Mezian Signature LIC.NO.: 40505 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO Box 869,Westwood MA 020900869 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: $250.00 cLW 03 (2.-1. e- it ) 41(/(4 Z1 lee.-- . RECEIVED JUN 22 2022 �` yy� nuaa[h 0/r/ladeac Official Use Only i■ '%ING DEPARTMErk4.1 �c--f� j' - - sRartmgnE `.t' Permit No. 7i2-73 ep. � o uY �rvu se J` 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: 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) I g j ,(v�,,U-f-(k s f r • �lr h�..e-u• Owner or Tenant c C` o\ �l�-'�"� Telephone No.5p j' �,4( - - Owner's Address i (- -�(7SI ' . Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building ❑ (Check Appropriate Box) -0 Existing Und Utility Authorization No. Existing Service Amps / Volts Overhead❑ O >lTd❑ No.of Meters _ - New Service Amps / Volts Overhead 0 Undgrd of Feeders and Awpaclty R > 0 No.of Meters e?Qmar;;n5 Ir wick 10 n:t Location and Nature of Proposed Electrical Work: U `� 42_64-1, UjIA , No.of Completion of thefollowingtable may be waived by the Inspector of Wires, Recessed 'es No.of Cell.-Sosp.(Paddle)Fans Tr s o� n No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of emergency l,lgllting � No.of Receptacle Outlets sand. grad. ❑ B�Units No.of Oil Burners FIRE ALARMS INo.of Zones iicesll No.of Switches No.of Gas Burners �Vo.Initiatingpev No.of Ranges No.o Mr Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals• `"" " ' ---- — Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ nn Connection 0 Odor No.of Dryers Heating Appliances , a ystems: o.o r o.o No.of Devices or uivalent Heaters Data Wiring: KW o.o S s Ballasts No.o Devices or aivalent No.Aydromaasage Bathtubs No.of Motors Total HP a ecomm one , OAR; Na of Devices or u ant Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start:- (When required by municipal policy.).- 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 liabilit y 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 8 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penaltia ofperjury,that the infortnalion on this application is true and complete. FIRM NAME: Licensee: � , M.P'Z.1•c LIC.NO.�_ (If applicable, ter kilSignature - ✓` LIC.NO.: Gf p r "exempt"in the license number line.) Address: Bus.Tel.No.: _t sQ *Per M.G.L.c. 147,s.57-61,security work requiresc Alt.TeL No.: s �� OWNER'S INSURANCE WAIVER: I am aware that thetrLicensee does not Safety liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one II owner ■ owner's::ent. Owner/Agent Signature Telephone No. ep PERMIT FEE:$