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Home My WebLink AboutBLDE-22-006155 Commonwealth of Official Use Only ill tl 1‘14\ Massachusetts Permit No. BLDE-22-006155 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:4/26/2022 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) 31 BAYBERRY RD Owner or Tenant SOSTEK BRUCE S TR Telephone No. Owner's Address C/O DONALD SOSTEK, P 0 BOX 44, NEWTON UPPER FALLS, MA 02464 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 El Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Septic system 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 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 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 Eauivalent 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 Eauivalent 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 ❑ 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: THOMAS A UMBRIANNA Licensee: Thomas A Umbrianna Signature LIC.NO.: 38324 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:22 BOW ST,CARVER MA 023301230 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 4,--,3.021 /- (-6f7// v_ Commonwoa ith,o 1119 ametclumeth Official Use Only i* -----------7 i Permit No. L-1----2--(4,( 5C 2opartotent of...7tro Servical c. .„......-2-, Occupancy and Fee Checked -v2"'-''L-44 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 iviassachusetts Electrical co c C),527 Qfv1R 12.00 (PLEASE PRINT IN INK OR T TILL INFORk y r ) Date: 2-e-)City - City or Town of: fi( ...Nk•-)3 vt-4 To the Ins ector 0/Wires: By this application the undersigned gives notice 's or her intention to perform the le • al work described below. Location(Street&Number) awner or Tenant C.) C__KI Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No El (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overheadri 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: 1-15-rio 12 v c ( 0 AC?U- (T I-Dic— ep-1 c "3 ttS-Tan 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 Above In- No.ot Lmergency Lighting No.of Luminaires Swimming Pool grnd. _ grnd. Battery Units 1 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of Detection and Na.of Switches No.of Gas Burners No. Initiating Devices Total No.of Ranges No.of Air Cond. No.of Alerting Devices Tons Heat Pump Number Tons _KW No.of Self-Contained Na.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Lac-" MunidPal I 'Other J I Connection Security y No.of Dryers Hea stems:*ting Appliances KW No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent . . . Telecommunications inng: 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: l'e° (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule TO,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 insuran including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage' n force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE OND flOTHER Specify:) I certify,under the ' s and ies p ',that the "'nation on this oration is true and complete,, FIRM NAME: ; D th I ce3E1) t ,, ---c,,,A LIC.NO.: , 0-5 4- Licensee: \ Signature <7.-- . LIC.NO.: (If applicable,enter "exemp in the license number line.) Bus.Tel.No.:-7.8/ 30-6 r 36 6 Address: 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 liabilitynrance cr ge normally required by law. By my signature below,I hereby waive this requirement. I am the(check one owner owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ , ID