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Home My WebLink AboutBLDE-22-001018 "" Commonwealth of Official Use Only >F. Nti Massachusetts Permit No. BLDE-22-001018 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:8/23/2021 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) 175 ROUTE 28 Owner or Tenant ZAMBELIS EVANGELIA K TR Telephone No. Owner's Address THE TASTY TIDBITS RLTY TRUST, 335 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: Replace exhaust fans and lights in two(2)bathrooms in kitchen area. 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 2 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. Ton l No.of Alerting Devices 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 0 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. 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 Licensee: Rex A Burger Signature LIC.NO.: 17037 (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 my signature below,I hereby waive this requirement.I am the(check one) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $80.00 01S) (6312141U RECEIVED LAU_..6-2 3 ?n��fCommonwsa/Ih o/ aeaachuasfett Official Use Only BUILDING Utl'•' y ;`= / Zi l el 8 C ___—____ cc77 Permit No, vv�j `(SIC y - '�. ,� .`-r� sloarfmsni'o�,..�"in Serviced ." 1:1,1 V 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), 27 CMR 12.00 % (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /a 3�1 Oc �S City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives no ce of his or her intention to perform the electrical work described below. /� Location(Street&Number) / 7 -f- a 8 w E s/ �fO `_ c a .73 ` J Owner or Tenant p 1 ►vttr MA- OM (! Telephone No. Owner's Address Is this permit in c con j oon with a building permit? Yes ❑ No;� (Check Appropriate Box) d Purpose of Building 1`eci'ct gran i---- Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters y New Service Amps / Volts Overhead ea ID Undgrd ❑ No.of Meters — Number of Feeders and Ampacity s_i Location and Nature of Proposed Electrical Work: Retotoce a foal/4"too'i v,, and a (1u ^2r i1e 4 !h kt in L8agnt-vv�S E'�`GY.rvS(` �ctKs y�o Completion of the following table may be waived by the Inspector of Wires, UA No.of Recessed Luminaires No.of U� No.of Ceil.-Susp.(Paddle)Fans KVATotal ` Transformers 'Zt 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 INo.of Zones No.of Switches No.of Gas Burners No.of Detection and 11` No.of Ran es Total Initiating Devices g No.of Mr Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number[Tons No.of Self-Contained Totals:l I.K.K Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' Na.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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 Stan: e//a0 ( Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE OVERAGE: 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 t!c pains and penalties o ) t J P fperjury,that the information on this application is true and complete. FIRM N` `ee` , £I e4,- L Licensee: I`'t''+` f 4./r Signature 7 ------ LIC.NO.: j 7G 3 LIC.NO.: (If applicable,enter"exempt'in the licrlse number line.) . Address: �0ti r,L(q in 5 F / v/S i✓'S ,fill ay Ai A... Bus.Tel.No.fioS� 3—3a C q$ *Per M.G.L.c. 147,s.57-61,security work requires Department of 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 ■ owner's a.ent. Owner/Agent Signature Telephone No. PERMIT FEE:$