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Home My WebLink AboutBLDE-22-000807 op 1� Commonwealth of Official Use Only E:--A Massachusetts Permit No. BLDE-22-000807 %""' 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:8/12/2021 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)- 22 PAWNEE RD Owner or Tenant Stacie Ovanes 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. 6366274 Existing Service Amps Volts Overhead 0 Undgrd ❑ 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 plugs&switches,add recessed lights, &replace panel. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 16 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 gr bovend. ❑ grnd ❑ No.of Emergency Lighting Battery Units No.of Receptacle Outlets 30 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 20 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ton No.of Waste Disposers Heat Total Pump Number Tons KW No.of Self-Contained 6 Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.te of KW No.of No.of Ballasts Data Wiring: 4 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: Adam G Lepire Licensee: Adam G Lepire Signature LIC.NO.: 39936 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:8 PICASSO PL, OSTERVILLE MA 026551245 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. I I PERMIT FEE: $250.00 S( (4'u ()6 V1 o/a F'014 mi - odcl - A-oyn no c L. (.0046.1v6c6,6D) tri_ c1/6zz (4r Commonwealth o///laedachadetid Official Use Only a• �t `� c7 Permit No. lSZ2—d (� 7 r ki;-1411, ! r sparf»un�o f,}irs�arvlcsd / �� Occupancy and Fee Checked ��_ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] pcave blank) r APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CM 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / // ,�24 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. 4 Location(Street&Number) 96; may A//'L Owner or Tenant I .e4e_ 0 M,io J Telephone No.7�/•6 'e ! ` Owner's Address Tom" 1 Is this permit in conjun on with a building rmit? Yes 1-,/ // Alt.Z � _ ' L�J No 0 (Check Appropriate Box) Purpose of Building { t/V Utility Authorization No. 3‘,, - p 79 Existing Service Amps / �,-�/ \� / A / Volts Overhead l Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd g El No.of Meters Number of Feeders and Ampacity E Location and Nature of Proposed Electrical Work: e vl ,c ti 7 ) c,1-1,fa,fc �:A Nkv Completion of the following table may be waived by the Inspector of Wires. ev t. No.of Recessed Luminaires l6 No.of Ce11:Sus . Na of Total p (Paddle)Fans Transformers 'Z' z `�No.of Luminaire Outlets KVA jy No.of Hot Tubs Generators KVA ' No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grad. ❑ Battery Units No.of Receptacle Outlets siD No.of Oil Burners FIRE ALARMS INo.of Zones c. No.of Switches No.of Gas Burners No.of Detection and 1-r No.of Ranges Initiating Devices g No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals:l �- Detection/ lerting Devices No.of Dishwashers Space/Area Heating KW Local unicipa] ConnectiNo.of Dryers / Heating Appliances KW Security Systems:*on ❑ �� No.of Water No.ofNo.of Devices or Equivalent Heaters ' Data Wiring: NO of 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 ctri 1 Work: !f �� (When required by municipal policy.) Work to Stan: Imp ctions to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO E GE: 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 is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE liV BOND 0 OTHER 0 (Specify:) L9erpty,under the pair s and enalties�! P perjury,that/heLflihisaPPlicafin ( formatio or: rue and complete. ® 2 z NAME: .4 7 �' Aiej V / LIC.NO.: en lee: Signatur N ( ppticable,enter"exempt"in the liters rum er a e.) LIC.NO.: 1 F. A4dr+ss: it �.m�J �¢ G � A�� ,2�J , But.TelTel..No.: �' *Psr .G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"Lic nse: Alt Lie.No. LLW i T--r OW !,R'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally o ' t� re42ii ad bylaw. Bymysignaturehereby qgsge below,l waive this requirement. I am the(check one)0 owner ❑owner's agent. n� /Agent Lu I 'Q S a)ltre Telephone No. I PERMIT FEE:$ R OD.D tt !mm C - 77./6 R54 .1 31301 22 Eé A14-'7)\1,6 v/ - m,A 44,9-0/v6E__An p640,14 f 73: A9 - 000.BQ7_._ - J42E-iv _.t...c./c)77 J>4-6,A1 776. ith.-107,1° irmfy e,0-740_zp—iv 141 ,Agjewtv'66 IND 12-eftile.)1( /11. Colvfoaceir -,e) WiriLerii7-1/9- /77) .449-(116/(1 .V410t-/A16 W /Thi p(46-6--4-5_ LT pubt..6.Z .2)16 jeJ9,--G/36_ir-o--4 yvt //t/ 6 miffPP T/P "0"--7v!D AN79-u- -0 72ir- v17 Tik4t_ Nit-Le/ye} 7r) gg_44L-ee--60(c e--64-)&--47vb re-AA-0 ?1 ego --,fv 4 ,'AI bicic-10-777 ef-456,47,Acrir77-1> iffiz-o&AA/ At-64,-/). /ive, ___.()Jip77/filb r_Lig-3i_cepivyie-7--)146 771 30- 7678 ti-±v €3,11ccd cp„714..,, RECEIVED [MAR 312M-2-21 BUILDINGTiEPARTMENT BY• - APV4 iw ekmut& A,/,,,97vt