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Home My WebLink AboutBLDE-21-005647 i� Commonwealth of Official Use Only f --: '110/4# 6 Massachusetts Permit No. BLDE-21-005647 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:3/31/2021 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) 46 WEIR RD Owner or Tenant KARIPIDIS FOTINA Telephone No. Owner's Address 362 WASHINGTON ST, NORWOOD, MA 02062 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: Wiring for 1/2 bath room. 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 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 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 Data Wiring: Heaters Siens Ballasts 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: Richard C Viveiros Licensee: Richard C Viveiros Signature LIC.NO.: 14284 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 10 Barnside Rd, Boxford MA 019212665 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 signature below,I hereby waive this requirement.I am the(check one) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 i - (q( ( M4) Ltfr � �� .e24 4...pfficial Use OnlY , SZ:l's Commonwealth. Mamacl umslte Pe .<.;2 (.-5-6, Lk rnik No. 7. , Arpartineni of gips& '..".., • . OccupancyevjAr and Fee Checked rR BOARD OF FIRE PREVENTION REGULATIONS (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 WE ALL INFORMATION) Date: ,_31ieSei a t City or Town of: YO1 IN Du-14, To the Ins ctor of Wires: By this application the undersigned gives notice of his or her intentitr to perform the electrical work described below. Location(Street&Number) g b We ' r F Ve et Owner or Tenant 1-1 r‘61 )<-A r";p i's Telephone No. 6/7-2C&---ff/_5-7 1 Owner's Address 4 r'4.-"<- r Is this permit in conjunction with a building permit? Yes 0 No Pir(Check Appropriate Box) Purpose of Building 11.5 k -Vet Vil; Utility Authorization No. Existing Service Amps / Volts Overhead 1::1 Undgrd El No.of Meters New Service Amps / Volts Overhead ID Undgrd El No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: W ive_ /) t, %Pi Completion of the following table ntay be waived by the Inspector of Wires. ,..)1. g,t SO.of Total No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Transformers KVA c‘, No.of Luminaire Outlets No.of Hot Tubs Generators ICVA Above r-, In. r-i No.of Emergency Lighting 4 No.of Luminaires I Swimming Pool mid. t...i Ern& 1-1 Batterlr Units No.of Receptacle Outlets / No.of Oil Burners FIRE ALARMS No.of Zones -..., "No.of Detection and No.of Switches / No.of Gas Burners Initiating Devices 1 TotaT,.' No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Jona. KW No.of Self-Contained No.of Waste Disposers Totals: - '''- Detecdon/Alerting Devices r-i Munici No.of Dishwashers Space/Area Heating KW Local 1.-1 Conpalnection 0 Other ‘ Securfty Systems: No.of Dryers Heating Appliances Kw No.of Dr&vs or Equivalent No.of Water No.of No.of Data Wiring: Heaters ' Signs Ballasts No.of Devices or ftnivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications .in —X: No.of Dpices or Equsyment OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: WO (When required by municipal policy.) Work to Start: 34d3 0&t I Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE fir BOND 0 OTHER 0 (Specify:) I certify,under the pains and pemdties of perjury,that the informadon on this application is true and complete. FIRM NAME: e I. ..--d gleel--rie C) 114 c_ LIC.NO.: //d.SY , „ , Licensee: r Lc.K V ‘ V4 i it") Signature ---- --- --z LIC.NO.: / •S z/V .5-- (If applicable,enter"exempt"in the lice number line.) O'N't 5 j,. Bus.TeL No.: 701•- 3 1-5.2 5 - Address: /0 4 eon%v\Pot-J, Ter vwcQ la 4 ni V e r_S rit... oi .)...3 Alt.Tel.No.:FOr-svS-- 7 7 67D *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: 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)0 owner ['owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$