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Home My WebLink AboutBLDE-23-003894 IV Commonwealth of Official Use Only I \ Perniit No. BLDE-23-003894 A Massachusetts 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:1/18/2023 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) 97 CAPT SMALL RD Owner or Tenant BOVINO MICHAEL J Telephone No. Owner's Address BOVINO KATHLEEN M,97 CAPT SMALL RD, SOUTH YARMOUTH, MA 02664 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: Kitchen remodel Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 8 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 0 In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 9 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Toi 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 ❑ 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 Siens 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: Licensee: Simon Baba Signature LIC.NO.: 22714 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:29 Captain Lumbert Lane,Centerville Ma 02632 Alt.Tel.No.: 774994W/6S p25 *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: $75.00 n ff RECEIVED ` N 17 2023 je. 'nwua '7 Radachuo° Official Use Only • _ •� (7 Permit No. �3 -3694 ' _;tp.„. r. DEPARTMENTslvarf~msni o��We J""Ced Occupancy and Fee Checked "11^,' - ' ' - RE PREVENTION REGULATIONS „tom;: ' ' [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 113 M$ '(H f Owner or Tenant itil i y b4� '/'V It 0 Telephone No. Owner's Address et 7 CcA StrvAi'l Of Is this permit in conjunction with a building permit? Yes Ei No ❑ (Check Appropriate Box) Purpose of Building NV,heh feiritolei Utility Authorization No. Existing Service `U' Amps )10/2'-10'Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: Kvj-C (Pryer 9( r'PC i ).' l' 5 orAled-c, Nto. act Is,}c► ' u V} Completion of the follawinktable may be waived by the Insimctor of Wires. .It No.of Recessed Luminaires 6No.of Cell.-Susp.(Paddle)Fans No.of Total 0./ Transformers KVA CNo.of Luminaire Outlets No.of Hot Tubs Generators KVA mot;' No.of Luminaires I• Swimmin Above In- No.of Emergency Lighting g pool grad. ❑ grad. ❑ Battery Units ;l No.of Receptacle Outlets 9 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners -No.of Detection and Initiating Devices t 1! No.of Ranges No.o Air Cond. Tons No.of Alerting Devices 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 Connection 0 �� . _ No.of Dryers Heating Appliances KW Securi y of Devices or Equivalent No.of Water KW No.of No.of Data Wirin Heaters Signs 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: 8 v,tx (When required by municipal policy.) Work to Start: I-1 -2; 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 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 [r BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of pedury,that the information on this application is true and complete. FIRM NAME: Si"OA 13 W}lq LIC.NO.: 2271 q,( Licensee: Slaves 'DAN% Signature ,. ,* LIC.NO.: 530Z$$ (If applicable,Rrf�r"exempt;'in the license number line.) Bus.Tel.No.:77Sf' 99Y a 12 55 Address: Loy rl m.N. L v"br )cywe CCY•IsGly,Ile AA 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 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. PERMIT FEE:$