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Home My WebLink AboutBLDE-23-004353 -- 0, Commonwealth of Official Use Only filli k, ' Massachusetts Permit No. BLDE-23-004353 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:2/7/2023 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) 86 EILEEN ST Owner or Tenant JULLIET DAWKINS Telephone No. Owner's Address 86 EILEEN ST,YARMOUTH PORT, MA 02675 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: Interior renovations for un-permitted work done in the past. 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 g r bond.ve ❑ gIrnd. ❑ No.of Emergency Lighting 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. Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump Number Tons J 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 Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: 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:) 60 8- 76 I - 1 SZ. I certify,under the pains andpenalties o of perjury,that the information on this application is true and complete. FIRM NAME: Alex A Leskel Licensee: Alex A Leskel Signature LIC.NO.: 11727 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:PO BOX 2856, NANTUCKET MA 025842856 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$250.00 I 3 jel7 ee RECEIVED FEB 0 3 202 o eattta of///aaear4aaaftd Official Use Only tf t, Permit No. Z•j 14 s S 0, , ING UEPARTIVfE if, 3iPs Snit" 1 u N T Occupancy and Fee Checked '_,, .r; - - , -. — PREVENTION REGULATIONS [Rev. 1/07] O (leave blank) d APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 ti (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.6 Location(Street&Number) ' L 1 1 Q 2 n SOLI 4h 1 AE.m)ou- V\ J Owner'Owner orAddress Tenant �s �;\�Q i.\ 'w- 5 1 J 1 s $ ua� y�.Q V,1ou Telephone No. 41'N / v Is this permit in conjunction with a building permit? Yes [l- No ❑ (Check Appropriate Box) Q Purpose of Building S\ ►^o .1 -Q-,d.m r l..( du—,i I Utility Authorization No. dExisting Service(0 0 Amps VW /240 Volts Overhear ❑ Undgrd a No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: =-‘n h 1,0 la_ t2.4 tuo I,tL.-t'i nr.\ ta,.1 k_\n\n 4�sL 0 i f0AS�.m 42,tix ,- `� ' Completion of ire followingtable?nay be waived by the Inspector of Wires. II Pi No.of Recessed I,nm;nahea No.of Cell.-Soap.(Paddle)Fans No.of Total Transformers KVA KIN No.of Luminaire Outlets No.of Hot Tubs Generators KVA Tt No.otLuminairea Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting and. grnd. Battery Units No.of Receptacle Outlets No.of Off Burners FIRE ALARMS INo.of Zones v. No.of Switches No.of Gas Burners No.of Detection and l 1.! No.of RangesTotal Initiating Devices No.of Air Cond. Tons No.of Alerting Devices Na of Waste Disposers Heat Pump Number Tons .KW No.of Self-Contained Totals: '� "—- Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Lori❑ Muaicipai Connection ❑ "her No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent No.of Heaters Signs Ballasts Data Wiring: , No.of Devices or Equivalent No.Aydroaasage Bathtubs No.of Motors Total HP Telecommunications Wiring: na Na 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: 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 ❑ 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: A\2-l/- Lee k&e.--\ i 1 Q_C�-ft.- 'I A LIC.NO.: 11q zq 1�Licensee: P\\e.� l,-2 Spa Signature e t (If applicable.enter"exempt"in the license number line.) a LIC'NO.. (�2 6 Address: 1 A -1 t,t.rvt.e. C'.S. U./¢. An u A Bus.TeL No.: 5 OS/—°�JI— (S Z� *Per M.G.L.c. 147,s.57-61,security workDepartmentAlt.TeL No.: requires 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 Ownrrd bent law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Signature Telephone No. 1 PERMIT FEE:$ I