The URL can be used to link to this page

Home My WebLink AboutBLDE-23-005920 ar". G�1 (Li Commonwealth of Official Use Only l Massachusetts Permit No. BLDE-23-005920 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:4/25/2023 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. 2 j Location(Street&Number) 617 WEST YARMOUTH RD see —J6`T-- o e 76 Owner or Tenant ANAGNOSTAKOS BILL G TRS Telephone No. Owner's Address ANAGNOSTAKOS DEBORAH A, 617 WEST YARMOUTH RD,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 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&wire heat pump. 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 0 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 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: 1 5 Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 Signs 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: Licensee: Nickel Betty Signature LIC.NO.: 58779 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 6 Nightingale Drive,South Yarmouth MA 02664 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. PERMIT FEE: $50.00 �$ RFCEI �j / ___,14 o f///amachu eth Official Use Only Val- II - cc77 Permi•t No. 'a r . a fa APR 0 70Repartmenl ol.}irs eewices 71 S j I T Occupancy and Fee Checked -&, OARD OF FIRE.REVENTION REGULATIONS 1/07] ' `I Rev. BUILDING DEPARTMENT (leave blank) t 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: '-f I S %C 2-_ City or Town of: Yf 12M(`q-r 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) ( ( 7 IftJ( -T- V A(Lon c,,�T j( RCS ') Owner or Tenant B i LL AMA C QST IA „4Z:f Telephone No. Owner's Address (I -1 tAl&&t /'/AVL.\v`'t 1 fa IZZ INS! kAle—r" `j A(? 'j test t 7 N I'r't 1° 0'Z,t 1 Is this permit in conjunction with a building permit? Yes ❑ No Ej (Check Appropriate Box) Purpose of Building 1 -:-S 4- :1\4 7-1- A C_ Utility Authorization No. Existing Service (O'0 Amps 12-C' / 2.4,CVolts Overhead K Undgrd Li No.of Meters !L New Service 2c C' Amps I / 'ZA-o Volts Overhead Q Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ;LKj'j'AC,L 1J�- VA1,00 /.>r; 3; VI CC_ ,4A.IO Vl%11/'-sz Old6 I>iSelcll..tkitc:i Fv 12 0(.4 Tovc2 1-16:--7 ,fr7(A4o- Lu,..k.. ( Completion of the following table may be waived hi'the Inspector of Wires. v; No.of Total L No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA _ (-7.'t No.of Luminaire Outlets No.of Hot Tubs Generators KVA r No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting g grad. ❑ 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 2 _ Initiating Devices l." No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW___KW No.of Self-Contained Totals: 15 Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of No.of Devices or Equivalent Key Data Wiring: Heaters Signs Ballasts No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications�9irmg. No.of Devices or Equivalent OTHER: �., ,�'I Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:rrj j t,t(_.. _ (When required by municipal policy.) Work to Start: Inspections111 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,ane: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: LIC.NO.: Licensee: IU[UA L V--. (? T('LI S4_ Signature z LIC.NO.: 7 (Ifapplicabl enter"exempt"in the license number line) a— Bus.Tel.No.• Address: t !`(,a ` :i MC--t l .X:7_ ' .L •y AQYv\CSt,(-1- l 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $