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HomeMy WebLinkAboutBLDE-23-006149 Barber Shop of �\ Commonwealth of Official Use Only 4�`° Massachusetts Permit No. BLDE-23-006149 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:5/7/2023 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) 1120 ROUTE 28 Owner or Tenant MITROKOSTAS NAFSIKA ELENI TR Telephone No. Owner's Address S&N REALTY TRUST, PO BOX 260, 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: MNiscellane4ous work per attached. (BARBER SHOP) 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 ❑ 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: Detection/Alerting 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 Equivalent No.of Water 1 KW No.of No.of Ballasts Data Wiring: Heaters Sins 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: Ruy Coelho Signature LIC.NO.: 56863 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 15 Nancy Lane, Hyannis MA 02601 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 4Signature Telephone No. PERMIT FEE: $260.00 CC44-1)1,( sic/2-5 rE `a iii-24/1, _____ RECEwVFP , , �j - AY 0 3 2023C� ea .o/ir/adaact'ivaaifa Official Use Only j B` `"'r Permit No. Z� — R +1 i " P u� n.,vu s �•" DING DEPARTM �''t"'�"fO �� J Occupancy and Fee Checked I'REVENTION REGULATIONS [Rev. 1/07] (leave blank) ::AAPPLICATION 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: .CS�,Q 3 •-"2 3 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) /! ? R Gc'7e c r _co`7i Owner or Tenant ye,� ���"��' A4 /t6 O,A-05 j'cz S ti°0 I71"C: . t-LNHi '77q Telephone No. ,'•4zf7°,S7.3 4, 6 v Owner's Address S,1 /V /ec L 7 y rrec, $ f re a x 6 v Is this permit in conjunction with a building permit? Yes ❑ No biz Purpose of Building CO ill riot e E.c, L (Check Appropriate Box) Utility Authorization No. 4,4 Existing Service 200 Amps //G / lie,Volts Overhead❑ Undgrd g No.of Meters ___I___, New Service Amps /Number of Feeders and Ampacity Volts Overhead❑ Undgrd ❑ No.of Meters (� (' Location and Nature of Proposed Electrical Work: 5- Q) a,. .c- is/) gece5 S 41 4 .15 a Ic/,ti- er'it- i - L. P4 L., X 1Kv�C'S .1 �r t�t�c�jt� h/N'a�`F tix� Completion of thefollowingtable may be waived by the In vector of Wires. ` _ tl' No.of Recessed Luminaires No. f !. o o 1� 1 No.of Cell:Susp.(Paddle)FansTotal Transformers KVA V ( No.of Luminaire Outlets No.of Hot Tubs Generators KVA ftIN No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting .sir grnd. grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones , No.of Switches No.of Gas Burners No.ofbetection and l i` No.of Ran es Initiating Devices g No.of Mr Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump1Number I I Tons KW 'No.of Serf-Contained Totals:I j Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 other 1 No.of Dryers Heating Appliances KW Security Systems:4 \� Ni No.of Water No.of No.of Devices or Equivalent a No.of Heaters ' Data Wiring: Signs Ballasts No.of Devices or Equivalent -� Z No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent �v Attach additional detail if desired,or as required by the Inspector of Wires, Estimated Value of Electrical Work: Alw Gar°`'�`' O L� p (When required by municipal policy.) Work to Start: 05 1 3/ 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 V 1 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: LIC.NO.: Liceaaee: Ur ___ e L Signature / ._ (/fapplicable,enter,elempt"in the license number line.) —�as�. LIC.NO.: �'E _� Address: /5 N&vc CY S 1 4 c 1Ylei n s? t Bus.Tel.No.`Sc�3 fic>> *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt 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 ■ owner • owner's a.ent. Owner/Agent Signature Telephone No. PERMIT FEE:$