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HomeMy WebLinkAboutBLDE-23-002592 .�> Commonwealth of Official Use Only hi--, No. BLDE-23-002592 _.37 , 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:11/9/2022 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) 31 NARROWS LN Owner or Tenant KOSTAS JAMES TRS Telephone No. Owner's Address KOSTAS DEBORAH TRS, 29 COLUMBINE RD, MILTON, MA 02186 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 0 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&install generator. 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 1 KVA 24 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 ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 't 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 ❑ 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: Ryan P Carvalho Licensee: Ryan P Carvalho Signature LIC.NO.: 21309 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 1 Melvin St,Unit 1F,Wakefield MA 018802577 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:$50.00 i t , r C `' E D - v o ,nwealtA.o/Ma.4.4aeltatoeth Official� Use Only C - Il _ •t OV 0 9 2022 c7 Permit No. =�L I L/ artment o�.}ire Serviced VOW; Occupancy and Fee Checked 3: ,gwl„DINglii ENtR1 PREVENTION REGULATIONS [Rev. 1/07] (leave blank) By._�-___ _____ -- • - - ATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: //-5.--22 City or Town of: y4a/I40u7/'. To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) 3/ /LJiq o, ,V S L4,c,6 Owner or Tenant �i A.a jCO$ TA-S' Telephone No.4I7-$36 a6 9 Owner's Address _31 A/A✓2,2©WS' ",e- Is this permit in conjunction with a building permit? Yes I I No ✓ (Check Appropriate Box) Purpose of Building / s:S !0€Le� Utility Authorization No. Existing Service/00 Amps / Volts Overhead I VK Undgrd[ No.of Meters New Service _2oess Amps / Volts Overhead Undgrd I I No.of Meters / Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 7,i,S7i9Gt- /VE(v .25/k" 4'ENe1c.97uz, J/T/J 712/4"c ff2 swrr t-) /4/vei ,2049 .4npie Seel,/co U10Cc Le- Completion of the/d lowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf Tot Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators .24/ 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 g Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices •No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other P� Connection _ No.of Dryers Heating Appliances KW Security Systems:*Y No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: Y g No.of Devices or Equivalent OTHER: l Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: ,//BC0-049 (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 ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: 6 •er,-t PI1t rri la; rt(j LIC.NO.: &I -? Licensee: /Zycir't 7.1 12 (-"/•I/1)G Signature .. :-- --,* =/r".GxF 2x.� LIC.NO.: /000=/'' .-0ra (If applicable,e„ier exempt"in the license number line.) Bus.Tel.No.: 1�"/ "`6'-' 7" 3 r ! (/u Address: '- ,ti S.j_. t.-rr ./', (/~ dI'73/Cc„(',.,/(./ "61g 6/'"? t'' Alt.Tel.No.: Yof-S99-(/ZS *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)❑owner ❑ owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.