The URL can be used to link to this page

Home My WebLink AboutBLDE-23-000860 Commonwealth of Official Use Only MMassachusetts PermitNo. BLDE-23-000860 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:8/18/2022 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) 28 WITCHWOOD RD Owner or Tenant GEORGI VARGOV Telephone No. Owner's Address 28 WITCHWOOD RD, SOUTH YARMOUTH, MA 02664-2909 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 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel kitchen &bathroom. Replace service 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 ❑ 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine 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 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 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: Licensee: Joshua Jones Signature LIC.NO.: 23155 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:6 Pine Tree Circle,7 Liefs Lane,Sandwich MA 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: $125.00 Commoniwea/h o j Ma-mac/mutts a Official Use Only ,-*=-, Z3.. 6QCe0 )�=��i_miami Permit No. "� 2)e artmen4 ol 3ire S _14= R Occupancy andFee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (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: &i/6 6.2 City or Town of: tAr, µ 44 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) 2 - (,4 1-fJ4 4.cu-t c Owner or Tenant 6f?rg; V y v' / Telephone No. c J 77-c.�Ci Owner's Address 2 t�,a-cto—c_.: „rr Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service I GG Amps / Volts Overhead a Undgrd❑ No.of Meters I New Service (CO Amps / Volts Overhead a"- Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed //Electrrical Work: wry 14 4S del/ L.�aYs b� s s Gt e-2r �, i t E./Vi KCompletion of the following table may be waived by the Inspector of Wires. Total �-) No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No.1- f Trann KVAsformers KVA ! No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Abovegrad. ❑ In- ❑ No.of Emergency Lighting grad. BatteryUnits No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones --I- No.of Switches No.of Gas Burners No.of Detection and u Initiating Devices ---5 No.of Ranges No.of Air Cond. Total No.of AlertingDevices -----) 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 ❑ Other Connection No.of Dryers Heating Appliances KVV Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: ter r,� (When required by municipal policy.) Work to Start: cc' Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE�RA E: 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 covert a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: �es `r?z, eL, ,ir,.. (�LG LIC.NO.: 5- Licensee: csSc„ lAc,q' 4 j Signature A � .. LIC.NO.: . 5f 5 5- (If applicable,enter'ee,�empt"in the license number line.) Bus.Tel.No.: 5cr=.277-cvc( Address: ( (mot bfe e LtYd �n otw`ct ,M,4 C)r 6 3 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $