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Home My WebLink AboutBLDE-22-002720 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-002720 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:11/10/2021 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) 15 NAUTICAL LN Owner or Tenant HOWARD KRISTEN Telephone No. Owner's Address 245 NORWOOD ST, SHARON, MA 02067 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: Service upgrade. 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 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 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 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: Lazar Mitev Signature LIC.NO.: 56442 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 C ommonwaa&o1/ltatoachcr6ait6 Official Use Only c� Permit No. `2,2- p22 00 2)apartment of. re Serviced 7 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07j eave Fee 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 LL INFORMATION) Date: i 72 7E- ' City or Town of: r t..Y-t�.f c.l`f 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) /1 ?VO C./'L,r'C+: 1 IA Owner or Tenant 1501""c""4c- ,Ifi'cV i eU lam' Telephone No. yC c7 252 —/ 2 2 Owner's Address _ Is this permit in conjunction with a building permit? Yes C No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service/ 7 Amps OG21 t' z; Volts Overhead[[2 Undgrd❑ No.of Meters i' New Service. ,cole7 Amps ,. 20/ 2're'Volts Overhead El Undgrd No.of Meters 7 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Si"'/^L/i<c e it ,t v. Completion of the followingjable may be waived by the Inspector of Wires. h ots 11, No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA --A No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No• Initiatingon onDete and Devices Tota No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Po Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other, P Connection No.of DryersHeating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: ,No.Hydr'massage Bathtubs No.of Motors Total HP No.of Devices ar 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: -il1/2J 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 0 BOND 0 OTHER ❑ (Specify:) I certify, under the pains and penalties of perjury,that the information an this application is true and complete. FIRM NAME: ,/ t? f ( j/-1(C. ( -'I or-,°c, ziIf( LIC.NO.: Licensee: ? t f-c Signature ,:c,---', LIC.NO.:_ Z (lf applicable,enter exempt"in the license number line.) , Bus.Tel.No.: � , . � ,C Address: Pr ' l�'e'.k' �� 9'� • �' y_'c_t?/9i 5 I`I` C'1GC� " Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department df 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 PERMIT FEE: $ Signature Telephone No.