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Home My WebLink AboutBLDE-23-003887 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003887 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:1/18/2023 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) 193 SOUTH SEA AVE Owner or Tenant YUSKAITIS MATTHEW Telephone No. Owner's Address YUSKAITIS DAWN, 193 SOUTH SEA AVENUE,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 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: Renovations of laundry, bath, &mudroom. Install smoke detectors. 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 Detection/AlertingNo.ofSelf-Contained Devices Totals: 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 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: MATTHEW S FRONIUS Licensee: Matthew S Fronius Signature LIC.NO.: 22030 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:57 OLD COLONY DR, MASHPEE MA 026492534 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: $75.00 KiXit I 901 LN0 LocArtc,IJ cI .2„ e, EM Official Use Only B s ref o` >*ira�eewiea� Permit No. S '3 ..&'' ,, Occupancy and Fes Checked .3 BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07] leave blank ` . APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massawhusetts Electrical Code(MEC),527 CMR 12.00 y, (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1/12/2023 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) 193 South Sea Ave West Yarmouth Owner or Tenant Alkhamis Telephone No. Owner's Address ..-: Is this permit in conjunction with a building permit? Yes Elj No 0 (Check Appropriate Box) CI— Purpose of BuildingUtilityAuthorization No. '� >� Residential \.,�' Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters G° New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters (-- Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: wire for renovation in laundry, bath, office mudroom rough and finial, smokes Completion of the followinktable may be waived by the Inspector of Wires. No.of Tot , , No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ® In- ❑ No.at Emergency Lighting grnd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No.Initiating Devices No.of Ranges No.of Air Cond. Tunsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: _ Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local 0 Municipal 0 other Securip Cyonnection No.of Dryers Heating Appliances KW No. f Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters ' Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Teleco of Du vices o sEgquivaient 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: 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE g BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this appl" lion is true rgrkte. FIRM NAME: Fronius Electric, LLC . O.: Licensee: Matthew Fronius Signature . .: `VI030 k (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: Lie.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.