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Home My WebLink AboutBLDE-23-001260 Commonwealth of Official Use Only i Massachusetts Permit No. BLDE-23-001260 ,` 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:9/9/2022 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) 37 DEERFIELD RD Owner or Tenant MENAXOPOULOS SOPHIA Telephone No. Owner's Address 37 DEERFIELD RD, 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Generator installation. 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 a Total Transformers ( KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 A No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency Lighting rnd. 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/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: LEON KNIGHT Licensee: Leon Knight Signature LIC.NO.: 20979 (If applicable,enter"exempt"in the license number line.) Address:9 PILGRIMS WAY, BREWSTER MA 026312061 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. I PERMIT FEE: $75.00 c3/ t RECEIV :t,,D omnwn.wea o yyj / ,,«,;,�,y, ///addachudaffa Official Use Only SEP 08 2 ,:Nk< r'l, arpartnunt l.� 5' Permit No.27 �--'( c o gin: aruresd �-- "�`� R BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked BUILDING DCPAR -,,� [Rev. 1/07] dy----- ------ ---_ (leave blank) • ' LICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 C R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9 2Z City or Town of: YARMOUTH To the Inspect r of res: By this application the undersigned gives notice of his or h inte ion o perform he electrical work described below. Location(Street&Number) '7 bei2 -- 1 Ito.„( Owner or Tenant ' / � p e` SC 11 a 7 "01 cp-c s Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes E No (Check Appropriate ppropriate Box) Purpose of Building Utility Author ation No. } Existing Service Amps / Volts Overhead❑ Undgrd g E No.of Meters { New Service Amps / Volts Overhead Undgrd} ❑ g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /i— > , V Completion of the following_table may be waived by the Inspector of Wires. , No.of Recessed Luminaires No.of Ceil:Snsp.(Paddle)Fans No.of Total ,�`~ Transformers KVA '.. No.of Luminaire Outlets No.of Hot Tubs rC Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. glrnd. ❑ Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners �IVo.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump I Number 1Tons Tons 1 KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.ofNo.of Devices or Equivalent Heaters ' Data Wiring: No.of Signs Ballasts 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: 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 0 OTHER ❑ (Specify:) I certify,under the sins and en flies pert ,that the information on this application is true and complete. FIRM NAME: J L LIC.NO.:4 10 9.7 9 Licensee: t?' Signature LIC.NO.: (If applicable, nt " empt',in the livens umber line. Address: y -. Bus.TeL No.;s79 el>z,j?7 - *Per M.G.L.c. 147, .57-61,securitywork Alt.Tel No.:7 T1,[ �ZZ 3 f3 q Tres Department of Pu is Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I 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 I Signature Telephone No. ( PERMIT FEE:$ 7