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Home My WebLink AboutBLDE-23-003066 .�� \�\ Commonwealth of Official Use Only � `� /` Permit No. BLDE-23-003066 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:12/5/2022 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) 15 BARNACLE RD Owner or Tenant NICK PAPAKYRIKOS Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropri e Box) Purpose of Building Utility Authorization No. 1131421 4 Existing Service 100 Amps Volts Overhead 0 Undgrd 0 o A New Service 200 Amps Volts Overhead 0 Undgrd 0 �� ymit etl ., Number of Feeders and Ampacity <. �� i TTT Location and Nature of Proposed Electrical Work: Upgrade service. �✓v Completion of the following table may be wa&� ( ! or/ ires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle) No.of a Fans Transformers No.of Luminaire Outlets No.of Hot Tubs Generators 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 Eauivalent 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 Eauivalent 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: Troy Hines Signature LIC.NO.: 56707 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 482 Prospect Street,Methuen MA 01844 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 iki)/11- t i . /7/}/l+ 6-1141\rd ft toNnula Ni Q& : to!k>pd 19 $ewinci- - i 2 Ai t N. W CEP/ ED _DEC 0 2 ::L Commonwealth of//Jaeeac�iue.lte Official Use Only_ • -L-:,23-14' ,-ri ,; c� Serviced Permit No. c B U I L D I N D ' f i g , T �spartmatE o��irs Jirvicse By _____ ` Occupancy and Fee Checked v :OARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK k1All 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: / 2 .%/a 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) Owner or Tenant /7 i GG( f6% Ky ►k S Telephone No. y IS 7 8 g Q C/4Y ' Owner's Address / 5 5c4f- c �-C >�a Is this permit in conjunction with a building permit? Yes ❑ No q, (Check Appropriate Box) Purpose of Building Utility Authorization No. / / /C oZ / 7- Existing Service /0 0 Amps / Z C) / .2.'-1Wolts Overhead ❑ Undgrd ✓❑ -- No. of Meters I New Service Amps / ?J I ' c.4 0 CJ Volts Overhead ❑ Undgrd No. of Meters ' Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: /!?4 -,v,_ 113Qllewf- O e )( r/o✓' o, v) . Completion of the followingtable m be waived by the Inv ector of Wires. otal Lb No. of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans Transformers KVA nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmingpal 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 v. Initiating Devices 1 No.of Ranges No.of Air Cond. Tons No.of AlertingDevices Tons No. of Waste Disposers Heat Pump Rumber�Tons KW ,No. of Self-Contained �' Totals: "- M' "'" "'"'"" Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Omher , Connection No.of Dryers Heating Appliances KW 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 Wiring: No.of Devices or Equivalent OTHER: /,' j h14 Ark). (j( c20a 4-71/p s 1c(/(C -e Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3 a do (When required by municipal policy.) Work to Start: /�./$-7� 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 •' surance including "completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove ge is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND El OTHER 0 (Specify:) I certify, under the pains and penalties of pedury, that the information on this apple lion is true and complete. FIRM NAME: LIC. NO.: Licensee: Jr o , (hp$ Signature ,„...1 LIC. NO.: .5(a tZ 0 1 1 (If applicable, enterpt in t lice a number li+pe.) Bus. Tel No.: Address: ( �'oZ `Q�tC- e (S ilh Wi'2vl IMF b 1 '(j L( 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. Signature Owner/Agent p I PERMIT FEE: $ 57) Telephone No. j