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Home My WebLink AboutBLDE-21-002750 - \ 1t : Commonwealth of Official Use Only if ' Massachusetts Permit No. BLDE-21-002750 e`-.' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.I/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:11/16/2020 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) 27 EMERALD ST Owner or Tenant GLADYSHEVA TATIANA Telephone No. Owner's Address GLADYSHEV SERGEI, 16 DOANE RD, MEDFORD, MA 02155-1337 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check A pro riate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 o.of Meters 1 New Service Amps Volts Overhead ❑ Undgrd 0 No.of. 6•rs n,(%r/� Number of Feeders and Ampacity and Nature of Proposed Electrical Work: Upgrade service, install s/d's, remodel 2 bedrooms, : t.m 1 „At,ty' 'aster bedroom. ' 0 Completion of the following table # byyv pector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of , .,&• al Transformers No.of Luminaire Outlets No.of Hot Tubs Generators 704 ., Above In No.of Emer enc Lightingv .' No.of Luminaires Swimming Pool grnd. ❑ grnd- . ❑ Battery Units y No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of s / '46°\) No.of Switches No.of Gas Burners No.of Detection and Initiating Devices /l 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 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: 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: ROBERT GREER Licensee: ROBERT GREER Signature LIC.NO.: 22539 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 140 Peach Tree Rd, Marstons Mills MA 026481841 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 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 Lxei II(tie170 7i a A/c Øe( rE, 0 v ---. Atl'� M Official Use Only/ Commonwoa/tkofc�///aanx�wslfd �1— 21 So j�`' ' ..1.` t 2e arfinent of Jiro Jirvicse Petmit No. \ e= P i{ •j Occupancy and Fee Checked kr... . BOARD OF FIRE PREVENTION REGULATIONS (Rev.I/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Coda(MEC),527 FMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I{712 2 -O City or Town of: YARMOUTH To the Inspector of Wires By this application the undersigned,gives notice of his or her'to on to perform the electrical work described below. (s(✓i/ sd Location(Street&NumAerl (vvLC7Ct i Q./ Owner or Tenant �V.. q. Telephone No. _ S I Owner's Address I C 0 n {2 ,"A • -(J f ,9 2 6— Is this permit in conjuncts�Jpo/�with a ildiog permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building L ,/e1tt-v(, Utility Authorization No. a ) 7.a 07 Existing Service/ 0 Amps I20/_)�dt0 Volts Overhead Undgrd❑ No.of Meters 1 New Service 'V6 Amps /20/,2 Volts Overhead® Undgrd❑ No.of Meters —L_ i►12 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: I/Q(l r4 p p,i^t j i'(p Z h ttn L i 4i�no(c e, K ,.✓e •',K .2 rim I,. „ j e fc le L-7S7o,tl ocsf e/5i'l?:i?c4e-y' r, l.J t e I o t'fe."( d.`vtc e/ k eLti, Completion of the followinetable may be waived by the Inspector of Wires. a 2 otal Lb2. No.of Recessed Luminaires No.of Cei.s Transformers KVA nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA k No.of Luminaires Svrlmming Pool Above ❑ In- ❑ No.of Emergency Lighting s grad. grad. 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 iInitiating Devices Ili No.of Ranges No.of Air Cond. Tune No.of Alerting Devices No.of Waste Deposers Heat Pump Number Tons KW No.of Self-Contained Totals: _..__'........."'"'. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipalounectior 0 Other C No.of Dryers Heating Appliances KW Security Systems:" No.of Devices or Equivalent No.of Water , 'Na.of No.of Data Wiring: -1 Heaters Signs Ballasts No,of Devices or Equivalent No.Aydromassage 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: WO (When required by municipal policy.) Work to Start: I'r/ aj2G Inspect ens to be requested in accordance with MEC Rule IC,and upon completion. INSURANCE C RAGE: 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}i BOND ❑ OTHER❑(Specify* I earth,under th i and penalties of p p�erjury that the information on this application is true and complete. FIRM NAME:n �lne,.-t,.j G✓`-?2/-' �7/ LIC.NO.: a 2,Lj 3 r7 A Licensee: Ro b t?/'E-I')G r z� Signature %//� LIC.NO.: (If applicable,enter"exempt"in the license num app. s.Tel.No.• O.ZA-7i(5— O Address: I(4Op ,c'c .11.,.e<0. o yio.,s.(51,I( /L' AO.c; / Alt.Tel.No.y ' °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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ ~ � *�` �� ' ` r� ` ` / '� . ' ` � � __ _______- -~^__ - �^- -__- - ___ _ __� - ' -'- ._ � ' ---__ ' - '-_ '-- -_ -_ _-__ . ' ^ � - . . _ � � ' ' - ` ` . � . - . ' � . � ' � ' � '� �� ' - ' , � . ' ` ^ � ` - � �_� ' ' ~ � � , '~�N� ' ' ` / ' � � � � ` ' . . .. ^ - / -- _ -_ _ '' -__ - _- - '--_--_ _ __ _-_- -_ _` -_- - ' - . - � / ` ' � . - ' . - [ ` ' � � - ~� ^v� r� ' - � ^ - ~''` -- -_ --- - - -