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Home My WebLink AboutBLDE-23-003645 Commonwealth of Official Use Only 4r1 4444% Massachusetts Permit No. BLDE-23-003645 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:1/5/2023 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) 15 SOUTH WEST DR Owner or Tenant ROGARIS CHRISTOS Telephone No. Owner's Address ROGARIS EVA, 3 HILLCREST RD,WESTON, MA 02193-2020 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Convert 0/H service to U/G. 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/Alertine Devices 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 Sims 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 ❑ (Specify:) �J 327-1 ( 3 6 I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: KEVIN ONEIL Licensee: Kevin Oneil Signature LIC.NO.: 17053 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:4 VICTORY DRIVE,PO BOX 578,SANDWICH MA 025630578 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 kr2- er, O t)f tj Vet/z3 4(1Z (7(z Z= C`-S z RECEIVED //,� // Official Use Only Co na.Ia& rr/yy1 aedachudatte r T • , "JAN 04 2023 � Permit No. r...., 4 Qi t l• g p4'i••• nt al. ire S.rvic0! . � ked /t.I�ol }1R�2 Ql=EIKt 'REVENTION REGULATIONS [Revue 1/071 Ftt (leave blink) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK JVi 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 R N 4.J 2O�3 City or Town of: 1/Arem ex'"tj-I To the Inspector of Wires: p By this application the undersigned gives notice of his of her intention to perform the electrical work described below. Location(Street&Number) t 5 5peril ttgff:5-i' iD t V e. Owner or Tenant EvR +tniO COetSTn Ro ahpt t Telephone No. GI7 89S--6/-/3 W Owner's Address 15 Sooriti re.-" De..J S y A-1,0A7eurrht M 4 O Z&6 L/ Is this permit in conjunction with a building permit? Yes 0 14o u (Check Appropriate Box) ill Purpose of Building (Z 3'4)E,v1(v k 1 Utility Authorization No. ,t//,¢ Existing Service Amps I Volts Overhead Q Undgrd❑ No.of/Meters f New Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters i 4 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: COAJuter o e.ce .i> Se- 1 itCe -Po U.AG-i U5.tJ D I) Completion of the followin table may be waived try the Inspector of Wires. otal US..i T P Tranosformers KVA No.of Recessed Luminaires No.of Ceil.-Sas .(Paddle)Fans r' f T Qt No.of Luminaire Outlets No.of Hot Tubs Generators KVA n No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting irnd. 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 Z Initiating Devices IQ 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 P Totals: Detection/AlertinADevices No.of Dishwashers Space/Area Heating KW Local❑CoMunicnnectionfpal ❑Otiser, 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 Wiringg: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 9 t UDC (When required by municipal policy.) Work to Start: f/4/24 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 issuin office. CHECK ONE: INSURANCE.Er BOND E OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the Information on this application is true compkte. FIRM NAME: i<O O UT,,LtT IC.NO.: 170S3 4 Licensee: ti("E''\_)t.u Oki eft— Signature LIC.NO.: (If applicable.enter"exempt"In the license numbs.line.) L Bus.TeL No.• <001 See-2255 Address: go g s T sit ti°(tl1 k MI) O .6S3 Alt.TeL No.: SnezttA'J�—tt38 'Per M.G.L.c.147,s.57-61,security work requires Deparhnentl 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:$ 1 ,