HomeMy WebLinkAboutBLDE-22-005885 .\.'11 Commonwealth of Official Use Only
, Massachusetts Permit No. BLDE 22-005885
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:4/14/2022
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 TAFT RD
Owner or Tenant SPARIOSU JOHN Telephone No.
Owner's Address 37 TAFT 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 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Rewire residence
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/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local ❑ 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: Alexander C Caradimos
Licensee: Alexander C Caradimos Signature LIC.NO.: 13481
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 17 EDDY ST, BUZZARDS BAY MA 025325311 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: $180.00
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APR 13 2022, /� /
a ea&of Maeeachuaatie I��rcial Usc Onl
'(pp pGDEPARTMC-lrl `�lPermit No.nt�Jfra J.rWeld
• OARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
(Rev.l/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: O� l Z/ .2
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. T.p.E �q,�
v \
iOwner or Tenant -'9t1,ol S e 4V 1 O'Siq Telephone No.
d! Owner's Address
f Is this permit in conjunction with a building permit? Yes No
/��rv� �� ❑ (Check Appropriate Box)
21 Purpose of Building /-rot.ta_.. Utility Authorization No.
'5 Existing Service/rie Amps /Z4.9/Z Ye Volts Overhead Er Undgrd❑ No.of Meters ____L_
INew Service Amps / Volts Overhead❑ Undg
rd g ❑ No.of Meters
Number of Feeders and Ampacity
Q' Location and Nature of Proposed Electrical Work: r ,e,e0.yi(, w/S �
ant (.�f"e P,�LVr-•�
CSev.;ce wac;v.SPaUedbY 4K1k e.t.e-at"fc.6----
Completion of the followingtable may be waived by the Inspector of Wires.
(!• No.of Recessed Luminaires No.of Cell:Soap.(Paddle)Fans No.of 7 otal
', Transformers KVA
'Z,I 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 INo.of Zones
No.of Switches No.of Gas Burners 'No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons 1KW 'No.of Self-Contained
Totals:I ...__._. _._..`.....
I - - Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local O Municipal
Connectlonother
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water 'No.of
Heaters ' No.of Data Wiring: -
Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
OTHER:
No.of Devices or Equivalent
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
c
Work to Start: 0.1 i s/2 Zlnspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVEERAGEt 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❑ OTHER 0(Specify:)
I certify,under the pains'and penalties of perjury,that the Information on this application is tcrue and complete.
FIRM NAME: t c...4 ,�( e.+.�Itiwc.(yv.
LIC.NO,: izGq r
Licensee:
K 6.••.,.10u.�, S Signature ....giZ_ LIC.NO.:
(If applicable,ene7r"exempt'in the lieffnse number lia% t ef$t-
Address: /(?u4k e5_/pyge IS k� 0144-n 2<3 Z But.Tel.No.:10R•r77-SZyO
*Per M.G.L.c.147,s.57-61,security work req{rires Department of Public Safety"S"License: Alt Lic.No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does riot have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one owner
er •owner's a•ent.
Signature Telephone No.