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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 • 41( gf ((po,1HL/AJ) c&jeeti ZZl2v ' j ( � cif z, (2z— , w/jl ema-i1 I ( RECEIVED /Ifit lile4In (J 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.