The URL can be used to link to this page

Home My WebLink AboutBLDE-23-002517 Commonwealth of Official Use Only • Massachusetts Permit No. BLDE-23-002517 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:11/8/2022 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) 27 CHECKERBERRY LN Owner or Tenant KOLLIOS KONSTANTINOS Telephone No. Owner's Address KOLLIOS DOROTHY A, 27 CHECKERBERRY LN,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: Septic pump&alarm 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 1 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 1 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: Rex A Burger Licensee: Rex A Burger Signature LIC.NO.: 17037 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:2045 MAIN ST, MARSTONS MLS MA 026481864 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 gz t ( ic( vr-E-- II 1:4 y� Commonw•atth a/tt/aeeachiasalie ctal Use Only q,,'•y't .lJ•parirruni o�Jin Jiwic•s Permit No. 23 '25 (.7 (i Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leaveblank) 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: f/j7 11J a o a 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 k described below. Location(Street&Number) 7 C h e, IIY,,h e,ry ,_ct n 2 Owner or Tenant Ko I(l a 3 /' T o n S a ro't 1 14 b S Telephone No. Owner's Address Ia this permit In conjunction with a building permit? Yes ❑ No r� L.1 (Check Appropriate Box) purpose of Building Dc.,e.t I:n Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters _ New Service Amps / Volts Overhead Undgrd❑ Und g ❑ No.of Meters Number of Feeders and Ampacity E Location and Nature of Proposed Electrical Work: 4_ n g{,q l i /2 u 0 5,» i c s y s,74 � ' •Ub Completion of the followin&table maybe waived by the In vector of Wires. Ilk No.of Recessed Luminaires No.of Ce6:Sosp.(Paddle)Fans No.orTotal pi KVA No.of Luminalre Outlets No.of Hot Tubs Generators KVA d' 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 SwitchesNo.of Gas Burners 'No.ofDetection and Ili No.of Rao esInitiating Devices g No.of�Alr Cond. Tons No.of Alerting Devices Number No.of Waste Disposers Heat Pump I !Tons �KW No.of Self-Contained Totals: .... .__................. " """- Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal No.of Dryers Heating Appliances KW Security Systems:* °fil°r No.of Water No.of No.of Devices or Equivalent Heaters N0°f 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: A/06(. (Whenrequired by municipal policy.) Work to Start: //�7%el-Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: 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�ins and enaltles of petjury,that the Information on this application is true and complete. FIRM NAME: It e... I v i.5.c.. re c.4-' Licensee: , R "t �- Signature LIC.NO.:t9 103 ajapplicable,enter"exempt"in the license number line.) ��! el. NO.: Address: Bus.T. No.• `Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Alt 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/Agent ■owner's a•ant. Signature Telephone No.