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Home My WebLink AboutBLDE-23-003574 Y Commonwealth of Official Use Only �� Massachusetts Permit No. BLDE-23-003574 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:12/30/2022 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) 107 LEWIS RD Owner or Tenant ARANIZ ENRIQUE A Telephone No. Owner's Address ARANIZ MARGARET, 15 ALEXSANDRIA DR, MEDWAY, MA 02053 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check A• i ropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0Nt. s l New Service Amps Volts Overhead ❑ Undgrd ❑4.% : e4 _ Adir Number of Feeders and Ampacity h Mt Location and Nature of Proposed Electrical Work: Bathroom remodel. /�✓ 0 Completion of the following table may be .-ctor of Wires. No.of Recessed Luminaires 3 No.of Ceil:Susp.(Paddle)Fans No.of al Transformers /�' A No.of Luminaire Outlets No.of Hot Tubs Generators A No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. rnd. Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons K\% No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 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 Ballasts Data Wiring: Heaters Siens 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: 12/30/2022 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. 7714_�� i �� 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: Licensee: Lazar Miley Signature LIC.NO.: 56442 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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 / /f4 ii3i)-3C' e,.,p-� GQ/g 4,6/25. I RECE.1VEO keni/9/1/43 2fl ryy� DEC 3 o Ca. . ea&o`tr/aeeachueette Official Use Only i 1/LDING Da PART l'':A ,, rtl�.Jir.S..vfc a Permit No. LL3- 3 s`7'-' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (Iesveblank) 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 INFORMAVON) Date: 1i ; f7/2 -'Z City or Town of: ,_1.%frt,J(,"-ZA To the Inspector of Wires. By this application the undersigned gives notice of Os or her intention to perform the electrical work described below. Location(Street&Number) in? /6 Owner or Tenant St 1A c /J)//I S Telephone No..g-t,-3-3 �Srjb Owner's Address Is this permit in conjunction with a building permit? Yes Ef No ❑ (Check Appropriate Boz) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: ('t s [21e/ Completion of thefollowin table m be waived by the In ctor of Wires. lb No.of Recessed Luminaires No.of Ce6.�.(Paddle)Fans Transformers mformen KVA KVA CINo.of Luminaire Outlets No.of Hot Tubs Generators KVA k No.of Luminaires SwimmingPtsol Above L- No.e Emergency y Lighting lrntt grad. Battery Units J No.of Receptacle Outlets ' No.of Oil Burners FIRE ALARMS No.of Zones ZNo.of Switches .� No.of Gas Burners Na I�ting Devices I 1 i No.of RangesNo.of Air Cond. Total No.of Akron Devices Tons g No.of Waste Disposers Neat Pump Number Tons KW No.of Self-Contained Totals: _ Detection/AlertiuY Devkn No.of Dishwashers Space/Area Heating KW Low❑Manoeodion I:Drber Co No.of Dryers Heating Appliances KW Scanty Systems:. Na of Devices or Equivalent No.of Water KM, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsDevicesor Whi al /// Na of or Egtilv ent OTHER: I,(iT it �It1lJ 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: 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 issuing office. CHECK ONE: INSURANCE 0 BOND❑ OTHER❑ (Specify:j I cudfy,under the pains artior penaldesroofpen ar7.that the information on this application is trite and complete. FIRM NAME: r1 L4YZ !//L'G c 7-/%1/ <e/'i/i. S LV LIC.NO.: Licensable,Lr47 1-'/�N Signature +- LIC.NO.: ( ;✓.%, fro At licenseJ ,f r line, i,/_� n Bus.Tel No.. Address: //. L� Y27 5 Alt.TeL No.: °Per M.G.L.c.147,s.57-6I,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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:S