HomeMy WebLinkAboutBLDE-26-1128 Commonwealth of Massachusetts Official UseOinly2
Permit No.:
—*?11__= � Department of Fire Services Occupancy and Fee Checked:
�' BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/20231
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00
City or Town of: YARMOUTH Date: 7/27/2026
To the Inspector of Wires:By this application,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number): 9 Kristen Path Unit No.:
Owner or Tenant: Michael Gobstein Email: mgelectricservice@gmail.com
Owner's Address: 9 Kristen Path Yarmouth ma Phone No.: 8606706419
Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No❑Permit No.:
Purpose of Building: Enlarge kitchen add a sitting room Utility Authorization No.:
Existing Service: 200 Amps 120 /240 Volts Overhead 0 Underground❑ No.of Meters: 1
New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters:
Description of Proposed Electrical Installation: Provide 1 additional counter circuit-splice additional cable for the stove-micro circuit-dishwasher circuit
two lighting circuits-laundry circuit-dryer circuits-mini split circuits
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets:10 No.of Switches: 7 Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: 6 No.Wind Generators: Wind KW Rating:
No.Appliances:2 KW:6.4 No.Water Heaters: KW:6,4 No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool:In-Gmd.0 Above-Grnd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices:
No.Air Conditioners: Total Tons: 1 Telecom System 0 No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 0 Level 2 0 Level 3 0 Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: 2000.00 (When required by municipal policy)
Date Work to Start: 8/4/2026 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: MG Electrical Services LLC A-1 ❑or C-1 ❑LIC.No.:
Master/Systems Licensee: Michael Gobstein LIC.No.: 0191369 El
Journeyman Licensee: LIC.No.:
Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address:
Email: mgelectricservice@gmail.com Telephone No.:
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
Licensee: Michael Gobstein Print Name: Michael Gobstein Cell.No.: 8606706419
INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability 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❑ Specify: liability
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 0
Owner/Agent: Tel.No.:
Signature: Email.:
From: Michael Gobstein mgelectricservice@gmail.com z'
Subject: Information/applacation
Date: May 4,2026 at 9:09AM
To: KElliott@yarmouth.ma.us
Ken
My wife and will be living at 9 Kristen permanently on or before August 1st 2026
Mike
Please let me know you have this note. Thank you