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Home My WebLink AboutE-19-257 Commonwealth of Official Use Only IEA\ Massachusetts Permit No. BLDE-19-002527 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK An 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:10/29/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives no ice o us orher in en ion o n mea cnc yca work . ed`�f to n 1 f Location(Street&Number) 1297 ROUTE 28 I PI v Q -lit Owner or Tenant MCLAUGHLIN BRIAN J A A '1St e LVo... Owner's Address P O BOX 519,WEST BRIDGEWATER,MA 02379 Ur C pc-etei 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: Add receptacle, move switch,&reattach light switch. (YARMOUTH HOUSE OF PIZZA) 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 t Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo,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 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 Data Wiring: Heaters ,Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs I 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 face,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: Jack W Griffin Licensee: Jack W Griffin Signature LIC.NO.: 418 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: • Address:26 JOANNA DR,S YARMOUTH MA 026641339 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 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:$80.00 AV ` //77 �- Camino. mould of Massaeil! ci • Use 03 27 . �. != 2spar/msn[4..firs.,,) Permit No. srvtasi a:)�- BOARD OF FIRE PREVENTION REGULATIONS [ Ocancyand Fee Checked • Iron] ((cave blank) — • APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK • All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 1200 O (PLEASE PRINT IN MK OR TYPE ALLINFORMATIONJ Date: /D�r 9/i C) City or Town of: YARMOUTH To the Itnss�¢ector 66f Wires: lilt . By this application the undersigned gives notice of his or her intention to perform the electrical work escnbed below. • Location (Street&Number) /3// /ef n77 1riicnuvA Novice 77743 Owner or Tenant Z y/lq ) /<O ✓h G Wet/ Tel one No. I wner's Address 0 . t. this permit in conjunction with a building permit? W a f i I urpose of Building ,54), sh s N No (Check Appropriate Bin) Utility Authorization No. < riding Service Am � n Fs / Yes Volts Overtiead a Undgrd� No.of Meters W •a o ew Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters V i I amber of Feeders and Ampacity W VO o I Location and Nature of Pr4posed Electrical Work 4 a a p le • Pt n= Slay SW)i—rAk f Rt- A NM Ai, + ctNl�' I�- Completion oftheJollowin&table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cet7 Svsp.(Paddle)Fans No.of o Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA •• No.of Luminaires Swimming Pool Above 0 In-grad. BattNo.oery 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. Ton No.of Alerting Devices No.of Waste Disposers• Heat Pump I Number ITons I KW No.of Self-Contained — Totals: Deteetion/Alerting Devices No.of Dishwashers Space/Area Heating KW' Local 0 Municipal Connection 00th No.of Dryers Heating Appliances Kw Security Systems:* No.of Devices or Equivalent No.of Water No,of ' Heaters KN No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: Na of Devices or Equivalent OTHER: ,�q 4 Attach additional detail Vdesired or as required by the Inspector of Wires. Estimated Value of Electrical)World f!r 'h (When required by municipal policy.) Work to Start 4.00‘1,21,4r Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CEE: 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 cova office. a is in force,and has exhibited proof of same to the permit issuing CHECK ONE: INSURANCE BOND ❑ OTHER Q (Specify:) I certify, under the pains and penalties pjpe ury,that the information on this application is true and complete. FIRM NAME: • y LIC.NO: Lf Licensee: 4, Signature LIC.NO.: / (If applicable.enter er,,"/ e�m�pt�",in�th,,e license number fine. Address. �y jg elf Sii aA t.JAYZ.�3l I 14Ab+'a, v Bus.Tel.No.:97 y7` 9�� ) J Per M.G.L.c. 147,s.57-61,security work requires D artment of Pubic Safety"S"License: Alt.Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally t required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. t Owner/AgentG Signature Telephone No. 1 PERMIT FEE: $ p