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Home My WebLink AboutBlde-19-000458 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-000458 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) D ate'7/26/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to peitawi the e►ectricf wprk described be ow. Location(Street&Number) 34 PONDVIEW AVE tC-al(/ Owner or Tenant Telephone No. Owner's Address , Is this permit in conjunction with a building permit? Yes 0 No 0 (C x) A n 77,1 g Purpose of Building Utility Authorization " hr Existing Service Amps Volts Overhead 0 Undgrd L fale'!�-%uel New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace meter socket&riser cable. 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. Batter,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/Alertine 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 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: 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: $50.00 CSC c� 7 29/79 /- \ `\\ 1 `/'� yyy�jj I _ = Commonwealth ommo,sw, th of///adsac ffs cial Use Oni \, "______,_,/ ryry,, c��7� �� __ Ari . Zepartmenf oi.}ire SarviceS Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked __ ZRev. 1/07] (]cave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK %1 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: 7 e2 E/J ._ City or Town of: YARMOUTH To the I ector of Wires: By this application the umdersigned gives notice of his or her intention to perform the electrical work described below. -" Location (Street&Number) ,3 / O/QC UI e� 4 -� '" Az z Owner or Tenant , .VA s3 J o v,s ci A e"V Telephone No. -.-H Owner's Address Sjq y,..a..., Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. a 3 S- /G?9 Existing Service Amps / Volts Overhead Q Undgrd ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Rep l� r� � 'I sere, 1, C1 rn`,- `�K `'" e'�,i" Completion of the followinLtable may be waived by the Inspector of Wires. - No.of Recessed Luminaires No.of Cell-Sttsp.(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 ern& grad. 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 TotalInitiating Devices No.of Ranges No..of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal - Connection ❑ Other No.of Dryers Heating Appliances , Security Systems:* No.of Water No.of Devices or Equivalent No.of Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: _ f_ Attach additional detail cf desired or as required by the Inspector of Wires, Estimated Value of Electrical Work (When required by municipal policy.) Work to Start:7 a611 ! Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE OVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability-nsurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coo ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Specify:) I certify, under the pains and penalties of ��') y 4ne>�ry,�that the information on this applicn ' n is true and complete FIRM NAME: >D C,, l•t�7 �1N —rlj p 7 l LIC.NO.: /�_ii/ Licensee: 4 ok._ v ,.c tr3 Signature (If applicable re pt"in the license number ne.) LIC.NO.: C~cszy i Address: Co, `)ti fioN1,��Cl 1'}�L yt � Cc� ?Bus.Tel.No.:� +/ _�S 1 J `Per M.G.L. C. 147,s.57-61,security work requires t Alt.Tel.No.. epartment of IC Safety"S"License: Lic. No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability S required by law. By my signature below,I hereby waive this requirement I am the(check one ❑owner 0 owverage n--o _ Owner/Agent ❑owner's a ent Signature Telephone No. PERMIT FEE: $