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Home My WebLink AboutBLDE-19-005747 `,�V`1 Commonwealth of Official Use Only or tt fenj Massachusetts Permit No. BLDE-19-005747 11 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:4/16/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform e electrical work described ow. Location(Street&Number) 10 NAUSET RD % A MCA--VA-- .Joc H- Owner or Tenant CAHOON LYNDA B Telephone No. Owner's Address 8 MARS LN, SOUTH YARMOUTH, MA 02664 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: Rewire house excluding septic&service. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.oft Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting gods,. 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 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: $75.00 C2C4Wit / 7/(c7 04 ce(23l1q --ccQ /7 (Lcj l7ommoruusatLh of F'/a4sacpucdal#s • Official Use 1 `g �LJeparfirssnt o f biro Jarviud : Permit No. ! 1 7 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked '"`.= ,[Rev. 1/07) --- (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: y /tg./19 City or Town of: YARMOUTH To the I ector of Wires: By this application the itindersigned gives notice of his or her intention to perform the electrical work described below. \r� ()cation (Street&Number) /0 /f/9(/ g'� „ `' x caner or Tenant �/A A.)C 4. v Telephone No. 1 x wner's Address this permit in conjunctio with a building permit? Yes ,� _ No ❑ (Check Appropriate Box) .•1 Purpose of Building j /i i I-1 El Uti• Authorization No. Izistiteg Service /o a I)/Amps all Volts Overhead Undgrd❑ No.of Meters — New Service Amps I Volts Overhead❑ Undgrd t� ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Pro osed Electrical 1Work: jr-COuJ)� /fav42 E--x� - 4� SPIV 1' - -1- c- Si s-T e 1 ' Completion of the following table may be waived by the Inspector of Wires. -'-f;)-- 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 Swimmia Pool Above In- No.of Emergency Lighttn - garnd. srnd. Battery Units g No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo,of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices ,c, No,of Waste Disposers Heat Pump'Number Tons KW No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ other - No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Data Wiring: Bigots Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - OTHER: No.of Devices or Equivalent 1'tJ �` Attach additional detail if desires{ or as required by the Inspector of Wires. Estimated Value of Electrical Work (When required by municipal policy.) Work to Start: /o Inspections to be requested in accordance with MEC Rule 10,and upon completion. C , INSURANCE COVE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless •-i the licensee provides proof of liability insurance including"completed operation" coverage or its undersigned certifies that such cove ge is in force,and has exhibited proof of same to the permit issuing oafceutvalent, The .. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify, under the pains and penaltie;,o�erjury,that the information on this a placation is true and complete. FIRM NAME: is G r, j'-lf3 !/ /� LIC.NO.: ie`0 Licensee: SAG)< ( }r l —/i _D Signature _,..-- LIC.NO.: d,S(If applicable, e ' empt"in the license nu er C e.) Address: i N N Dg... d, ` G ^1z4-7 d D46� Bus.Tel.No.:97Ir=5'>9 a�"� / j "Per M.G.L. c. 147,s.57-61,securitywork requires �` Alt.Tel.c No. quires epartmen lac Safety"S"License: Lic.No..--- ...,.— OWNER'S INSURANCE WAIVER: 1 am aware hat the Licensee does not have the liability insurance coverage n— ormally - S required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent I Signature Telephone No. I PERMIT FEE: $ 75--