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HomeMy WebLinkAboutBLDE-23-000027 Commonwealth of Official Use only Massachusetts Permit No. BLDE-23-000027 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:7/2/2022 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) 50 PAMET RD Owner or Tenant Jason Gale Telephone No. Owner's Address 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring of unheated storage area. 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. 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 Initiative Devices No.of Ranges No.of Air Cond. Toon l No.of Alerting Devices TNo.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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: 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 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 • RECEIVED .1--..-... JUN 30 2022 t wwsa[th.oi Maaaarhuasila Official Use Only - -- DING DEPART NT II a e/ Permit N X23—CIO 27 :al,: F �tJs tnuni o�}iro S./iced v ".-_ ;,I i Occupancy and Fee Checked v BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) AAPPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),52'CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Il 301 Z 1.,14j4 City or Town of: YARMOUTH To the Inspeictor ojLWires: By this application the undersigned gives notice of his or her• tendon to perform the electrical work described below. QLocation(Street&Number) „c i) p , ,p Dem Owner or Tenant 'Q- SAS.o - a'i9 i-C., Telephone No. 5 Owner's Address S A,y�.)-- Is this permit in conjunctio with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building �A r'P 1 r>� 11 D��C� Utility Authorization No. Existing Service Amps U / 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: JiiJ/�� 411 41-e- -e7( c1L it, 1 a4, 4a-4c .. vi ") Completion of the followinktabk mcg be waived by the Inspector of Wires. I-1..),. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Toa oof VA KVA 0,/ Transformers K C.:\ No.of Luminaire Outlets No.of Hot Tubs Generators KVA t No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting g grnd. ❑ grnd. ❑ Battery Units ti` No.of Receptacle Outlets No.of Oil Burners (lFIRE ALARMS No.of Zones •— No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Total II r No.of Ranges No.of Mr Cond. ons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin Devices Loc No.of Dishwashers Space/Area Heating KW al 0 Monnuniciectpalion 0 other, No.of Dryers Heating Appliances KW SceNo oCf Devices or Equivalent No.of Water No.of No.of HeatersSigns Ballasts KWData Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP 'Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 70//p ,,2 inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE GLOVE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability' surance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I co.*,under the pains and penalties of perlup,that the information on this ap lication is true and complete. FIRM NAME: yl ('r t`f-f J,---,. // LIC.NO.: Ziff "K Y/F Licensee: Signature Com- LIC.NO.: E .S-9/Q (If applicable,ente mpt"in the license numb ine,) li Bus.Tel.No. -o�o&/ L Address: a . 6,A, N111 O' - .-, l J A{Z n U , t k (•GL 1' Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work require�,'Department o /`ubl' :afety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee d, not have the liability insurance coverage normally 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:$