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Home My WebLink AboutBLDE-21-003546 w V\ Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-003546 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:12/26/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention top orm the electrical work described below. Location(Street&Number) SEASIDE VILLAGE RD Owner or Tenant COCHRANE JOHN J Telephone No. Owner's Address 418 LEWIS WHARF, BOSTON, MA 02110-3911 p (; —MS Is this permit in conjunction with a building permit? Yes 0 No 0 (Ch Purpose of Building Utility Authorization No t71�r Existing Service Amps Volts Overhead 0 Undgrd 0 • - New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence. 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 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 Siens 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:$180.00 Zoe" s7((( Qc&Ite:e 61(2,17( v i"'.,', : i 14 Commonwsaws 01 Maaackehiatte Official Use Only- U ,, i! t ■ �'w %/c� Permit No. -'-C-`-=-2-k- 3 S Li:{In st'arnt ,} Ss ire wicse >' Occupancy and Fee Checked V BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) 01 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 , �(PLEASE PRINT IN INK OR PE ALL INFOR TION) Date: 102./. // City or Town of: / 0ii To the Insor of Wires: By this application the undersign 'yes notice of his or her intention to perform the electrical work desri�below. Location(Street&Number) 7 S.p", .S'i (//WlOc rl , XC 6).-141 ' 4t4 Owner or Tenant (,7 e 0 r -e . 113Va /,..0e,. V Telephone No. /,, Owner's Address ,?3 A/ 1n19111 St ,$'Vi9t -404'/ /44 do (Oo V Is this permit in conjunction with a,building rmit? Yes 0 No ❑ (Check Appropriate Box) dPurpose of Building / /4q hi/ 111 bi dzi-LC' Utility Authorization No. Existing Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters V New Service p'1-CX) Amps 120/c9./OVolts Overhead Q Undgrd❑ No.of Meters j Number of Feeders and Ampacity Th Location and Nature of Proposed Electrical Work: �,( k) i� Completion of thefollowingtable may be waived by the lnpector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators r-~-: KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ 'No.of Eme :e1g�}.gng„.ei grnd. grnd. Battery Un s - ' "----- No.of Receptacle Outlets No.of Oil Burners FIRE AL: ' S No.o # .,:s.„:"..: No.oft ec,on rt ' �� No.of Switches No.of Gas Burners In ' , 1Devices 2 8 f No.of Ranges No.of Air Cond. TotalsNo.of erring Dices --•.„ -`U / No.of Waste Disposers Heat Pump Number Tons KW No.of Se .�..,y --G-, -N,,,. i 1 � Gam`"� 4 Totab: Detection/Alertin, : r No.of Dishwashers Space/Area Heating KW Local❑ Munieiip +❑ 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 w No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Elec 'cal Work: (When required by municipal policy.) Work to Start:/oZ. Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE C8' BOND 0 OTHER 0 (Specify:) I certify,under the pains ar�d penalties rf pry,that the information on this application is true and complete.,,//,�t ,/ FIRM NAME: �/�, i /f - LIC.NO.: /1//C y/O Licensee: c-1 !J Signature 401.,:„ . LIC.NO. �3 (If applicable,enter'exe in the license number line.) ' / l' Ade Bus.Tel.No.:9J YJ SOZ Address: �(� i /�//�/>xl f (,IS1 *Per M.G.L.c. 147,s.57-61,security work requires Department • Alt.Tel.No.: epPublic Safety"S''°�R`�sld.' Lic.No. 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. Owner/Agent I Signature Telephone No. I PERMIT FEE:$