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Home My WebLink AboutBLDE-22-007301 Commonwealth of Official Use Only (fL.,:441 Massachusetts Permit No. BLDE-22-007301 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:6/21/2022 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) 1341 ROUTE 28 Owner or Tenant PANAGIOTU MATTHEW W TR Telephone No. Owner's Address ZOITSA PANAGIOTOU TRUST,25 TERRACE DR,WORCESTER, MA 01609-1415 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: Miscellaneous work per attached. (OLYMPIA RESTAURANT) 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. Tonal No.of Alerting Devices 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 ❑ Municipal ❑ 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 Signs 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: Michael D Hollister Licensee: Michael D Hollister Signature LIC.NO.: 10071 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:85 N DENNIS RD, S YARMOUTH MA 026641017 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: $80.00 (aci li)/ 2)I/'zz. (î0i& & IAA?) -. FR E C E: I V_E_D 1,- •<-1k-a33 _ I i J U N 15 202, t14 w Official Use Only E-PA R T M E N T Comnwnwaa[th o� aedac�aeeEfd nlyJ / B i : t Permit No. (Z2- ! ' 0( J ..:ta'.:; y epartmsnl° ipe Servresd �; .11 V'. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (\ All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 MR 12.00 l� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: C /�3" ) 2 Z_ 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. t/ Location(Street&Number) i + ..-( 0 `' Q Owner or Tenant e_,-) ( Yy i P i , ‹;�4 vt 0 Telephone No. 7 7,t 2..)Z. 1 t 1 r Owner's Address t U Is this permit In conjunction with a building permit? Yes ❑ No ix (Check Appropriate Box) t Purpose of Building K. A-i,p 1-- Utility Authorization No. 4 Existing Service 34.0 Amps )?i / ;s(%D Volts Overhead ElUndgrd❑ No.of Meters t_)j New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters -7 . Number of Feeders and Ampacity 1--A-C Z,l r-- C IV C yr Z..r�.,3 F r S f e�4 q-7/f'rY JLocation and Nature of Proposed Electrical Work: —0- Completion of thejollowing table maybe waived by the Inspector of Wires. — U. No.of Recessed Luminaires No.of Cell:Sasp.(Paddle)Fans No.of Total n/ Transformers KVA Z1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA (.2\ Above In- No.of Emergency Lighting — I No.of Luminaires Swimming Pool grad. ❑ grad. ❑ Battery Units `E 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 11.1 No.of Ranges No.oo Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons KW No.of Self-Contained Totals: "' '"" Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ �� Connection No.of Dryers Heating Appliances KW Security Devics:* es or Equivalent No.of Water KW Heaters Signs Ballasts No.of Devices of No.of Data Wiring: evices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP -Telecommunications Wiring: No.of Devices or Equivalent OTHER: r Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: v Oe0/ (When required by municipal policy.) Work to Start: (p// ' 7,2 Insp�ions to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE :` BOND 0 OTHER 0 (Specify:) I certify,under the pains and,e ,hies of perjury.that the information on thisapplication is true and complete. FIRM NAME: 1/14 1 r, 11...y ( , �i-Ji1- t S i�� LIC.NO.: !7' )/ - /5 Licensee: ‘AA I IV .� Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) V r Address: s p/ ^^ Bus.Tel.No.: `77[,•, S t ' V ?'v✓v ` I Alt.Tel.No.: "`Per M.G.L.c4i47,s.57-61,security work requires Department of Public Safety"S"License: 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 Signature Telephone No. I PERMIT FEE:$ �0..(.Y) I