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Home My WebLink AboutBLDE-23-001346 or '� Commonwealth of Official Use Only fL/P, , Massachusetts Permit No. BLDE-23-001346 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:9/13/2022 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) 76 CENTER ST Owner or Tenant JOHN NAZZARO 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 ❑ 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: Wiring for air handler&condenser. 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- 4 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 Initiatine Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained TQtalk: 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 No.of Devices or Equivalent HeatersWater KW No.of No.of Ballasts Data Wiring: Sins 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 ❑ 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 ceA, /q7,1, e, -., . RECEIVED (-+ SEP 13 2022 aa� U n nwaaGth o f madaah � Official Use Only .. dr ' / r,';`:4Z h NG DEPARTME c7 n Permit No. • i2 �(�!-�� 0 C ° �° �. ; s/vxrtinunE o�J"irs Jsrv�cs6 l v ' ` 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(ME ),527 CMR 12.00 r (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of: v^ n A Date: ,Z 1 By this application the undersigned gives notice hi or her UTH intention to perform the electrical wTo the Ins e tor �k described Location(Street&Number) work described below. Fiv 444 Owner or Tenant iN Z Owner's Address Telephone No. 1 Is this permit in conjunction with a building permit.o Yes ❑ No (Check Appropriate Box) S I Purpose of Building I Utility Authorization No. c . Volts } Existing Service Amps / t Overhead 0 Undgrd E] No.of Meters Ne_w 3ervice Amps / Volts Overhead❑ Undgrd 0 No.of Meters \4 Number of Feeders and Ampacity i Location and Nature of Proposed Electrical Work: vi v Completion o the ollowin• table m be waived b the In . €t,; No.of Recessed Luminaires ctor o Fires. ..� No.of Cell:Snsp.(Paddle)Fans °•° ota 'mot No.of Luminaire Outlets Transformers KVA C No.of Hot Tubs Generators KVA f` No.of Luminaires • ,ove n- 'o.oe mergency g n Swimming Pool ,rnd. ❑ g ''-` No.of Receptacle Outlets � °d• ❑ Bane Units No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners "to.o etec ion an k' No.of Ranges Initiatin• Devices No.of Air Cond. ota Tons No.of Alerting Devices 'eat 'ump `um er ons "�Totals: o e - ont ne No.of Waste Disposers No.of Dishwashers Detetection/Alertin Devices Space/Area Heating KW1.4cal❑ un cipa No.of Dryers Heating Appliances ecu Connection ❑ Other"o.o "a er KW ty ystems: Heaters KW ° o ° o No.of Devices or E,uivalent Si L ns Ballasts Data Wiring: No. No.Hydromassage Bathtubs No.of Motors a ecomof De ea ors +vices or ,�ivagent Total HP No.of Devices or E a uivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: 9 (When required by municipal policy.) SURANCE C .?. Inspections to be requested in accordance with MEC Rule 10,and upon completion. RAGE: 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 cove ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE l rJ BOND I certify,under t ns and penalties 0 OTHER 0 (Specify:) FIRM NAME: .that the inforuration onthis ap i n is true and complete Licensee: LIC.NO.: /r pg Signature (If applicable enter"exempt"in the license nuygber line.) Address: �, LIC.NO.:�Z 4 Bus.Tel.No,: Cr *Per M.G.L.c. 147,s.57-61,security work re uires Departmen o ubAl 4 92S'a OWNER'S INSURANCE WAIVER: I am aware that the Licensee es not have the liability insurance cov required bylaw. Bya eta'"S"License: Lic.No. Owner/Aent my signature below,I hereby waive this requirement. I am the(check one coverage normally Signature � owner � owner's a:ent, Telephone No. PERMIT FEE:$