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Home My WebLink AboutBLDE-22-006013 or Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-006013 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:4/20/2022 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) 153 NORTH MAIN ST Owner or Tenant Craig Whitten 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wire back porch Completion of the following table may 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 rnd. 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/Alertinn 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 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 .R-(Mf- I (22_ RECEIVED heed-1/A") APR 19 2021 BUILDING DEPACommonwealth o f Muleac�iue die cial Use O ly " -»,1;,, t 2eparfmsni o1�] s Permit No, _ gips srvicse + ,'�,�,�_y Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/071 (leave blank) 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: 4/1/(i/,)-� City or Town of: YARMOUTH To the Inspector'of Wires: By this application the undersigned gives notice of his or er intention to perform the electrical work described below. Location(Street&Number) i.3-.`? Po t2 %ij f l .S Owner or Tenant C;,iq iel tit Telephone No. Owner's Address i Is this permit in conjunction with a building permit? Yes ❑ No ' ® (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity i Location and Nature of Proposed Electrical Work: Lv P'tA_ . ,q C J< ei r C 1 a, krj, Completion of the followinztable may be waived by the In vector of Wires. �� No.of Recessed Luminaires No.of Cell.-Sus .(Paddle) No.of Li. p Fans Transformers KVAt CA 't No.of Luminaire Outlets No.of Hot Tubs Generators KVA ` No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grad. grnd. ❑ Battery Units a No.of Receptacle Outlets No.of Oil Burners .-� FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners -No.of Detection and 1 No.of Ranges Total Initiating Devices g No.of Mr Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons J KW No.of Self-Contained Totals: .""`"'""' "' ) Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 other No.of Dryers Heating Appliances KW Security gystems: No.of Water No.of No.of Devices or Equivalent Heaters No.of KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires, Estimated Value of 1 trical Work: � (When required by municipal policy.) Work to Start: `/ ,/'I/a''�- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE Co 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 coveage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 1:2 BOND 0 OTHER 0 (Specify:) I certi ,under the paius and/penalties es of ej'trry,that the information on this application is true and complete.FIRM NAME: 1 c (� r y.� i LIC.NO.: f. S96 Licensee: ,Lk- �r, f' i iN Signature (If applicable,.entgr' pt"in the lice e n tuber fine. LIC.NO.: t' Address: d& c'Al 4' ? /1 .� l L �'.�; Xi�1 1 Bus.Tel No. �c1-/ *Per M.G.L.c. 147,s.57-61,security work requires epartrnent of Public Safety"S"License: LiAlt.Tel.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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$