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Home My WebLink AboutBLDE-23-003932 Commonwealth of Official Use Only L , Massachusetts Permit No. BLDE-23-003932 ziebBOARD 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:1/18/2023 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) 221 CENTER ST Owner or Tenant GREENHOW SEAN Telephone No. Owner's Address GREENHOW LAUREN, 51 ALEXANDER AVE, BELMONT, MA 02478-4807 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: Install sub panel,wire room &bathroom,over garage.Wire laundry under stairs. 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 0 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/Alerting 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 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: 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 Resueeti 1(. (,2 -1 k F....\ t N)1(it'. (4/21fr/7. --f- , [REcEIIVED 1AN18202 �f omr onv sat h �j s5 ',- ,.,,,,, o{r//aeaac�udaftenl Use Only 7i . ,,,. ,ILtri L DEPART '-NT c...7. n 3 JC1 ,e 4.., a oprimsnf of J rs,�'a,,,,icsa Permit No. BOARD OF FIRE PREVENTION REGULATIONS Occupancy. and Fee Checked) ��'—''� (Rev. 1/07] (leave blank) l-)' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK L) 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: I h ; 42 City or Town of: YARMOUTH To the Inspector of Wires: to By this application the undersigned gives notice of his or her intention to perform the electrical work described below. , Location(Street&Number) 4,/ C E �r y� _..5 p W Owner or Tenant ,S-eqq� 6rP( 17n 1) 4 Telephone No. Z C Owner's Address ,s! /4.,/ ANt)aYi 14t/A- /Y7on-1 /.'1/1A 00Y. 7 -. --) Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service, i Q Amps /ZO / )Y()Volts Overhead❑ Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity `S11 Location and Nature of Proposed Electrical Work: �1! UNY An,rt n�, � 6 i4t�° '�.(3C?n7`, D\h-E'l2 �jr4 i�J9 (,j" Completion of the following table may be waived by the In ector of Wires. v, No.of Recessed Luminaires No.of Ceit Sus . No.of Total J p (Paddle)Fans Transformers KVA 'Z No.of Luminaire Outlets No.of Hot:Tubs Generators KVA ,t` No.of Luminaires • Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grnd. ❑ Battery Units .r No.of Receptacle Outlets No.of Oil Burners .- FIRE ALARMS INa,of Zones No.of Switches No.of Gas Burners No.of Detection and ' r No.of Ran es ` Total Initiating Devices g No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons JKW No.of Self-Contained Totals:I I"` Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* ' No.of Devices or Equivalent No.of Water No.of Heaters KW No.of 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 Electrical Work: Work to Start: �/ I _ (Whenrequired by municipal policy.) 7 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: 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 pgt'ns and penalties4.perfury,that the information on this application is true and complete. FIRM NAME: 4, r t r--...) Licensee: -{—o-��: LIC.NO.: ,4 j<' /I1 `l - ` Signature LIC.NO.:� (If applicable,enter xempt"in the license number line.) ,• (-� S�� Address: _ (a ��c,yN NA E,i' ') LI✓aYc/y atlf , el Yf. dJco(,y Bus.Tel.No.: oi7k y7 a.S� *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt 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 a_,ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 7S,Oa CK 1E-oZ