The URL can be used to link to this page

Home My WebLink AboutBLDE-23-000022 Commonwealth of Official Use only ` ' `t Massachusetts Permit No. BLDE 23-000022 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) City or Town of: YARMOUTH Date:T the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work d scribed below. Location(Street&Number) 72 KNOB HILL RD Owner or Tenant WILLIAMS CRAIG R Telephone No. Owner's Address P 0 BOX 837, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box Purpose of Building Existing Service Amps Utility Authorization No. P Volts Overhead 0 Undgrd 0 New ServicegNo.of Meters Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade lighting 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 KVA Generators KVA No.of Luminaires SwimmingPool Above In- grnd. ❑ grnd ❑ No.of Emergency Lighting No.of Receptacle Outlets Battery Units No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Initiatine Devices No.of Air Cond. Total Tons No.of Alerting Devices Heat Pump I Number 1 Tons Totals: KW No.of Self-Contained No.of Waste Disposers No.of Dishwashers Detection/Alertine Devices Space/Area Heating KW Municipal Local 0 P 0 Other: No.of Dryers Connection Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of Heaters No.of Ballasts Data Wiring: SinsNo.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to start: (When required by municipal policy.) Inspection to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:Unless waived by the owner,no permit for the perfonnance 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 :) I certify,under the pains and penalties operjury,that the information on this application istrue and complete. FIRM NAME: THIELSCH ENGINEERING INC Licensee: RALPH A CARROCCIO Signature Tel. NO.: 16657 (If applicable,enter"exempt"in the license number line.) Address: 1341 ELMWOOD AVE, CRANSTON RI 02910 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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/Agent ) 0 owner 0 owner's agent. Signature Telephone No. PERMIT FEE:$80.00 Commonwealth o �j�q / *__=_ t /rrladeachuee Official Use Only cc�� cc77 �Z -i-4 e[Jelvartment o`}ire�erviced Permit No. — �,0 2_i ' ? 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(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION )City or Town of: YarmouthTo thxctoi Date:6/22/2022 By this application the undersigned gives notice of h is or her intention to performIns e the electrical work described below. Location(Street&Number)72 Knob Hill Rd. Owner or Tenant Craig R Williams dba Georgetown Cranberry Co. Owner's Address Same Contact: Ed Telephone No. 508-364-8128 Is this permit ina conjunction with a building permit? Yes El El Purpose of Building Commercial No (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps _ / Volts Overhead Ej Number of Feeders and Ampacity Undgrd ❑ No.of Meters Location and Nature of Proposed Electrical Work: Replace lighting with energy efficient fixtures- 12 int. & 1 ext. 302268 pdavey@riseengineering.com fixture. Completion o the ollowin, table ma be waived b the Inspector o Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- `o.o mergency ig i mgI rnd. .rnd. ❑ Batter 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 No.of Ranges Initiatin. Devices TNo.of Air Cond. otal Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin. Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal No.of Dryers Connection DI Other Heating Appliances KW Security Systems:* No.of Devices or E i uivalent No.of Water No.of Heaters ' No.of Data Wiring:Sins Ballasts No.of Devices or E i uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or E i uivalent Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: $3,500.00 Work to Start:6/2022 (When required by municipal policy.) Inspections 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 ® BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information is r Bather& Sa and co Ins. 1/23 FIRM NAME: Thielsch En ineerin pli lion is true complete. LIC.NO.: Licensee: Ralph Carroccio Signature - LIC.1V0.: 16657A (If applicable,enter "exempt"in the license number line.) Address: 1341 tlmwooa Ave., Uranston, HI U291l1 Bus.Tel.No.:40 1=784-3700 Alt.Tel.No.:800-422-5365 *Per M.G.L.c. 147,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 a_ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 80.00