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Home My WebLink AboutBLDE-23-000270 "r' Commonwealth of Official Use Only 4- k t444V Massachusetts Permit No. BLDE-23-000270 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:7/18/2022 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) 18 LYNDALE RD Owner or Tenant EGAN JAMES M Owner's Address EGAN TINA, 78 HUNT DR, STOUGHTON, MA 02072 Telephone No. Is this permit in conjunction with a building permit? Yes ❑ No 0 Purpose of Building (Check Appropriate Box) Utility Authorization No. Existing Service Amps Volts Overhead 0 y New Service AmpsUndgrd ❑ No.of Meters Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Hot tub 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 1 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 I No.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Initiatine Devices No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Ballasts Data Wiring: Siens 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: (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(If applicable,enter"exempt"in the license number line.) Tel. NO.: 418 Address:26 JOANNA DR, S YARMOUTH MA 026641339 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)) 0 owner ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $65.00 I — RECEIVED JUL 15 2022 Commonwealth of Massachusetts I Official Use Only BUILDING GEP Department of Fires Services Permit No. (2'-DZ _ By. _ --- BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.9/05) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M ),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFO NATION) Date: 7 � ak id City or Town of: Ahe Utz To the Inspecto of Wires: I ` By this application the undersigned gives notice his or her inte tion to perform the electrical work described below: Location(Street&Number) ,R A y A ode.___ `� Owner or Tenant Telephone No. V) Owner's Address UIs this permit in conjunctionwith a building permit? Yes❑ No ❑ (Check Appropriate Box) Purpose of Building n o r _ Utility uthorization No. `i Existing Services /Cr° Amps I /t YOVolts Overhead Undgrd ❑ No.of Meters / New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity 1 Location and Nature of Proposed Electrical Work: /10 f 7,'6 ..s- Completion of the following table may be waived by the Inspector of Wires. t 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 7 grnd. grnd. Battery Units S. No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones �h No.of Switches No.of Gas Burners No.of Initiating Devices evices ( No.of Ranges No.of Air Cond. Total No.of Alerting Devices Heat Pump Number Tons KW_ No.of Self-Contained No.of Waste Disposers Totals: DetectIonlAlerting Devices No.of Dishwashers Space/Area Heating KW Local❑Mu Mai Other Connection — No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Na.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attached additional detail if desired,or as required by the inspector of Wires. Estimated Value o El ctrical Work: (When required by municipal policy.) Work to Start: . Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE 0 ERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liabili insurance including"completed undersigned certifies that such coy rage is in force,and has exhibited proof same to the permit issuing office. ration"coverage or its substantial uivalent.The CHECK ONE: INSURANCE BOND❑ OTHER❑ (Specify:) I certify,under the pains and pen Ides�perjury,that the information on this application is true and complete. ple ,J l� FIRM NAME: JC - , .,-4,�zz LIC.NO.: / Licensee: J L 6.-ci-.,,iV Signature LIC. NO.:t_^ �l// dS ?/9' (If applicable,ente empt"in theAcense nu r line.) a7_97,_ ��/ Zti�1=�{UA ' Address: c2 vie_ Bus.Tel..No.: {.I ldte�Yl o✓ � Alt.Tel.No.: *Security System Contractor License require for this work;if applicable,enter the license number here: 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. !PERMIT FEE:$