HomeMy WebLinkAboutBLDE-23-003226 Commonwealth of Official Use Only
E. Massachusetts Permit No. BLDE-23-003226
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:12/10/2022
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) 29 CHARLES ST
Owner or Tenant JOHN GRIECO Teleph e o
Owner's Address 29 CHARLES ST, SOUTH YARMOUTH, MA 02664 ?iv-
Is this permit in conjunction with a building permit? Yes ❑ No ❑ c
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead ❑ Undgrd ❑ '! ' •t pr. ,
New Service Amps Volts Overhead 0 Undgrd 0 No. 141) f'
Number of Feeders and Ampacity C.Location and Nature of Proposed Electrical Work: Install generator <I:0,
Completion of the following table may be waived ythe 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 1 KVA 24
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 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 ❑ 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: ROBERT E BOWDOIN
Licensee: Robert E Bowdoin Signature LIC.NO.: 51981
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:502 PITCHERS WAY, HYANNIS MA 026012582 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: $50.00
Cootammarreati of assacho&o s Official
Use Only
r;*= __if Permit No_ l' L—/ — J Z��
- =Tr'— Tt �� Occupancy and Fee Checked
-___- - BOARD OF FIRS REG& T� 1 R7) {tomb k
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be pemfaimed in accordance with the Massachusetts Electrical Code say CMR 1200
(PLEASFPRINT IN INK OR TVEALL INFORMATION Date; g.
City or Town of- YG C Y10 Ut(i To the Inspector of Wires:
By this application the undersigned gives - ofhis or her intention to perform the electrical work described below_
Location(Street&Number) da (,1 des
Owner or Tenant {0 1 \G "./ . _ ID ei e r 1 e Cc') Telephone No.50$'61g/-qa-?5 1
Owner's Address
Is this permit in conjunction with a building permit? Yes ❑ No11 (Check Appropriate Box)
Purpose of Building Utility Authorization No.
F.xicting Service Amps I Volts Overhead I 1 Undgrd❑ No.of Meters
New Service Amps / Volts Overhead[1 Undgrd❑ No.of Meters
Number of Feeders and Ampacity `
Location and Nature of Proposed Electrical Work: 3 1(e ,7 q kW den err;t*1
Coandraion of# fidlowanyineable yhew l am of ih es.
Na of RecessedL 'No.of Cd1Fans Na of Total
Sosp.(Paddle) Transforiuers KVA
4%.of Iasaih a Oatlds No.of Hot Tubs s KVA :14
No.at Emergency Lighting
Na of I, res Swu Pool mod,ve mod. LI Batten units
(Ne.efReceptacle Owlets No.of Oil Barriers 'FIRE ALARMS No.of Zones
No.of Na eff Switches Ne.aeon Initiating and
Devices
.No.of NO.of AU- Total ens No.of Alerting Devices
T�]1 T wed
Devices
Na of W I 's
No.of) was e s Space/Area Heating KW -Local El Conn IA Other
Na of KW S trite mews:*
Dryers No.of Devices or Et
Na of Water IOW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Egivalent
• H leis Ns.of s Total HP Telecommunications, n.id-Devicesa Wiring:
t
OTHER
, x 'arm ed or astwat Ir a' r f Wires.
Eskers' mated Value Work Li O C C ,00 (When t ed by municipal portcy-)
Work in Start j )— Inspections to be rewested in aceordanee with MEC Rule 10,and upon completion.
LNS JRANCE CO • Ides waived by the owner,no permk k the perfornence of electrical work may issue unless
the licensee provides paavfeffmlu a ca o3 its substantial equivalent. The
undersigned cestifiiN that scat.coverage is in Race,and has exhibited proof of can' to the permit igniiirT office.
CHECK ONE: INSURANCE BOND Q OTHER Li (Specify_)
I certifit,wider mawP5 810rFemellies ofperfruly,that the informazgan an - woe s Erne and c
FIRM NAME: LIC.NO.:
Lice ]b c:i Qu, Gh)t r2 Signature .'; LIC_NO.:Sri ^ I - F
Of s "la*+' t�Efr-4 Bats.Tel.No.: t "f-3kg-- /
Address: .3 1 1 -L X' L 6ee r'i ri t` '°-.l L ti iYl IQ t-T v t C A�Tel_Nil.
*Per M.G.L.c.147,s.5741,sexnity work requires of Pthl Safety Licence- Lie_No.
OWNER'S INJB.ANCE WAIVER: I ant aware that the Lim des not hare the liability insurance coverage normally
requited by kw. By sty sigma=below,I hereby I am the(ice one)0 owner Q owner's agent
OwnerlAgent
ffigiatture Telephone No.
I PERMIT $