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Home My WebLink AboutBLDE-23-002323 Commonwealth of Official Use Only Ar Massachusetts Permit No. BLDE-23-002323 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:10/31/2022 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 Telephone No. Owner's Address 29 CHARLES ST, SOUTH YARMOUTH, MA 02664 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: Remodel bathroom,&laundry 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 ❑ 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 Initiatine 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 ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent 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: Todd A Higgins Licensee: Todd A Higgins Signature LIC.NO.: 13438 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 1958, ORLEANS MA 026531958 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: $75.00 Papaw l(112). • /?4$ 5 f/3f/ Q 1 f OCT 2K 2022 '' ! a//� y� ip_.? Ciamn�onwea[th of r//addac�iudat/e FFOffi7ciial Use Only • • • Y'" Cc'-yy�, ��77 Serviced Permit No. l'.1�L3-�-3 Z ..(.Jartmenl o�Jiro..Joruiced BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Rev l/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) Date: /0 d-5--Z Z_ 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) 2.,? C-H,4 iZ(_t_'T c;7 - Owner or Tenant ,j 6 HN G-n`It C ). Telephone No. Owner's Address S.1-s-- c---- I Is this permit in conjunction with a building permit? Yes 3❑C No ❑ (Check Appropriate Box) i2G D ? Purpose of Building r v")L,ts Utility Authorization No. Existing Service 3007 Amps / Volts Overhead❑ Undgrd® No.of Meters f New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity I Location and Nature of Proposed Electrical Work: /3 A T7-IJ ,f-m,*5 r_YZ A�� vi 've Completion of the following_rle may be waived by the/nspector of Wires. ' No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans °' Total ! °' Transformers KVA C1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA -t' No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting brad. Rrnd. ❑ 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 Tom No.of Alerting Devices I No.of Waste DisposersHeat Pump''Number 1 . _ KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipa Connection 0 Other No.of Dryers Heating Appliances KK, 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 ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start:JC?-,.26-,ZZ-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 51 BOND 0 OTHER❑ (Specify:) I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME:"1-A • I--(I GG/nj$ L-Z_er_ 1-iC__ Licensee:�t9r�d� LIC.NO.:,4 i 3 ei3 '� pi/ Signature�,�/7'J/, LIC.NO.. �2 (r'/5� (If Licensee: enter"exempt"in the license number line) e, �jjf Address:�.d. B('.C./yS r72LL� ? Bus.Tel.No,•cc,}(J 3J f L s 'Per M.G.L.c.147,s.57-61,security work requires Department �ubl Saf ty S`'License: Alt.Licl 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/Agent owner's aeent. Signature Telephone No. PERMIT FEE:$