The URL can be used to link to this page

Home My WebLink AboutBLDE-23-003080 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003080 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:12/6/2022 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) 76 CENTER ST Owner or Tenant JOHN NAZZARO Telephone No. Owner's Address NY Is this permit in conjunction with a building permit? Yes ❑ 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel kitchen&2 bathrooms 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. l rnd. 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 ❑ 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 Siens 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 perjuty,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: $150.00 wadii 1 t t 'm., �,,/ i ��3 l • (.164 Commonwra[h o`///aeeachuerfie Official Use ly m.m_ ct Permit No. =2 3- GT3o ' -,21.„•, t r�vartmrnf o`5ier Serviced `' '''I^ `'4 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(I lEC)„527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /•. r S "•.7) �- / 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) 76 C riv f e it•-„, Owner or Tenant �c 11 n '7"�i. 0l1 Al/? ` Z ry r4C' Telephone No. Owner's Address /S O 0 (<, tic e 4,--, ?6L',ii L.)e)1-r-e— Is this permit in conjunction with a building permit? Yes ❑ 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❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: /</* c.4 FA -f c? Y,j A/ /P�_)r)a,1449 V) Completion of the following table may be waived by the Inspector of Wires. ilk No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total PiTransformers KVA No.of Lumhsalre Outlets No.of Hot Tubs Generators KVA 1 ' No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting gird. ❑ grnd. ❑ Batterj Units _ `i 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 I t' No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Totals: Pump Number.Tons __•KW No.of Self-Contained Totals: _ Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Municiptiaonl 0 Other Connec 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 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 Elec/rical Work: (When required by municipal policy.) Work to Start:/t¢-/ S/c.a 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 co erage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Elia' BOND ❑ OTHER 0 (Specify:) I certify,under th�°ins and penaltieWpedury,that the information on this application is true and completes / FIRM NAME: \,J �C, 6.,r. 4-- ii`J LIC.NO.: 7K r c#F Licensee: JA CLk G'c,'Pt , Signature c,(7,•----- LIC.NO.: G c)S'�/q (If applicableenter�T�e�mpt"in the license number•line) Bus.Tel.No.: %'7i-$'79 •(},S-pLAddress: p( .10^/`-1°v 1),� .�',.f A ICA�'G'A ('p y Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work req�i((ires Department ofaey"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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$