The URL can be used to link to this page

Home My WebLink AboutBLDE-23-001486 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001486 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:9/20/2022 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) 1050 ROUTE 28 Owner or Tenant ZOGRAFOS GEORGE D TRS Telephone No. Owner's Address ZOGRAFOS CATHY LEE TRS,45 TORREY RD, EAST SANDWICH, MA 02537 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 (DUNKIN DONUTS) Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 8 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 32 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting 5 grnd. grnd. Battery Units No.of Receptacle Outlets 50 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 4 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 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 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: Joseph L Moniz Licensee: Joseph L Moniz Signature LIC.NO.: 14635 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:33 FRANKLIN ST, SOMERVILLE MA 021453236 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $200.00 Al.amawna 1at{!l a/rrlaaaac�iueaffa Offici?al Use ,ly I� c7 cc77 [ Permit No. £�J f'T a , ; .Urfa 6-1 o/Jan Jarvicae iii Occupancy and Fee Checked I BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK �T1 ,(/I All work to be performed in accordance with the Massachusetts Electrical Code(MEN),527 CMR 12.1)0 N I (PLEASE PRINT IN INK OR PE ALL INFORMATION) Date: C/` /5' City or Town of: (,({-- 1 T r f1?C,'. `-To the Inspector of Wires: By this application the undersigned gives notice this or her intention to perform the electrical work described below. �I Location(treed*Nu ber) /C 5L� 1r-61A,(,C .. Nl Owner oiTenan�,0 f(l 1(L_i r) (�,'i)U 7 Telephone No. "' Owner's Address 11,5- /C'Tr / j c/1 t`,a S F 5��}l?�/1�','C tt, //�6G L' S-3 2 .0 Is this permit in conjunction with a building permit? Yes'(i No ❑ (Check Appropriate Box) Purpose of Building (2,0)12,ob x.i% Utility Authorization No. .1 Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Q New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Q Number of Feeders and Ampacity `7 Location and Nature of Proposed Electrical Work: Completion of the followingtable may be waived by the Inspector of Wires. W No.of Recessed Luminaires No.of Cdl.-Susp.(Paddle)Fans Tr of Total TraTransformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 3`- swimmin Pool Above ❑ In- ❑ No.of Emergency Lighting g grnd. grad. Battery Units v No.of Receptacle Outlets 50 No.of Oil Burners FIRE ALARMS No.of Zones ` No.of Switches /, No.of Gas Burners No.of Detection and F 7 Initiating Devices I I,) No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tone No.of Waste Disposers Totals: Pump Number.Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Mun'Miom 0 OtherConne No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: KW Heaters Signs Ballasts No.of Devices or Equivalent dro Telecommunications Wiring: No.H y massage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:, C; '' ' (When required by municipal policy.) Work to Start: /D 3/-; , - 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 6 BOND 0 OTHER 0 (Specify:) I cersify,under the pains and penalties of perjury,that the information on this application is true and complet FIRM NAME: /IG/)) Z [7I'c-1-ri C , T Y1(- LIC.NO.ti :;)" 7 7-7/ Licensee: Ile; �i/ 1�D/]i Z Signature Q(92441 C) ](%tt 4'\ LIC.NO.:—////v 3� (Ifapplicable rater" mpt"in the license ember ltne.I �g - 2, 8. Address: a//- f tl /rt as.TeL No..7 /'7-1v 3 �3') )o/)9Fr d; /l Y�1� ��/��AltTeLNo.://7 55� 5c-7c ''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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$;r;;'' 1 t1-...1;.Z7'•.nr.,A_M,. \`.�., 0.,,.,A' .. ,4aC.. y�z. I Af+Y 08 . ' ( 'I a i ,) : } - 1 • • 'i 1 C" 3 $ ,, :3 ;14 R . s A3L 4 it • rF .'j:` _F ..i' _1� >tt" :4,-,r'J; :•i7. :,t'•.J E 114; +17 ..,r t�fcf. 'V .z� , ff `.s- f.. 1�,•. �' 'r.- . ''�{.` 1.11_.,'1:\ i�r'.tl"'i'1 �l:;l.`�r,.1.7-1., ►f.)P`t•1...rt i1, ,. '. ,.7. , A11,! .-3n -<. _,,5'.TG11 .. .;' rir,'i.:li{t'tj'; ,1 iz` • • oil RAT"Etc- 1• , :,.....,T/it, ,9a'>ar0 1 . a;24.ii) i1 {•- „, x a,+, , !t 1___ ,,a 5'_ _..,rs},'rrt,:F•; „'„ it, t7> .. Biuil:oin.+;rt€? r'1'S,311: tbitt1 ;f .. .‘: rx{4; r f* i'.r 11I 4 '"r-14tqf itri a . p t- o ,. . . 1 A.._ w - . 4i f if S•Yi ah •' .t.p4;' . .r ,;, ! wit l/lir-hi iv r:.3ra s. .,.,. _t - --- .... - - -- _ ._ ir i • a ,"F :. :i...i...;-{If 1.i.ASIe S):i 't1 -ilt i .'9,rt. 3Q.11i ' !`.4',1 L.. _ ;14 4: '.? n'>.• 1.'1 r:+Issit'►$i1.2,i^lo....--91 o ,10 { j t V- 9g'',mil l W�' .�?�r P. +. `.1[ .Z;: _5-1 .al�f3 l.i R >r • ..y.� ._S i).ti'J + • ,.-... ..-.,_..._ _- .. „a 4 . ..- — '----w.yr..-_........-1 A n. 1EY42sii8lsg 30 .21Fr$t ! e ;. • ..• — -----r.r1•;e- aa�T9�. uS iz .` =''1! i r4PI fit . a. _ •_ : _ - �f ....-- ' 4.42. -. ,,-..El - - ; .. y .t. ',all!. ,t a r. 4::;t 411 r4 x ... .... ,nt' .J$.zi'n - ..;i`,• U'i€rntt?.9 .. ;15 ! 'lii,!,. ..i; ". ii;r .1.+. •.t ..! 14 i,r t:; `;b t _ E.':',E _ °74a^1?!YE t;'.' -%4. . ,,;$ :S, .. 1•• ,L•:irrr' 4 ` 1 ,-1,, tl'1 - r l.. .. •1 , t •.. .i11 . '•>o�'i r! _ .4;!atd .. ! '3 :lc .• ._ti,. :? .(. -,e ^1'i.,-3 :p'. _-.1 Y• . lefl:..• !!t:, 'Y ,. ,,±..i ,3` . . . ,4:i','+U`!!-1.40$1,,,1 7:`j; e ! .,.1.. .. ,. • .-;:11 t1 .. , . t 3., i-..lt' r . 7 . I! J3.. . . -#,.1 .••,i';:}2f .:-`rir;^'C't'`f'.':a•)1:P2.i r Y �;.t; ' "1 t`;, . 'J? :.? 1 11 ) ;_1 -iKbF: .i1i4 -.t, •, •. '14, .h1IFe'''''Is- ').it ),A -15w:,a - -ts, Al 1t,'. l.:a :A.a14�`i".:'' "1,1 ;'e `t'1. ti�_ • el.F • .. -.)_ . . ..r- .. .. s!S• I'! y,ill: - - '43 ,, rr j. ,