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HomeMy WebLinkAboutBLDE-17-003733 F,/Id % if1S10e"(4)'( /x_ 4',5 4,dp -==_. ar rwea of MerzsaclW.saEtd 0f5ciia1 Use only �`r� / .1JeParlmsn!` f�' Permit Na. �' /_ 33 . � n are Serviced -= BOARD OF FIRE PREVENTION REGULATIONS Occupancy�a Fe`Check°a - 7] eave blank —_ APPLICATION FOR,PERM[T TO PERFORM ELECT [C •L WORK All work to be performed in accordance with the Massachusetts Electrical Code 7,A, 1 DDD(PLEASEPRINTININKOR TYPEALL INFORM47701y9 Date: l 7 City or Town of: YARMOUTH To the Inspec r of W es: By this application the tmde-signe once of his o b Mention pe e a'cal work described below. Location(Street&Number) 1. ••( ,yyt I' • Owner or Tenant /�j% i C in?/ q Telephone No. Owner's Address ( 'j 6t '-----�-- Is this permit in conjunctio 'th a b ' g permit? Yes cg. No ❑ (Check Appropriate Box) ~ Purpose of Budding 42pi 14g Utility Authorization No. Existing Service Amps / Volts Overhead e head Q Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑- Undgrd ❑ No.of Meters Number of Feeders end Ampacity atio a Natnr W Proposed F1e Work i > Loc !) 12prec -A,e 1 0 c/t7gya 4_9 , _ _____._ .... . . . . .. _• • Completion of the folIowine table may be waived by the Inspector of FPrr. No.of Recessed Luminaires 1No.of Cezl-Sesp.(Paddle)Fags No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators . KVA ' v No.of Luminaires IS�imming Pool Above ❑ la- ❑ No.of£me`envy 1,ighizug ernd. nand. Battery units Na.of ReceP eEu leszE I V E a. of On Burners FIRE ALARMS ?Liao.of Zones No.of Switches No. Of Gas Burners No.of Detection an -" • • InftiadnQ Devices • \ No.of Armies JUN 25 2024No. f Air Cond. Tol Tors No.of Alerting Devices No,of Waste l Pump'Number Tons {KW INo.of Self-Contained V t R`ITff1S DEPAfZTME U7" otals: 1 Detetttion/AlertinvDevices No.of Dish_ — • --Spye./Area Heating KW' ici i'0W Con Munectionpal n 0 c'thPr No.of Dryers Heating Appliances KW Security Systems:* No.of Water ]No. No. f Devices or Equivalent ofHeaterstNo.of Data wiring . Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs INo,of Motors Total HP Telecommunications Wiring: 01 hitR 414 No.of Devices or Equivalent Attach additional detail cf desired or as required by the Inspector of Wirer. Estimated Value of Electrical Wort` (WhenWork to Start: requiredmunicipal by municipal policy.)Lnspettions 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 undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing offie.equivalent The CHECK ONE: NSUR ANCE fzr BOND 0 OTHER 0 (Specify.) ` I certify, under the pains and penalties ofpQJmy,that the information on this apppcation is true and complete. FIRM NAME: Licensee: C.NO.: (If applicable c e Signature C.NO.: Q fip in t e licens�num ling Address: / Bus. el.No.: �. j Per M.G.L c. 147,s.57441,security work- requires p actin of publi Safetye Alt.Tel.No. •�19 OWNER'S INSURANCE WAIVER: I' aware th the Licensee S License: Lin. c � s e does not have the liability insurance coverage n�jy S required by law. By my signature below,I hereby waive this r Owner/Agent equircment amI the(check one ❑owner 0 owner's a cat j Signature Telephone No. PERMIT FEE: $ s Commonwealth of Official Use Only "r r I , Massachusetts Permit No. BLDE-17.003733 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:1/23/2017 City or Town of: YARMOUTH To the Inspector ofwnrs: By this application the undersigned gives notice of his or her intention to pertorm the electn<al work described below. Location(Street&Number) 16 GREYHAMPTON RD Owner or Tenant MORAN IMLLIAM J Telephone No. Owner's Address 3 SKYLINE DR,NANTUCKET,MA 02554-2850 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: Wang for bath room and three seasons room. Completion of the following table may be waived by the Inspector of Wires. ' No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Na.of Total / Transformers KVA /, No.of Luminaire Outlets No.of Ilot Tubs Generators KVA / No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad, grad. 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 -� In Matins Devices No.of Ranges No.of Air Cond. .Trot 4l No.of Alerting Device's Na.of Waste Disposers Heat Pump Number Tons - KW No.of Self-Contained Totals; Detection/Alerting Devices No.of Dishwashers Spate/Area Heating KW Local 0 hColuninnertidpaolu 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No,of Devices or Equivalent No.of Water KW, No.of No.of Data Wiring: Beaten Siem Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: No.of Devices or Eauiv,alenl 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 Me information ore this application!strut and complete FIRM NAME: EDWARD M LYNCH Licensee: Edward M Lynch Signature LIC.NO.: 35609 (If applicable.enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 WDGEON LN,WEST YARMOUTH MA 025733818 All.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 eta aware that the License does not have the liability insurance coverage normally required by law.But 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 tit { (! r . IV l jr31(7 c (1 ed go u)) c -i-7 ck r7ve /-AL. 'hl/2/45