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Home My WebLink AboutBLDE-18-005402 ` Commonwealth of Official Use Only a . k":" Massachusetts Permit No. BLDE-18-005402 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.l/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:3/29/2018 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) 10 COLLINGWOOD DR Owner or Tenant SHEEHY KEVIN C Telephone No. Owner's Address SHEEHY MARTHA J,50 COMMERCIAL ST,STOUGHTON,MA 02072 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 kitchen Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 7 No.of Ceil:Susp.(Paddle)Fans No,of Total Transformers KVA No.of Luminaire Outlets 3 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 learn 1:1No.of Emergency Lighting grnd. grnd. Battery links No.of Receptacle Outlets 10 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. Too I No.of Alerting Devices 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 0 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 Data Wiring: Heaters Signs Ballasts No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 'No.of Devices or Eauivalent 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: 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 WIDGEON LN,WEST YARMOUTH MA 026733818 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 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 Oa (RfrvrafJ 3/3a/i& !e. e % (4l8b— ri //�� /J/y/ / �r� lf��j7 "//'� ; ` l_ommcnru ofc/7//a50ach..RcE{'S • c't".•'r Qnly f— ' _ 1JePariunf n{.yuv..�ervrcea .. -Permit No. wv `'�J rsi -Ce Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/071 ' pcave blank) APPLICATION FOR;PERMIT TO PERFORM ELECTRICAL WORK 411 wait to be performed in accordance with the Massachusem Electrical Code r C),527 00 (PLEASE PRINT IN INK OR TYPE ALL LVFORMf TIM Date: V- ' City or Town of: YARMOUTH •To the I ._ctor of'rhes: By this application the padersigned gives notice of his or her intention o pe....no the eLchical work described below. • Location(Street&Number) I0 * • Woo. 1/ I - Owner/orTenant ire(//1/1 -f- Mqr h (9 r Telephone No. Owner's Address 54 1 ._._ q . Is this permit in conjunction with a building permit? Yes g No ❑ (Check Appropriate Box) Purpose ofag Utility Authorization No. Existing Service ce Amps ! Volts Overhead E. Undgrd❑ No.of Meters _ New ServiceAmps / Volts Overhead E Undgrd ❑ No.of Meters 7 Number of Feeders and Ampacity ' 7 Location and Nature of Proposed Electrical Work: at, e Si I l " ' r O • / / IW f — - - ---- -• - - . . isu __ g .. ._ Completion of the followmo table may be we%ved by the Inspector of F'vet, o INo.of Recessed Luminaires 7 No. of Cert-Sura.(Paddle)Fans INo.ofTotal _ �+ Transformers R' A I No. of Luminaire Outlets it 3 No.sf Hot Tubs Generators • ICVA ILL,1 CV cn • ' Wd `� I Na,of Luminaires Above Its- No.or Emergency Lrghnag SwimmiagFool "rnd. ❑ card. ❑ 'Battery Units 1.1.1 E INo.of Receptacle Oatfe�s �6 No.of Oil Banners IFIRE ALARMS INo.of Zones S No. of Switches No.of Gas Burris No.of Detection and - I Cr I Initiating Devices •^ ..J No.of Ranges Na. of Air Cond. Ton` No.of Alerting Devices • No.of Waste Disposers Heat Pump 1 Number I Tons IKW E No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Local ❑ Municipal Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No. of No.of Data Whin Signs Ballasts Na.of Devices or Equivalent No.Hydromassage Bathtubs No. of Motors Total AP Telecommunications Wiring • No.of Devices or Equivalent O 1 Hr,R _ • Attach additional derail'desired or as required by the Inspector of Wirer. Estimated Value of ectric Work (When required by municipal policy.) Work to Start7 p �') 3 d r� Lnspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE U+E: 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: NSURANCE , BOND ❑ OTHER ❑ (Specify.) I certify,under the pains and pent:Ides of per/wy,that the informs 'cn on this applcnifon is true and complete FIRM N , LIC.NO.: • Licensee: r� Signaturef / t•1f . 4 LIC.NO.: ��---/L, (Ifapplicable enter"ezem t"in the lie e h r lin�1� /' Bus.Tel.No: �7 Address: rl-gov-1aq,rbaa seiF.. pr' j,74trt 177/ D j `Per M.G.L.c, 147,s.57461,security work re r� k .( Alt Tel.No.:_ _ f tY qui s Department of Public Safety S License: Lic.No. _ Q OWNER'S INSURANCE WAIVER I aro aware that the licensee does nor have the liability insurance coverage normally S 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. I PERMIT FEE: $ `7 5/"1