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Home My WebLink AboutBLDE-19-001170 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-001170 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f 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:8/27/2018 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 SUMMER ST Owner or Tenant MINER LIDA N TR Telephone No. Owner's Address THE LIDA N MINER REV LVG TRUST, 10 SUMMER ST,YARMOUTH PORT,MA 02675-1727 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 ❑ 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 5 '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 ❑ ln- ❑ No.of Emergency Lighting gni! grnd. Battery Units No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 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/Alertinc Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ 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 Sims Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total IIP 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 ❑ 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: Michael T Hinckley Licensee: Michael T Hinckley Signature LIC.NO.: 50356 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:73 BARBERRY LN,MARSTONS MLS MA 026481908 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 1 yammo. me a&of Mamachaselte . Official Use Wil apartment o/�rn,7 Oyty Permit No. L/lq " �� / ervice! Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS • • 1/07] (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: g-a7'/ S City or Town of: YARMOUTH To the Inspector of Wires: . By this application the tmdersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) /0 Sonnet ST , Owner•orTenant i.-/DA Mil Vt. Telephone No. Owner's Address 10 SoAIASEYL 51—REel Is this permit in conjunction with a building permit? Yes ❑ No.0 (Check Appropriate Box) Purpose of Building 26517)gAli fA L Utility Authorization No. Existing Service 1-0 0 Amps 110/ -7•40 Volts Overhead ® Uvdgrd❑ No.of Meters I New Service _ Amps / Volts Overhead 0 Undgrd 0 No,of Meters Number of Feeders and Ampacity -- Location and Nature of Proposed Electrical Work: R.rye lin) R.tiUobb'V •� • Completion of the followin&table may be waived by the Inspector of Woes. �.! No.of Recessed Luminaires S Na of Cell-Sinn.(Paddle)Fans No.of Total Transformers EVA Nf No.of Luminaire Outlets 3 No.of Hot Tubs Generators KVA a I Na of Luminaires Above In- No.oTla,mer en t` •y Swimming Pool ❑ s cY Lighting w grad arid. ❑ Battery Units O Na of Receptacle Outlets fa No.of Oil Burners ALARMS INo.of Zones Q I No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges Total ��^ I Na of Air Cond. Tons No.of Alerting Devices m No.of Waste Disposers Heat Pump I Number ITons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating Mv�� xi P g KW' L�❑ConnectiPon ❑ otbc No.of Dryers Heating Appliances KW Security Systems:* No.of WaterNo.of Devices or Equivalent Heaters KW No.of No.of Data Wiring r- Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 1Z No.of Devices or Equivalent l,. OTHER _ r Attach additional detail if desired or as required by the Inspector of Wires. 7 Estimated Value of Electrical Work 10 (When required by municipal policy.) Work to Start 10-13-Ito Inspections to be requested in accordance with MEC Rule 10,and upon completion. ca 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" mpo fcto ee or its substantialssuiequivalent. 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:) 2 f ceitfy, under the pains and penalties ojperjury,that the injotanation on this application is true and complete. FIRM NAME: /71Gkn4ti4- AN - 1 LIC.NO.: 503560 • Licensee: Alban,. .14tNUCI.4 � Signature i ,�� LIC.NO.: 50356e (!f applicable,enter"exempt' in the license number line.) Bus.Tel.No.:-T7 Y-,i Address 73 •8vtttBe,atq Laos: t Msrou5 .tltM►u01.4145 ltb� 0Te. j "Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt Lie'No.No., ___ Oto-anti — 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. t Owner/Agentg j Signature• Telephone No. I PERMIT FEE:S