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HomeMy WebLinkAboutBLDE-19-002631 • Commonwealth of official use only E Massachusetts Permit No. BLDE-19002631 BOARD OF FIRE PREVENTION REGULATIONS • Occupancy and Fee Checked IRev.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:11/1/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonn the electrical work described below. Location(Street&Number) 100 HOMERS DOCK RD Owner or Tenant FAIR KEVIN Telephone No. Owner's Address HIGGINS JANIS E, 100 HOMERS DOCK RD,YARMOUTH PORT,MA 02675 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: Wiring for small addition. 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- 1:1No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 5 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 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 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 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: 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:$75.00 a0061 11 , /(0 Ce- 5 4 4 0 /��� • s :H d..1114Wdd I 'owanogdapj, F alnnauMlg 7zu8a s 1auMo laumo (atm as a a zzze luaSV/aan/s° 3 LIRuuou oto ci a aauez 0 t q ) 1 7uamalmbal sgp ame n dgalaq 1'molaq=mats 6m dg -teal,{q paataba IlH!gs!t agl anwy zou saop aasaaan 341 legs:nAtE me 1 :113AJVM 3JNV11(1SN1 5.113NMO - )(/� •°N•3-i =loan allq&j;o uauatedaa s nnbat vont Ll!.moas'19 -s'Lbl 'a' to r L :ow'p171V /'/ �s, / i TOsa d. nN'p.l'ingl� /s , Q / �✓ dL /✓J/ / ssa1PPV ON'717 �� f a1 ezz8 N ww rua /117u.,• . .D a pqo gddoJJ) �� I✓�/Jf/.Ll//,/1 ro is Ok r ,�yyj :aasuaal7 =ON JI7 / 13WV41411113 •asa;dzuoa pun ant;sz uozpnagddv sial uo uopruuojuz alp snap',Gnt adJo sapjnuad puv surd asp Japun SCfzpa,j (133adS) 0 iaRLO 0 QMOE rh so nSN] :3NO main 'aog;o 8umssi uuuad aql 01 auzEs;oloold pwsta s q puE'ao10;4 s!38El3noo guns lsgl sagglao pau2isnpun NI YaaiEAmba 1Egzn:lsgns$lI 10 a$E1aAO0„uopEpado palaidmoo„841)434*outInsuz Mgsgm!i;opaid sapr%old aasuaog aql • nap n ansa SEm poet reoppoaia;o aousauopod ay to;]mead ou'1aaMO agi,iq p3AiEa ssaian :30111J3A03 SONYIIQSNI 'nogaldwoo uodn pus'0tom omyi q-wa.°amploaas ai paisanbal aq 02 suopadsaj 6a S of °M (' od dumnm L 9 Is . . 9 Pannbal aagM) o 0 •lanm jo Jolaadsw aaz dq paambai m�v paazzapA pomp p;uota av M Ce !•goal3)°anleA palE4gsg 1)P°a uY pua s,unb3 ao saalnaQ Jo-op,/ 213H10 : uus snopsalunmmo»11 (1}111101. saoloW Jo'oN sgnlgleg a ant/oapdy roN luaIEtinb3 a saaJAaQ Jo 9N 8aulMelEQ nJO'°N su81n o MN slalean lualsstab3 10 sa=WAaU Jo-ow1 N alum io'oN .:suras S Litman saaaai1ddy 8npea ❑itpo aopaaauoo y s1a f1Q Jo oN Ied!arynyq ❑Pio I A2 Upson taw/goads • slaysvagslQ Jo•oN saajAaa 3uplawplopaalaQ :smut, pasrelnoOJIaS3o'oN Mx saolIlagmoNIdmnd]say • susodstaayssAtJo•oN saa!AaU 3apaaIYJo4oN 181nL -puma an,Jo roN saous j Jo•o saotsaQ ilupspuJ pus vogaa;aQ3o'oN• moan sap Jo•oN sottoopus Jo•oN m c70 •o sNRn san°ZJo'ONI SWaV7V Mai slau1ng BOP l RdIY1 N ..JJJ O apaaa�;o•oN I o O slurp Llama -plait 3apij2r Laaalaam3 to•oN -at ❑ aAogd food`da7manssS Sa11Lap11n'7 Jo•obl v7 m o co VAGI saolvaaa3 sgnl sollJo'oN saapn0 orteutmn o•o , ~ VAN staauo3sasll 73 N D N �' lslol to•n sasd h�Pad)'dsaS paJ3o o X o C 'Sada! oro N N sa11en1mn7 passaaag Jo oN .d1J zaadzvl a'1)�4 PaNv^s sq,fvm a/gvplupxallvJagJo maga/dulym m m Z{ a :loots 1taz17aa1a pasodad Jo alawN pug uopsaol— Slosd my Pas ssapaag Jo aagmnN ualalq3°'PN 0 PaPufl 0 P8211=A0 5410A / scion/ ag slalaW Jo'01.41 ❑P41:PuilPsagaaAO sl10A 0 / sdsay aawaS 2n13413 -ON uopazpowny impR G POI uti nd(tog asupdoaddy spat) 0.oN tTisaI ipzuad kilt q t qqaX. u°paanjno3 it;Mmzad s1)zp sJ a0b ' ssaaPPV s, auMo1•o aao da1) •J. 10/146.1 ;usual JO.laumds ; . ) ✓ uN 2a) tQ .zp .-• A,solaq pa4Sp:pont[ea!Aaala aqtu °pod quota!1aq 10 slit; qon pot tuiapul aql uogEogdds sup Ag • Q Sal: jo/� J i�//o�aJSUJ alp oi HZnO�IIVA 3o umoi,to AID !Z/ /C / :alga (VOLLigTeo 177Y3dLL ro£WtllDgXdggy.77d) 6 ti its. apo.pclaaalg suaszupesssyy a;zp>M aaaEpzoaae m paa<zopad NM 41"11V )RIOM 1V012110313 WUOd2I3d Ol lIWbJ cflI0d NOI LV3 lddy re—y1— (4uElq OAEa[) [Lal 'Aa SNOLLMns321 NOLLN3A321d 32114 JO Q21VO8 PaxoogJ aa3 Pus.Sausdnaao =_ • s��I ds� 4. u f.- oN 7!m>,d ssauasC l a/� v sr 4(1120ma lsPat ` . s�svnyoussvzO�GWfi/ii/ 1%asmuou co 'c d \—ar