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Home My WebLink AboutBLDE-18-001153 qq� Commonwealth of Official Use Only iiMassachusetts Permit No. BLDE-18-001153 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:8/30/2017 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 23 BETTYS PATH Owner or Tenant PRICE JANIS H TR Telephone No. Owner's Address JANIS PRICE INVESTMENT TRUST, 102 SEVEN FIELDS LN,BREWSTER,NY 10509 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check ropriate Box) Purpose of Building Utility Authorization No. / 0 . _ Existing Service Amps Volts Overhead 0 Undgrd 0 No %I. New Service Amps Volts Overhead 0 Undgrd ❑ o M Number of Feeders and Ampacity ^ sway; I�� T Location and Nature of Proposed Electrical Work: Remodel kitchen / O} n l f f Completion of the following table may be waive. . s j . lof "it, No.of Recessed Luminaires 5 No.of Ceil:Susp.(Paddle)Fans No.of Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ an- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 8 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 7 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. t TTol No.of Alerting Devices No.of Waste Disposers Heat Pump Number , Tons 1 KW No.of Self-Contained Totals: Detection/Alerting 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 Signs 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 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: Michael T Hinckley Licensee: Michael T Hinckley Signature LIC.NO.: 50356 (Ifapplicable,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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 • f}- 8(3f 27n - Oct! ?it 67 !/I--- eb A -�_ gigil�orn+nontucS of 2t/assa</"vu'f, o c;a:u=<o°y�_= :_ •. PetmitNo.� .�cPcrGn�.,to{�i„n..�crvica Occupancy and Fee Checked BOARD OF ARE PREVENTION REGULATIONS Rev. 1/07] (lean b,atJ:) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK 411 work to be performed in accordance with the Mrssachuseoz Electrical Code(MEC),527 CMR 12DO (PLEASE PRINT 1N MIK OR TYPE ALL INFORM4TION) Date: $-3 0-17 City or Town of: YARMOUTH To the Inspector of Wires: By this application the padersigled•gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) rQ3 R FT•rt S—PATH Owner'orTenant CTA14.45 nit i __SI- Owner's Address Telephone No, U ±to Is this permit in conjunction with a banding permit? Yes No J, Pu ase of EvaTdin; ❑ (Chi Appropr stn Boz) n' c RFS IbGNfltl t� balat-b it Utility Authorization No. !,,,• w Eli-sting Service Amps (j F 120/Zt(/� Volt Overhead K. Umdgrd❑ No.of Meters 1_ U co " New Service Amps / Volts Overhead❑ Undgrd ❑ Nd.of Meters w -' Number of Feeders and Ampacity IX m m Location and Nature of Proposed Electrical Wort'- Kimono R$t177 .. _ ._. Completion of the follow fit table mry be wowed by the Inspector of Wires. No.of Recessed Luminaires .7 INa of CeSi Sttsp.(Paddle)Fans IN° °f Total Transformers (CVA No.of LuminaireOuleft • INo.of Hot Tubs Generators . ICVA ' Na. of Lumin,;TM 0--• Swi*nminc Pool -''-hove 0 In- Ivo.of emergency l2gnrme arnd_ hi-d. I%atiervUnits Na.of Receptacle Outlets 2, INo.of OR Burners !ME ALARMS INo.of Zones No.of Switches 'I INo.of Gas BILI,,ens co.of Detecnon and Inttiatin. Devices No.of Ranges INa of Air Coad. Total Tons No,of Al rtinsg Dev c- • No.of Waste Disposers real Pnmp�Number Tons KW Igo.vlSetf-Cont,fm>d - Tori le: far/Aleno Devices No.of Dishwashers i ISgace/Area Hoa fag KPV' Local 9 Muaipal - Coandiat O Other No.of Dryers (Heating Appliances KW Security Systems:° Hea No.of Water s TCW No. of No.of Data Wiring: Devices or Equivalent - Sizns Ballasts Na of Dvices or Equivalent No.Hydromassage Bathtubs No.of Motors Total IIP Telecommunications\sing: No of Devices or Equivalent y OTHER tit; Estimated Value Attach additional detail f desired or to required by the Inspector of Fires. of Electrical Wort: (When required by municipal policy.) 'A Work to Start g-aq-i7 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 it substantial equivalent The f3 undersigned certifies that such coverage is in force,and has ahrbited proof of same to the permit issuing office. CHECK ONE: INSURANCE NI BOND 0 OTTER ❑ (Specify.) 1 I cei4', ander the pairs and penalties ofpQlnry,that the inforrnmlfon on this application is true and complete •a FIRM NAME: y atm, Z - ue;Wt', LIC.NO.: So354E Licensee: MIClhtb'(/I AuClurl Signature t all I IffIIl LIC NO.: .50357,6 "z (If applicable,enter "crempt"in the license number line) BusTeL No_'7'W-3E Address: 73Bheft'wtsytadEiItiAilgS,UJul, AM 0,1141l Alt.Tel No.:,sos Wit/ j 'Per NLG.L.c. 147,s_57-61,security work requires Department of Public Safety"S"License: Lit.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability S required by law. By my si o insurance coverage normally t Owner/Agent below,I hereby waive this requirement I am the(check one) owner owner's agent I Signature Telephone No. I PERMITTEE:$