The URL can be used to link to this page

Home My WebLink AboutE-19-3981 a. Commonwealth of ofse Occupancy and Fee Checked ;aluaeonly MassachusettsNPermit No. BLDE-19-003981 BOARD OF FIRE PREVENTION REGULATIONS ....:mss.... rRev.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:1/7/2019 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 electric)work described ht Location(Street&Number) 196 HIGGINS CROWELL RD \-jf'arett".*M Owner or Tenant M 4 REAL ESTATE LLC • Telephone No. Owner's Address 433 WEST MAIN ST, HYANNIS, MA 02601 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 dental office. 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- ❑ No.of Emergency Lighting grnd. (;rnd. Battery Units No.of Receptacle Outlets 12 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. 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 TIP 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 ❑ OTHER 0 (Specify:) /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 0 owner's agent. Owner/Agent Signature 00(17 Telephone No. PERMIT FEE:$80.00 L► o ,tet � n/� yy _ arise vea&of�assac Ifs Official��Use Only `V' a parlenent /�, S Permit No. t� I =mn a o uv cervices .. � :lz- i , Occupancy and Fee Checked \ BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07) (leave blank) �J • APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEG),527 CMR 1200 (PLEASE PRINT.Thr INK ORTYPE ALL INFORMATI0A9 Date: 1-7-19 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) 114 E-►6GI s Crutvai- D. Owner*or Tenant .JEFFQ,ey 'Donut_ Telephone No. ,t let's Address o 1 - lS ths permit in conjunction with a building permit? Yes ❑ No (� Lii �+ . j- ❑ (Check Appropriate Box) to ose of Building DWI*L.. OFFIGI; Utility r r 1 itr Authorization No. EiSd 'ng Service /60 Amps 120/Tye Volts Overhead �1�,77 Undgrd az � � ytst ❑ No,of Meters Ibi s o l ev Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters 1ti, Q Miiuner of Feeders and Ampacity lam?i -' acaion and Nature of Proposed Electrical Work: s/ Not.1 Do- TtLCuMlrfr 3 u� YR of L__�V uH 'S SIt31! 11l) zits-wenn" M t�NftNCSJ ^ __ AtVl7 E�cfO✓L DuMp• Completion of thefollowin&table may be waived by the Inspector of Wirer. 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 - Swtmmtng Pool Above 0 In- No,of tmergency Lighting Ernd. orad. 0 Battery Units No.of Receptacle Outlets -.` 2. No.of Oil Burners FIRE ALARMS INo,of Zones No.of Switches No.of Gas Burners - 'No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained i Totals:1 Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW' Ml Local 0 Connection 0 Le No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring Signs Ballasts No.of Devices or Equivalent `• No.Hydromassage Bathtubs No.of Motors Total HP I eleco muni tions Wirin : - l- OTHER: No of Devices or Equivalent Attach additional detail iif desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: OM (When required by municipal policy.) e Work to Start: I-7-17 Inspections to be requested in accordance with MEC Rule 10,and upon completion. crts 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:) c l I certify, under Mite/cuts and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: Cola1/34,'ct -fatn'.ti d LIC.NO.: SOJso Licensee: Meer"a 1,fryttAttitel Signature` NLC[�Ct /./� ul� i LIC.NO.:S03 (Ijapplicabfe,enter"ezempr"in the Jaentte number line.) (v Bus.Tel.No: '] Address 73 Rata+ LAide MAL5rOe15 pllt(.S MA 09GY� j `Per M.G.L.C. 147,s.57-61,security work requires Departnent of Public Safety"S"License: Alt Lia No. _Y L0� S7y Q 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)0 owner 0 owner's agent Owner/Agent I Signature Telephone No. 1 PERMIT FEE: $