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Home My WebLink AboutE-18-6014 JCommonwealth of Official Use Only cilt‘ Massachusetts Permit No. BLDE-18-006014 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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 PRINTIN INK OR TYPE ALL INFORMATION) Date:4/27/2018 City or Town of: YARMOUTH - To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perlorm the electrical work described below. Location(Street&Number) 21 VINEYARD ST Owner or Tenant HANLON AMY L Telephone No. Owner's Address OBRIEN JULIE M,33 YOUNGS RD,DEDHAM,MA 02026 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ 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 addition(Bathroom&laundry) 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 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ElIo- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 7 No.of Gas Burners No.of Detection and 1 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices 1 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 0 Municipal ❑ Other: Connection No.of Dryers 1 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 ❑ 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 (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) ❑ owner 0 owner's agent. • Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 0 162 7 / , // lro Ip • Commonaiaaith of//laaaach,so.T Official Use Only 1p Z cy giro Permit No. �9 -6Oi4 a 3apartmant o/ ire-armite) N. S Occupancy and Fee Checked `_`� w, � BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07] (leave blank) �JAPPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK \L 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: v-616-Ig City or Town of: yAitMOi h4 To the Inspector of Wires: g By this application the undersigned gives notice of his or her intention to perform the electrical work described below. I Location(Street&Number) o1I V1✓Eynon ST. u Owner or Tenant A,µy 14 01.4.0 two Quads Oaa47*-/ Telephone No. ez Owner's Address 33 %boobs RD . DrONaMi MA 01031a 1 Is this permit in conjunction with a building permit? Yes N No ❑ (Check Appropriate Box) , Purpose of Building jt.C51bEN'TIAt_ '1)watt,J(r Utility Authorization No. Existing Service 2,00 Amps ItO / TWO Volts Overhead❑X Undgrd❑ No.of Meters R l New Service _ Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ,1000 Aiy7A Tic i) ..•Elm tom AND 1_run+DR y 4 Completion of the following table may be waived by the Inspector of Wires, t.tvotal Ui No.of Recessed Luminaires 7 No.of Ceil.Sus .(Paddle)Fans -No.of TVA P Transformers KVA ' No.of Luminaire Outlets No.of Hot Tabs Generators KVA �1 AboveIn- No.of Emergency LiTtmg "'C. No.of Luminaires Swimming Pool grnd. ❑ gmd. ❑ Battery Units ^') No.of Receptacle Outlets G No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and / Z. Initiating Devices 11.1 No.of Ranges No.of Air Cond. Total No.of Alerting Devices I Tons 1 No.of Waste Disposers Heat Pump Number„ TonsKW No.of Self-Contained P Totals: - Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No Dryers of D ers I RW Heating Appliances Security Systems:* No.of Devices or Equivalent ❑ Yol, of Water No.of No.of Data Wiring: t l Heaters KW Signs Ballasts No.of Devices or Equivalent lil m Wiring: ), N I�n Hydromassage Bathtubs No.of Motors Total HP 1 e�No. fDevices oor Eqvalent \,co 4O LER: LU � O I Attach additional demil if desired,or as required by the Inspector of Wires. (.) S-Q Esti ated Value of Electrical Work: /[100 de (When required by municipal policy.) (j j dor to Starty-25-tB Inspections to be requested in accordance with MEC Rule 10,and upon completion. co ----INS'RANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless t eji ensce 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 X BOND 0 OTHER ❑ (Specify:) I certify,under th��e�pains and penalties of perjury,that the information on this application is true and complete. • FIRM NAME: tticaMW E-y n. 7. Ip,JGI LIC.NO.: 503s6c Licensee: /14.44-aa- T. /4 -t.&j Signature IJilu I . t je LIC.NO.: 5035b 6 (If applicable,enter"exempt"in the licenser tuber line.) Bus.Tel.No.' 77't_365-03Rl Address: 73 awn LoWE 1 MA1LSmtls M1tt.S MA 031016Alt.Tel No.: Sef 414-aS77 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"Licence: Lic.No. 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. ChvnSnaturregent Telephone No. [PERMIT FEE:$ I c—