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HomeMy WebLinkAboutE-18-6013 it !����� Commonwealth of Official Use Only Ea Massachusetts Permit No. BLDE-18-006013 4 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f Rev.l/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 (PLEA SE PRINT IN 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 pertorm 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 iq Is this permit In conjunction with a building permit? Yes CINo ❑ (Check Appropriate Box) w 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: Remodel kitchen,master bedroom.&bath room. ID Completion of the following table may be waived by the Inspector of Wires. F. No.of Recessed Luminaires 4 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs - Generators KVA '4, No.of Luminaires Swimming Pool Above ❑ rnd. I grnn-d. 1:1No.of Emergency Lighting O gBattery Units No.of Receptacle Outlets 16 No.of Oil Burners FIRE ALARMS No.of Zones 4 �Cy No.of Switches 12 'No .of Gas Burners No.of Detection and 4 0) 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/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection - (.1) r� No.of Dryers .Heating Appliances KW Security Systems. ' V 3 _ No.of Devices or Equivalent 1 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: 10 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 LTC.NO.: 50356 (7f applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:73 BARBERRY LN,MARSTONS MLS MA 026481908 Mt.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:$75.00 c9/11 l&its i/ y ;r • • CommonwaatUs o`///addachruetfd Official Usc Only \\\ '-`� ICY, rye e7 [� Permit No. (�Y " yy.., e. aparGnani of Jiro Jaroiced VV f 1V`Y `?`j- f' BOARD OF FIRE PREVENTION REGULATIONS Occupancy AO .1/0 ] (leave nd Fee Checked g �„ Rev.1107] (leablank) \r-' 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: 1-76'''t City or Town of: yAitt400'1lt To the Inspector of Wires: cqi By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) ��al" \/i&cyAtvD St_ cl v Owner or Tenant ,µy fynrvco& AND Ju41t eatien) Telephone No. nf, Owner's Address 33 youutr5 t°D, 1JtCDt1AM.M1AA Oao3 G ' Is this permit in conjunction with a building permit? Yes ® No 0 (Check Appropriate Box) Purpose of Building Q ESj1)ENPIAL Thug t,t,1,0tr Utility Authorization No. ci Existing Service ZD 0 Amps Ito / no Volts Overhead 5n Undgrd p No.of Meters / New Service _ Amps / Volts Overhead❑ Undgrd❑ No.of Meters ___ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: RtJttoDEl- 7D KITc tt'O i MASreig.'RET) AND -p,writ k Completion of the followingtable may be waived by the Inspector of Wires, d'l1b No.of Recessed Luminaires 4 No.of Ceil.-Sas .(Paddle)Fans No.of 7 otal P Transformers KVA I q No.of Luminaire Outlets No.of Hot Tubs Generators KVA 1, -1. • No.of Luminaires3 Swimming Pool Above In- No.of Emergency Lighting grnd. ❑ grnd. ❑ Battery Units 4 No.of Receptacle Outlets 1(o No.of 011 Burners FIRE ALARMS No.of Zones 7 PPO:D9witches No.of Gas Burners No.ofDetectionDevices i �a-- Initiating Devices and H ", Total NtryiflIr ranges I No.of Air Cond. Tons No.of Alerting Devices Nb of Waste Disposers Heat Pump Number 'I ons__ KW _ No.of Self-Contained :1 P Totals: _ ' Detection/Alerting Devices , In \ro Nni of Dishwashers I Space/Area Heating KW Local 0 Connection 0 Other e ii cc DPo oil DryersHeating Appliances Tay Security Systems:* V Laster No.of Devices or Equivalent , ater KW No.of No.of Data Wiring: i� I Heaters Signs Ballasts No.of Devices or Euivallent 1 it Si l3ydromassage Bathtubs No.of Motors Total HP Telecommunications NWiring: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: BO - (When required by municipal policy.) Work to Start: y-g-I Sb 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 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 h BOND 0 OTHER [f (Specify:) I certify,under the pains and of perjury,that the infiumavon on this application is true and complete. FIRM NAME: Mlelbtt.0. i - 1{t1J(k,t^{ MC.NO.: 5o356C Licensee: It1t1 M L. T.,jliotj i, 1 Signature ( • LIC.NO.: 50356E (If applicable,enter"exempt"in the license it unber lined Bus.Tel.No: -Ell-34/5-0.941 Address: 13 1340Vety LANG M tSto,5 g11.-5I My( MA;VC Alt.Tel.No.: 541-4 7-0-0471/ y *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: 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 pent. Owner/Agent / Signature Telephone No. PERMIT FEE:$