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Home My WebLink AboutBlde-20-000242 Commonwealth of Official Use Only EMassachusetts Permit No. BLDE-20-0002420 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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:7/16/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice or his or her intention to perform the electrical work described below. Location(Street&Number) 10 FISHING BROOK RD Owner or Tenant MANN PETER A Telephone No. Owner's Address MANN GINA L, 10 FISHING BROOK RD, SOUTH YARMOUTH, MA 02664-4312 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: Upgrade panel&renovations to kitchen,dining room, &bath room. 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. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Inttiatine 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/Alertine 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 a 7/i7(d t(opt3 ee tps,ex fx„.9 600-, (V (get Commonwealth yyj of///adsaca its - Official Use Only I. .:-- .' c-�. cc77� n mm ell- s. 2epariment oil,ire Services Permit No. �-= ''V 44 [_, BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ev. I/071 (leave blank) APPLICATION FOR;PERMIT TO PERFORM ELE TRI AL WORK All work to be performed in accordance with the Massachusetts Electrical C ,5Z7 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: (6 ( 2.00 City or Town of: YARMOUTH To the Inspeitor o Wires: By this application the r,indersigne ' es •ce of is or her Lion to rm the electrical work described below. Location(Street&Nu er) Owner or Tenant e r Telephone p �� No. Owner's Address friti e Is this permit in conjunctio with a by- pity Yes No 0 (Check Appropriate Box) Purpose of Building � Utility Authorization No. Existing Service /00 Amps G~ - / 110Volts Overhead Undgrd❑ No.of Meters New Service C e a Amps ea / ,� `f(J` l ots Overhead Undgrd� ❑ No.of Meters Number of Feeders and Ampaci L�-don and Na. r of Propo ed Electri Wor. r ', r •mpletion of. -fa owing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cer1.-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 1i mergency Lighting - �nd ernd Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo,of Zones No.of Switches No.of Gas Burners No.of Detection and Initiattng Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number 1 Tons I KW No.of Self-Contained Totals:I -No. Devices No.of Dishwashers Space/Area Heating KW Loral❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KV4, Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' No,of Data Wiring 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 derail if desired or as required by the Inspector of Wirer. Estimated Value of Electrical Work (WhenWork to Start required by municipal policy.) 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 co rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ila BOND ❑ OTHER 0 o (Specify) I certify, under the pains and penalties (perjury, that the information on this application is true and complete. FIRM NAMr4 Licensee: / LIC.NO.: applicable ent r c L m r Signature IC.NO.:Mal Address: t]j / Bus.Tel + er• 'K/ /�Mq TeL No.: 7A�IZ2Q�'79f j `Per M.G.L. c. ]47,S.�7 security work requires p ,,, Alt.Tel.No.: qu artment of Pubh Safety"S"License: Lic. No. „zt— OWNER'S INSURANCE WAIVER: I am aware th e Licensee does not have the liability insurance coverage n ly S 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 Signature Telephone No. PERMIT FEE: $