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Home My WebLink AboutE-20-1927 a- Commonwealth of Official Use Only eti Massachusetts Permit No. BLDE-20-001927 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:10/8/2019 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) 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 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 bedroom addition. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 6 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 3 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 14 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 8 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/Alertin2 Devices No.of Dishwashers Space/Area Heating KW Local 0 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: 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 Telephone No. PERMIT FEE:$75.00 (Za,oc (0((C((9' A-W/1-C <<(.c1( g r. RECEIVED OCT 0 8 2a /� /� �j Cnrm:mo en&of��/assa44,,le fs ,• 11;l Use Only • BUILDING D _w c` � Services � Permit No.�� ✓ ,L2� gy.— 11 BOARD OF FIRE PREVENTION REGULATIONS Occupancyv. 1/07 and Fee Checked . �•`.' ,(Rev. l/07) (leave blautk) ------ 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 INFORM4TIOI9 Date: 1 p- S - 19 • City or Town of: YARMOUTH To the Inspector of Wires:By this application the tmdersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) as vwekiA 0 Sr. Owner'or Tenant Auk/ 14- N+•.o,J Telephone No. Owner's Address SA,u,r Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Purpose of Building • � PP P��Box) g Re 5 il)(AMA t— Utility Authorization No, Existing Service /00 Amps /20/ zV 0 Volts Overhead ®. Undgrd❑ No.of Meters j__ New Service Amps / Volts Overhead❑ Undgrd Number of Feeders and Am aci�' � Cltt. ❑ No,of Meters � tutT� Location and Nature of Proposed Electrical Work: N NM/r 0A.) BEDi.aau5 Completion of thefollcrwingrtable may be waived by the Inspector of Wires. No.of Recessed Luminaires to No.of CeiL-Susp,(Paddle)Fans No.of Total Transformers gye, No.of Luminaire Outlets No.of Hot Tubs . Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 'No.of irmergency Lighting • trnd. ernd• ❑ Battery Units No.of Receptacle Outlets i 4.1 No.of Oil Burners FERE ALARMS — INo-of Zones No.of Switches 7 No.of Gas Burners • N ..of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total • Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons o,of Self-Contained Totals:I i KW N Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW al❑ Municipal Connection ❑ Omer j No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' No.of Data Wiring: - Signs Ballasts No.of Devices or Equivalent tN No.Hydromassage Bathtubs No.of Motors Total HP TelecommnniCatioas Wiring: - OTHER: No.of Devices or Equivalent di Attach additional detail if derirecj or as required by the Inspector of Wires. Estimated Value of Electrical Work: /000 (When required by municipal policy.) Work to Start: � P �'•) /0/!0�/9 Inspections to be requested in accordance with MEC Rule l0,and upon completion. INSURANCE C RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent Thess undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE RI BOND 0 OTHER 0 (Specify:) f certify, under the pains and penilri<s of perj ury,that the information on this application is true and complete, FIRM NAME: /l/ctM 1. T. j,a)cLof LIC.NO.: 0 Se4 Licensee: lt)eutaiJit",11a.W1 Signature iitidith (If applicable,enter"exempt"in the license number fine) LIC.NO.: 5035(y t �i Address: 7.3 3AtiZo /Lave. ,",�44111),i'5 hlitLS, ItiA 024rY 0 7'7 Bus,TeL No.:So2.��7 y •J `Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt Liic.No.TeL No.- �7y-36E-��97 — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n—no Ow fired by law. By my signature below,I hereby waive this requirement I am the(check one ❑owner Nally 1 Signature •-, _ . 1 -'-- -- 0 owner' ae