The URL can be used to link to this page

Home My WebLink AboutBLDE-21-001673 or Commonwealth of Official Use Only /E Massachusetts Permit No. BLDE-21-001673 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:10/1/2020 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) 210 STATION AVE Owner or Tenant DENNIS YARMTH REGIONAL SCHOOL Telephone No. �J Owner's Address STATION AVENUE,SOUTH YARMOUTH, MA 02664 �// Is this permit in conjunction with a building permit? Yes 0 No 0 (Ch rop; : y. 1 Za/ Purpose of Building Utility Authorization No. O Existing Service Amps Volts Overhead 0 Undgrd 0 o !site. 4 A_ New Service 60 Amps Volts Overhead 0 Undgrd EI . "17.0 p7 a' Number of Feeders and Ampacity ir 4076,Location and Nature of Proposed Electrical Work: Install 60 amp sub-panel in food shack with junction at batting cag:� 4( Completion ofthe followingtable maybe waived tor ofWires. P by � No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of i ta1 Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- CINo.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 Initiatine 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 ,Siens 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:$0.00 Y , Commonwealth.o`ffaaaachtsdelfe Official Use Only i•. __ ,,t cc�� cc77 {� Permit No. L— c x`73 ..11 'i atparlmenl o/,}in Serviced t; Occupancy and Fee Checked - , '' BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC,5Z7 M�12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: YARMOUTH To the Insp ct r of res: By this application the undersign ives notice of hi or her intentio t perfo ele escribed bew. Location(Street&Number) 4416 /, t 5 q C 00 Owner or Tenant ,,/ /✓ Telephone No. Owner's Address 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❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampaclty Locati I • and to ,f Prop,sed Electrical Work: / is toil, /'/ ii � /I v / to,l V ie� 0i e .._ ' , , i i�iyLh+��II1�.�I.rJ '�/,L�Jyj g7 vi 't ' / oto .e «.f--O•l,'i : •...1 may • e• .y'the I .•ctorof Wires. ✓ `'" '.of otal WNo.of Recessed Luminaires No.of Ceil.-Snsp.(Paddle)Fans Transformers KVA 'Zi No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ I°- ❑ 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 c Initiating Devices 1'z' No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Number_Tons..,_•KW No.of Self-Contained p° Totals: Detection/Alertiny_Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other, Connection No.of Dryers Heating Appliances KW Sestems:* curity 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: 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: INSURANCES BOND El OTHER ❑ (Specify:) I certify,under the pains and enaldes of perjury,that the information on this application is true and complete. FIRM NAME: f y�/�. LIC.NO.: Licensee: f r ii Signatur j ` , L/fY /, ..4"(4 LIC.NO.: Z (If applicable. _.• g�In h censdru _bei li .) " r9Bus.Tel.No. 4- �j Address: , �c 61 ,/I LLkl'' A - Alt.Tel.No.:/L.r� i 'Vie *Per M.G.L.c. I.7,s. 7- ,security work requires D ent f Pub i fry "S' L cense: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that a 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)D owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.