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Home My WebLink AboutBLDE-21-005477 tt\ '',-k.\ .`31/4 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-005477 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:3/23/2021 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) 135 SOUTH SHORE DR UNIT 2 Owner or Tenant Donald Mulligan Telephone No. Q Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap. 14S B Q k...... Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.oi14 r Q New Service Amps Volts Overhead 0 Undgrd 0 No.of Mete 0 4:P' , .:/,,,,. Number of Feeders and Ampacity Q Location and Nature of Proposed Electrical Work: Upgrade panel, remodel kitchen,2 bathrooms, &master bedroom. Completion of the following table may be waived by the Inspector. ires. No.of Recessed Luminaires 5 No.of Ceil.-Susp.(Paddle)Fans 2 No.of Total Transformers KVA No.of Luminaire Outlets 4 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 15 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 9 No.of Gas Burners No.of Detection and 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/Alertine Devices No.of Dishwashers 1 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: $75.00 (4)-t.)61,4 q`I`'l121 Commonwealth o`t'/ladsac/.usslLL Official Use Only �7 ,� c� c� Permit No. (-7 � " ( 7 ._- * to 2spartmenf oi.}irs Serviced .T 1.,. �yry ' { _i Occupancy and Fee Checked ,4 'S BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3 -a3-a2/ City or Town of: AR.MouTW To the Inspector of Wires: By this application the undersi ed gives notice of his or her intention to performnthe electrical work described below. Location(Street&Number) /35 S00TH$ii,,Lt l)wl vt: UNl7't2.. Owner or TenanthoNiu.j)P10-4-40-.pt) Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 14 No ❑ (Check Appropriate Box) Purpose of Building p,G5ixAmfiLl e,oMbb Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ 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: gtwoDez, K,i7Gbt'l:N, a„gefrnocoms AN) Mils TM 8Cbi2oO144 Ala) /00 rkit415 SUB-p1NCL. Completion of the following table may be waived by the Inspector of Wires. u.1 No.of Recessed Luminaires S No.of Cel (Paddle)Fans ea. No.of `Total 'asp• Transformers KVA (•- No.of Luminaire Outlets I/ No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting 4 grnd. grad. Battery Units Z No.of Receptacle Outlets 15 No.of Oil Burners FIRE ALARMS No.of Zones o No.of Detection and ''=' No.of Switches No.of Gas Burners � Initiating Devices t. No.of Ranges j No.of Air Cond. Tons No.of Alerting Devices 4 Heat Pump Number_ Tons ____KW._ No.of Self-Contained Y No.of Waste Disposers Totals: _... Detection/Alerting Devices 2 No.of Dishwashers / Space/Area Heating KW Local 0 stems:*Cys n 0 Other uNo.of Dryers Heating Appliances KW Sec ceNo of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: 1 Heaters Signs Ballasts No.of Devices or Equivalent -� No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsofDeicgulag• No.of Devices or Equivalent OTHER: La) Attach additional detail if desired,or as required by the Inspector of Wires. — Estimated Value of Electrical Work: /D00 (When required by municipal policy.) Work to Start: .3 43-.a/ 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 g BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete FIRM NAME: HicAttqo- T .aiikk4.10.1 LIC.NO.:50,356E Licensee: Mt lT. 41NGU-WA Signature li'""" LIC.NO.:5-d356g- (If applicable,enter"exempt"in the license mmtker line.) Bus.Tel.No..77y-,3191'OSit17 Address: 13-64024104111.444;i; MA251'Ut►l M&U)5,M+A Ouq 6 Alt.Tel.No.: *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 ❑owner's agent. Owner/Agent l PERMIT FEE:$ Signature Telephone No.