The URL can be used to link to this page

Home My WebLink AboutBLDE-22-004323 Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-22-004323 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:2/3/2022 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) 932&940 ROUTE 28 Owner or Tenant BASS RIVER REALTY LLC Telephone No. Owner's Address 113 PLEASANT ST, SOUTH YARMOUTH, MA 02664 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: R&R attic air handler. 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 Initiatine Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No No.of Devices or Equivalent HeatersWater KW No.of No.of Ballasts Data Wiring: Sinus No.of Devices or Eauivalent 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 (Ifapplicable,enter"exempt"in the license number line.) Tel. NO.: 35609 pp Bus.Tel.No.: Address:25 WIDGEON LN,WEST YARMOUTH MA 026733818 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $80.00 I øc 11 i/ C4' (1io3 RECEIVED FEB 0 44122 Comnwatvaa[th /V9,1,5. ,14416 Official Use Onl _ �, - .% �• c�c �/c7 �I 2 B U l L D I N V ENT T .,[Jsparfin nE oi,} Permit No. (5j L� u s Serviced 11k:�±!'' =•ARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked " [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRI AL WORK All work to be performed in accordance with the Massachusetts Electrical Code dE ,5 7 C R .00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: O�J� City or Town of: YARMOUTH To the Inspe or of Tres: �y By this application the undersigned ivgg notice of o herfen' n to perform the electrical work described below. /i0 Location(Street&Number) _ 1 '7 IP Owner or Tenant //// y is;,/i -.1j t' li py + Telephone No. Owner's Address ore e ri7e9 f cIs this permit in conjunctidn with a g permit? Yes [,l No Purpose of Building (Check Appropriate Box) Utility uthorization No. Existing Service Amps / Volts Overhead❑ Und rd g ❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Loc don and Nature of roposed lectrical Work: • ,4 -/re4/',_hR1d;t. vi allowing table may be waived by the!n ctor of Wires. vo WNo.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans T f • ml Q. No No.of Luminaire Outlets Tr an of sformers KVA .of Hot Tubs Generators KVA ANo.of Luminaires Swimming Pool Dave ❑ In-nnd• ❑ ot Unitsency Lighting �# No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and 1 r No.of Ranges Total Initiating Devices No.of Air Conti. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained ' Totals: " Detection/AlertLtg_Devices No.of Dishwashers Space/Area Heating ICW Local❑ Municipal No.of Dryers Connection ❑ Othe• �Y Heating Appliances KW u ty ystems• o.o Heaters Kw °•° °•° No.of Devices or E uivalent S s Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Motors Na of Devices or uivalent a ecommun ca ons OTHER; No.of Devices or E Total HP uivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: (When required by municipal policy.) uested in ion. INSURANCE COVERAGE: Unlesspwaived by the tions to be owner,nopermit orcthe perfoore with EmCance of electricaule 10,and l work mayn e1 issue the licensee provides proof of liability insurance including`completed operation"coverage or its substantial equivalent. The unless undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify;) I certify,under the pains and naMes ofperjury,that the information on this application is true and complete. FIRM NAME: Licensee: 111,4 ,_—r LIC.NO.: Licensee: exem t" Signature _ .� J ��Ll LIC.NO. Address: 4 m r line.) MI e' . it/i .i 4 � Bus.Tel.No.. *Per M.G.L.c. 14 ,s. .'1/ ecuri work requires Departm .t of Pub c Safe S"License.'Alt TeL N. „� � OWNER'S INSURANCE WAIVER: I am aware that the L censee does not have the liability insurance coverage n �`" Lic.No. required by law. By my signature below,I hereby waive this requirement. I am the(check one Owner/Agent owner Y Signature f owner's a:ent. Telephone No. PERMIT FEE:$ M I