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Home My WebLink AboutBLDE-21-003877 / / Commonwealth of Official Use Only �: '/ Massachusetts Permit No. BLDE-21-003877 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) City or Town of: YARMOUTH Date:1/13/2021 By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below r of Wires: Location(Street&Number) 192 SOUTH SHORE DR UNIT 1 Owner or Tenant SABINA MICHAEL I TR Telephone No. Owner's Address THE M I&J M SABINA LVG TRUST,26 MISTY LN, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Existing Service Am s Utility Authorization No. P Volts Overhead 0 Undgrd ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity an d Nature of Proposed Electrical Work: Bathroom remodel, kitchen outlets, replace devices, &remodel r m, Completion ofthe following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Sus p.(Paddle)Fans Tr s Total No.of Luminaire Outlets 1 Transformers KVA No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- grnd. ❑ grnd. ❑ No.of Emergency Lighting No.of Receptacle Outlets 10 Battery Units No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and No.of Ranges Initiating Devices No.of Air Cond. Total Tons No.of Alerting Devices rn..,06f Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices 1 No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: 1 No.of Dryers Connection Heating Appliances KW Security Systems:* No.of Devices or Equivalent Heaters Signs No.of Data Wiring: No.of Water KW No.of Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to start: (When required by municipal policy.) 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, f ery,ur that the information on this application is true and complete. FIRM NAME: Michael S Walsh Licensee: Michael S Walsh (If applicable,enter"exempt"in the license number line.) Signature Tel. NO.: 51043 Address:36 BOSUNS WAY, MARSTONS MLS MA 026481015 Bus.Tel.No.: 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. ture Telephone No. PERMIT FEE:$100.00 .'1'4 Ut4 (/ 41 ( k ewe_ 4, €. Commonwealth ol Maadachuaett6 Official Use Only - _ r `�r / Permit No. Zk — j 77 � -' 1= ` epartment o ere ervicee 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),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 /44 /Z 1 City or Town of: S.y qc I .0414.. To the Inspector of Wires: By this application the undersigned g es notice of his or her intention to perform the electrical work described below. Location(Street&Number) (I/ Si S ot't. va 14 # '0 ` Owner or Tenant tier Ito/ EA541‘5e Men J- L I.e Telephone No. Owner's Address Scent; Is this permit in conjunction with a building permit? V( No� Yes VT El (Check Appropriate Box) N0� Purpose of Building / kI fCo' o I Utility Authorization No. Existing Service 800 Amps is 0 /ZGSVoits Overhead 42 Undgrd g ❑ No.of Meters / New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: gpA,1,1 9% ad , e MA. Z i V leis UQgcc,,�4 Pt e IA LSOk t v� �k,Gv �,(�(- o vE'k.15 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 ir .. A No.of Luminaires I Swimming Pool Above ❑ In- No.of Emer nc Lt_ grnd. grnd. ❑ Battery Un' `! No.of Receptacle Outlets No.of Oil Burners i D FIRE AL R S J�d4bf�ones No.of Switches 3 No.of Gas Burners No.of D, erjti 1.; ._, 342 Initia i ed .; e'j No.of Ranges No.of Air Cond. Total tic Tons No.of Alerting N •: es Opp No.of Waste Disposers Heat Pump I Number J I Tons KW No.of Self-Contained l Totals: i Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ID Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KKW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: 2 1- No.of Devices or Equivalent �7 OTHER: I 1>Tv. S f�aic.1/4 1 ,Salt, €)(L.... i,L -r, ,> Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 9 ID (When required by municipal policy.) Work to Start: I/I Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVET GE: Unless waived by the owner,no permit for the perfoelectrical work may issu the licensee provides proof of liability insurance including"completed operation"cove gce or of its substantial equ vale to The unless undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE e BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjuty,that the information on this application is true and complete. FIRM NAME: LA Licensee: g LIC.NO.: `Q Y3 E ' Signatures LIC.NO. 1 O (If applicable,a ter exert t"to the license number line) cry e Address: o �6 B .Tel.No.: - ,sod *Per M.G.L. c. 147, s 7-6 ,security work requires Department of Public Safety"S"License: Lic.No. Alt.Tel.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 ❑owner Owner/Agent Signature El owner's a_ent. Telephone No. PERMIT FEE: $ Pv 4 1 t Commonwealth o /Ylaa�achueetts Official Use Only NI riAirOf _ c� Permit No. — 38 7 7 aLJePartment of�ire�erviced .4,? 1 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked "�� [Rev. 1/07] (leave blank) ,05 1 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 WORK I ORK (PLEASE PRINT Town oOR TYPE ALL `L INFORMATION) Date: \ /I$ 121 cA C 1 a NA, 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) O IL S. Snow O(" 1 4- Owner or Tenant 14 o r Ito r-% S.nyGtiMt,� i Telephone No. Owner's Address S p.w.,c,, tVl J Is this permit in conjunction with a buildin permit? Yes �/No ❑ (Check Appropriate Box) Q Purpose of Building q L E Mp Utility Authorization No. �„ Existing Service WO Amps YL /2.04b Volts Overhead Undgrd❑ No.of Meters t Cl New Service Amps / Volts Overhead f—� i I Undgrd 1-1No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Rem.. LAA aou. �00 M 1 Mc.tt. c..-2 Q. re Q L.Adt a.J'Pk.t S _ uNix. (410.,,, a i4/ 1,,4. 44r Completion of the following table may be waived by the Inspector of Wires. J3 No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA 04 No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Z.. Swimming Pool Above ❑ In- No.of Emergency Lighting `Igrnd. grnd. ❑ Battery Units ''t' No.of Receptacle Outlets I No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiating Devices 1, No.of Ranges No.of Air Cond. Tons No.of Alerting Devices `- 0 No.of Waste Disposers Heat Pump I Number',Tons I.KW No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other —V Connection No.of Dryers Heating Appliances KWSecurity Systems:* Y No.of Water No.of Devices or Equivalent `r Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent 0..... No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: ` 1 No.of Devices or Equivalent 41 OTHER: kt cs T' R '1) 41 (aoo Attach addi oval detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: / (When required by municipal policy.) Work to Start: 1 lib/ 2i Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERAGE: 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 Z undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE (' BOND ❑ OTHER �� I certify,under thepains andpenalties of k perjury, that the information on this application is true and complete. FIRM NAME: t W Licensee: LIC.NO.: toy 4 Signature d,..0, A LIC.NO.: J v (If applicable,enter "exempt"in the license nu er line.) Address: Q, (y ' _� J Bus.Tel.No.: •(. 1g �� *Per M.G.L. c. 147,s 57-61,security work requires Department of Pu blic Safe Alt.Tel.No.: 4 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance c required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner overage normally Owner/Agent Signature ❑owner's a:ent. .7' 6414— C 7/' -t K. _...-- Telephone No. PERMIT FEE: $