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Home My WebLink AboutBLDE-23-001675 cc) /L \ Commonwealth of Official Use Only - Massachusetts Permit No. BLDE-23-001675 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:9/28/2022 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) 36 PHEASANT COVE CIR Owner or Tenant FRAPRIE FRANK JR Telephone No. Owner's Address FRAPRIE SUSAN M,75 BASSWOOD RD, FARMINGTON, CT 06032 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for addition. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans 1 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 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 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 Notes Self-Contained Devices Totals: No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* . No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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 my 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 gOk5“1 q171(11A1 , 'Cli•-I. / 16I2;7(2,2 K CCi SAI 1 ECEAVED SEP 2 8 E2 A� ___. Commonwaattla of aeeac��e -��Official Us Only B U I L D I N G �j li NT .C.Jsparimeni° irs.girvicse Permit No.`` J �� I TI Occupancy and Fee Checked . „ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRIC L W RK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 C 0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: YA-MOUTH To the Inspector of es: '- By this application the undersign-, es..q a of his of her m t 'on to electri : work escribed elow. Location(Street&Number) / VI C �, Owner or Tenant Fto4 c7J Iv`• Telephone No. Owner's Address 5' Is this permit in conju9Olon with a fling rmit? Yes gr No ❑ (Check Appropriate Box) Purpose of Building C- V 1(7/ Utlllty Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampadty / Location and Nature of Proposed Electrical Work: �l`r"`1 4 e �' ,TIZ72 9 9'i' Completion of the following table may be waived by the Inspector of Wires. U No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans _Tr s Total KVA / Transformers KVA CA. No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In- Pio.of Emergency Lighting g grad. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches i No.of Gas Burners No.of Detection and Initiating Devices 111 No.of Ranges No.of Air Cond. Tuna No.of Alerting Devices Na of Waste Disposers Heat Pump Number'raga ,_KW_ No.of Self-Contained Totals: "" Detection/Alerting pevices No.of Dishwashers Space/Area HeatingKWMunicipal P Local 0 Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters , No.of No.of Data Wiring: 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: INSURANCE ' BOND 0 OTHER 0 (Specify:) I certify,under the pains and naltles of perjury,that the information on this application is true and complete. FIRM N r Licensee: ra (lfapplfcab t f��m'pt" n he lk gum r e. Signature LIC.NO.: r��tr Address: Vv� ea ( 1- r uz ��ea /Sus.Tel.No..WICK ��g *Per M.G.L.c. 147,s.57-6 ,securitywork p Alt.Tel.No.: requires De t of Public ety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the icensee 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 7 5— l r ✓• .-•-•