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Home My WebLink AboutBLDE-21-005698 c Commonwealth of Official Use Only o ie� Permit No. BLDE-21-005698 t� '44111 \ Massachusetts 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:4/2/2021 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. _,,LL i Location(Street&Number) 12 PEREGRINE LN 6z p0 5 Zd l Owner or Tenant CACCAVO COSIMO Telephone No. Owner's Address 386 CHERRY ST, BRIDGEWATER, MA 02324 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A'pr• Purpose of Building Utility Authorization No. Q I� Existing Service Amps Volts Overhead 0 Undgrd 0 • 1. l• •to Ab New Service Amps Volts Overhead 0 Undgrd 0 q Jamie Number of Feeders and Ampacity p sir Location and Nature of Proposed Electrical Work: Master bath remodel&laundry hook-up. Q �� Completion of the following table may be waived by t �iZ.• Wires. No.of Recessed Luminaires 4 No.of Ceil:Susp.(Paddle)Fans No.of Transformers KV No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 3 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 5 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 Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers 1 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) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 ZC.omosonur*a/irs of'Illaddaciase114 Official Use Only .t Permit No. Zt-C6 9.6 a'+' ram—t1 � JBrf!(Gt4 ti- A BOARD OF FIRE PREVENTION REGULATIONS �v c i�y and Fee red (leave blank) • f 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: x/-,2- of City or Town of: Y4 071 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) I g. PE.st.g&it.,ja LAND Owner or Tenant 2Q51 d CACGAV 0 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes U No Purpose of Buii�g 'R,tS IDEtuTl sl l.. � ❑ (Check Appropriate Box) Utility Authorization No. Existing Service I D D Amps i 2 l Z y/)Volts Overhead J Undgrd❑ No.of Meters / New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampaciity Location and Nature of Proposed Electrical Work: lt/'5T BATH 120o Al R!:`7(4 0 DaZ A L5 0 t 11vNney 100e_-u? IA) A114rne 5,4; i ` Completion of thefallowingtable may be awaited by the Inspector of Wires. `-- No.of Recessed Luminaires 171 No. I Cerl�ap.(Paddle)Fans No.of c i1 Transformers Total No.of Luminaire Outlets No.of Hot Tubs Generators KVA {. No.of Luminaires a S Pool `gnid. ❑ ❑ Nam y units Z No.of Receptacle Outlets 3 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and a I ling Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste DimesH Number Tons KW o.of Self-Contained .Totals: . ;'; Devices No.of Dishwashers Space/Area Heating KW Local❑ M 1 1 w 1! '. ❑Other Cennech8n vNo.of Dryers / Heating Appliances KW Securfty of Devices Equivalent No.of Winea KIV No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent _ Na Hydromassage Bathtubs No.of Motors Total HP Telecomniunications No.of Devices or v�-• • •• t OTHER: Attach ard�tiona'detail ifdesired or as required by the Inspector of Wires.` Estimated Value of Electrical Work: S00 (When required by municipal policy.) Work to Start y.Z-Z-I 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 0 OTHER ❑ (Specify:) I cen'ify,under theaptdns and penalties of perjury,that the information on this application is trite and complete. FIRM NAME: 1 CHAet- H7+ucle-t.t-I LIC.NO.: .5O35 6£ Licensee: t i telt#10.-f-A i()C-Y-,E'-( Signature Aji LIC.NO.: 5035 to ri (lfapplicabk.enter"exempt"in the license manlier line.) Bus.Tel.No.: '77'1-1 b�'- Da./7 Address: -73 B^d/24361U2 Lv4NI L c µM t1.57D/05 M/taS,AM 0 al,4i Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Departnumt 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 Signature Telephone No. 1 PERMIT FEE:s