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Home My WebLink AboutBLDE-21-005296 °• Commonwealth of Official Use Only - ti-At lP Massachusetts Permit No. BLDE-21-005296 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:3/16/2021 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) 95 PINE CONE DR Owner or Tenant HAYES DANIEL F Telephone No. Owner's Address HAYES MARCELA M, 11 DARLENE DR, SOUTHBOROUGH, MA 01772 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: Wiring for addition. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 4 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 10 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 ❑ 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: 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 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 UZAt gCommonwealth of r/laeeacLeslie Official Use Only 'f/ Q " B `� gips n Permit No. 1 _Z-t 5 z -`" e� "' opartinsni of Services i v v Occupancy and Fee Checked .. BOARD OF FIRE PREVENTION REGULATIONS [Rev. l/07) ------- (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ptE ),5 C 1.2,100 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: j B City or Town of: YARMOUTH To the Inspec or of res: / y this application the undersign -es n_ e of his or her intention to orm the electrical work described below. �� Location(Street&Number) e. Owner or Tenant PR r "'1 ry a Telephone No. Is this permit in conjunction a buildi permit? Yes No -4 0 (Check Appropriate Box) Purpose of Building jtiii Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd g 0 No.of Meters New Service Amps / Volts Overhead 0 Undgrd Number of Feeders and Ampadty g 0 No.of Meters <� Location and Nature of Proposed Electrical Work: 4/e �/ /Id �74 /i �/ ... ---Vi 11) Completion of thefollowing table rnm,be waived by the Inspector of Wires.No.of Recessed Luminaires (� No.of Cell.-Soap.(Paddle)Fans No.of Total ..1 No.of Luminaire Outlets 1 Transformers KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting 'i No.of Receptacle Outlets grad. trod. � Battery Units No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and o I.! No.of Ran Total Initiating Devices No.of Air Cond. Tons No.of Alerting Devices '' Na of Waste Disposers Heat Pump mber Tons__.j KW. 'No.of Self-Contained Totals:I Nu 1 Detection/Alerting Devices �•,‘ No.of Dishwashers Space/Area Heating KW Loral Municipal No.of Dryers Connection ❑ um" sY Heating Appliances KW Security Systems:Z No.of Water KW No.o[ No.of No.of Devices or Equivalent , HeatersS s Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Devices or uivaient No.of Motors Total HP a eco of one gg Z OTHER: No.of Devices or uivalent Estimated Val $lee cal Work: Attach additional detail if desired,or as required by the Inspector of Wires. to Start: (When required by municipal policy.) WorkSURANCE Inspections to be requested in accordance with MEC Rule 10,and upon completion. wner,no the licensee provides proof of liability ins suranceed including"completed toperat coverageo for the peration" oronnance its tsesubstantial equivalent.alentrical work may t. unless undersigned certifies that such coverage is in force,and has exhibited proof of same to the q The CHECK ONE: INSURANCE' BOND 0 OTHER permit issuing office. I certify,under the pales and nalNes o (Specify:) fperjury,that the information on this application is h u and complete. � --...... FIRM NAME: Licensee: LIC.NO.• .7Ti V .. (Ifgpplicable, t t Signature Address: p i I li n ) IC.NO.: *Per M.G.L.c. 7,S.57-61, curity work requires De Bus.TeL No.' OWNER'S INSURANCE WAIVER: I am aware that the iiensee does not haveAlt.Tel.No.: -49q p t of blic a sty"S"License: Lic.No. required by law. By my signature below,I hereby waive this the liability insurance coverage n� o Owner/Agent requirement. I am the(check one II owner ■ owner's asset. Signature Telephone No. PERMIT FEE:$