Loading...
HomeMy WebLinkAboutBLDE-22-003909 Official Use Only � ' Commonwealth of (1ILI IX Massachusetts Permit No. BLDE-22-003909 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:1/13/2022 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) 233 SETUCKET RD Owner or Tenant Steve O'Toole Telephone No. Owner's Address 233 SETUCKET RD,YARMOUTH PORT, MA 02675-2247 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: Remodel kitchen, add lighting, &smoke detectors. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 22 No.of Ceil:Susp.(Paddle)Fans 2 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 18 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiation Devices No.of Ranges 1 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 Other: 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:) ' 9 7 _ 4.2(1. 040O I certify,under the pains and penalties of perjury,that the information on this application is true and complete. 1 CJ FIRM NAME: David M Hinckley Licensee: David M Hinckley Signature LIC.NO.: 16114 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 1 KATHLEEN LN, STERLING MA 015642241 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 au_04+- i(sti-v2- v t..c_ 0440,15 r a10- Tt1 t/ 2 b No r� cAc� t v - Il L `��le�Z� W e 640 Wry c1,4144tteAe42- d ` .. Commonwealth of Massachusetts Official Use Only Pi' `� , 1 *_ ; et Department of Fire Services Permit No. 2- '`t ©9 —:_`_4=— BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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: 1/11/22 City or Town of: Yarmouth Port 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): 233 Setucket Rd o Owner or Tenant: Steve O'Toole Telephone `.. Owner's Address: same Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) U Purpose of Building residential Utility Authorization No. W Existing Service Amps / Volts Overhead ❑ Undgrd illNo. of Meter New Service Amps Volts Overhead ❑ Undgrd No. of Meters �, Number of Feeders and Ampacity 72) Location and Nature of Proposed Electrical Work: Rewire kitchen and bathroom,add recessed lights throughout two floors,add hard wired smokes Completion of the following table may be waived by the Inspector of Wires. S No.of Recessed Fixtures 22 No.of Ceil.-Susp.(Paddle)Fans 2 No.of Total Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA No.of Lighting Fixtures Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 18 No. of Oil Burners FIRE ALARMS No.of Zones J No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. TonaTotal 9No. of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No. of Self-Contained Totals: Detection/Alerting Devices l No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection (J.-) No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No.of Water Kam, 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. 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 ❑ OTHER ❑ (Specify:) (Expiration Date) Estimated Value o El ctrical Work: (When required by municipal policy.) Work to Start: / /1 1.I Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: D.M.H.Electric,Inc. LIC.NO.: A16114 Licensee: David Hinckley Signature f -..-'`- LIC.NO.: E35964 (If applicable, enter "exempt"in the license number line.) us. Tel.No.: 978-422-0400 Address: 29 Legate Hill Rd.-Unit A, Sterling MA 01564 It.Tel.No.: fax 97R-422-3580 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's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 75.00 il