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Home My WebLink AboutBLDE-23-001902 af' " Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001902 BOARD OF FIRE PREVENTION REGULATIONS Od-t‘ancy 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:10/11/2022 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) 46 BOB-O-LINK LN Owner or Tenant PINKNEY SARAH Telephone No. Owner's Address PINKNEY JACOB, 56 WEBBERS PATH,WEST YARMOUTH, MA 02673 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: Bedroom&bath remodel 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 KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiative Devices No.of Ranges No.of Air Cond. of l No.of Alerting Devices 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 ❑ Municipal 0 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 Eauivalent 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: TYLER W PAYNE Licensee: Tyler W Payne Signature LIC.NO.: 22091 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:5 JANS PATH, HARWICH MA 026452458 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 tk.se4.44 ►of,8(7.7. , - ,tiv>,,pbi, ,g1 5(r°tz3 et b. • Official Use only Commonwealth of Massachusetts 23 ,kct 0 Z +e` Permit No. Department of Fire Services Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS \ ev.9/051 (leave blank) APPLICATION FOR PERMIT TO PERFO�R�M�ELECTRICA oWORK E All work to be performed in accordance with the Massachusetts 2 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: t/) 1 J . City or Town of: 11 (Y��t To the Inspector o Wires: �J By this application the undersigned gives notice of his or her intention to perform the electrical work described below, Location(Street&Number) 4(p eb - �) Li k- LcA ti Telephone No. —n i l, a.,35 2- Owner or Tenant -C t,'1 LYI,P. Owner's Address Is this permit in conju tion withi building permit? Yes ❑ No El (Check Appropriate Box) Purpose of Building (/V air) Utility Authorization No. (V Amps ( tt/�11Volts Overhead EV Undgrd❑ No.of Meters ( ExistingService /�7U New Service Amps s / Volts Overhead ElUndgrd ❑ No.of Meters — Number of Feeders and Ampacity Location and Nature of Pr' 'oled Electrical Work: rt co Completion of the following table tnav be waived by the Inspector of Wit es. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grad. ❑ grnd. ❑ Battery Units No.of Oil Burners ALARMS No.of Zones No.of Receptacle Outlets No.of Detection aria No.of Switches No.of Gas Burners Initiating Devices Total No.of Alerting Devices No.of Ranges No.of Air Cond. Tons Heat Pump Number 'Tons IKW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Local❑ Municipal ❑ Other No.of Dishwashers Space/Area Heating KW Connection � No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No,of Data Wiring; Signs Heaters KW Ballasts No.of Devices or Equivalent Telecommunications icing: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of El trical Work: (When required by municipal policy.) Work to Start: 1 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO E AGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless thy liccnsce 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 74 BOND ❑ OTHER ❑ (Specify:) I certify,under the .ains and penalties of perjury,that the information on this application is true and LIC cmplete. FIRM NAME: & E L CV-1 k Licensee: T-L��Z W. _y 1_ Signature /Pr✓� LIC.NO.:Z«Z ' q7�p (If applicable,enter "exempt" in the license number line, sti / Bus.Tel.No.: •3 Address: "•_'• '0 t0 .--� �L M OLlap e 1 Alt.Tel.No *Security System Contractor LicensegI am aware t ist workat the Licens ee bld e,senter thense liability insurance coverage normally OWNER'S INSURANCE WAIVER: required by law. By my signature below,l hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/Agent Telephone No. PERMIT FEE:$ Signature