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Home My WebLink AboutBLDE-23-002402 Commonwealth of Official Use Only tett . Massachusetts Permit No. BLDE-23-002402 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(MEG,527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:11/1/2022 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) 8 FENWAY Owner or Tenant BORAGINE DAVID Telephone No. Owner's Address BROOKS KRISTEN,9B GOVERNERS WAY,MILFORD,MA 01757 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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,bath,&living room. Completion o(the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 12 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 grad. grad. Battery Units No.of Receptacle Outlets 7 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 No.of Gas Burners No.of Detection and lnitiatine 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/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal U 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 Slims No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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:) 77 q &-- 0,3e 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.: "Ter 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 Q dl.41 cl/s/ 9 ., ( eq.1(,(ec)r-t- fiq4_ , ! REC EVE D 1 �� i _�_ / /( C‘(/( I ^!��yyy�jj 319' NOV 01 231;•. Commonwealth 7 r/(addachadette Official Use on l — 1: •_>it',:; Permit No. _ �. E U I L D I N G U E P i- Rf eparfinent of ire�ervicee Hy — k;' 'f V BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked j [Rev. l/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELEC 7RI AL WORK All work to be performed in accordance with the Massachusetts Electrical Code(lv�Ef) ,7_, (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ( City or Town of: YARMOUTH To the Inspect r of Tres: $y this application the undersigned g s n • of his or her intenti n to perform the electrical work described below. Location(Street&N tuber) L Owner or Tenant 9 C e ' ��m /' Telephone No. Owner's Address , �T, C • • Is this permit In conjuoctioplwitha ldIng permit? Yes VS No Purpose of Building //�oJ'//(,‘ ' ��I /73 ❑ (Check Appropriate Box) J Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead ❑ Und rd g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of °posed Electrical Work: 4 i / lj / / C, U/ l , Ur ii f j� Completion of thefollowin&table m be waived by the/rr�s cctor of Wires. r,i� No.of Recessed Luminaires / No.of ( „L_ No.of Cell:Susp.(Paddle)Fans TVA �1 No.of Lumiaalre Outlets Transformers KVA �\ No.of Hot Tubs Generators KVA No.of Luminaires • Swimming Pool Above ❑ In- No.of Emergency Lighting grad. grnd. � Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners 'No.of Detection and / i No.of Ranges Initiating Devices No.of Air Cond. Total No.of Alerting Devices Ieat Pam T Tons No.of Waste Disposers p Number Tons KW `No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers ` Space/Area Heating KW 1 ❑ ua pa No.of Dryers Connection ❑ Other rY Heating Appliances KW ecu ty ystems: o.o a er No.of Devices or Equivalent o. 'o a.o Data Wiring: SI ns Ballasts No.of Devices or nivaleot No.Hydromaaaage Bathtubs No.of Motors Total HP c ecommnn a ons OTHER; No.of Devices or E uivalent Attach additional detail i desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:Work to Start: (When required by municcipalipal policy.) 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 coy rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER I certify,under the pains and penalties o e u that the in❑formaation on this application is true and complete. FIRM NAME: f P ry, PP I P Licensee: 11��/, r /� LIC.NO.: i'lfnpplicable, to "exempt n he Ire n .. e Signature �/ iar hers IC.NO.: Address: / �.li( / 0 Are Bus.Tel.No. /� *Per M.G.L.c. 147,s.57-61 securi work requires Dcpartm . of•ublic Safety ��) OWNER'S INSURANCE WAIVER: Alt.Tel.No.. I am aware that the Licensee does not have the liability insurance coverage n o—rmally required by law. By my signature below,I hereby waive this requirement. 1 am the(check one Owner/Agent Signature � owner • ow._ 's a.ent- Telephone No. PERMIT FEE: $ S— \ Cr?56i