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Home My WebLink AboutBLDE-23-005598 Commonwealth of Official Use Only Massachusetts�� ,�4) Permit No. BLDE-23-005598 �, 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:4/10/2023 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) 35 KNOLLWOOD DR Owner or Tenant LYNSKY MARK V TRS Telephone No. Owner's Address B M L REALTY TRUST, P 0 BOX 617, YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes ❑ 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install heat pump and replacement furnace. 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 1 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: 1 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 Ballasts Data Wiring: Heaters _Signs 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. ce)(6— - (3,Qp CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) CCJJ (( ll I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: THOMAS R MULVANEY Licensee: Thomas R Mulvaney Signature LIC.NO.: 35400 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:87 POND ST,AVON MA 023221624 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: $50.00 101--40 �� 2Z tt'' �y///�// Official Use Only Cammonwsalth o/ mnac�u.Hff!c� Permit No. E.-2-'3- f Q f3 2)e rtnunl al-.firs Jirvicd 4rr"�(_ al Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CUR 12.1)0 (PLEASE PRINT IN INK OR TYPE ALL INFORML4TIONl Date: '-( - 6- Z 3 City or Town of: Yr4(610 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) 3 S ! 'ogl(i*;bpd 0& Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction withh a building permit? Yes ❑ No d (Check Appropriate Box) Purpose of Building RQsj�Qit)t f+t— Utility Authorization No. 11►/fr- Existing Service 200 Amps (Za/2c(l)Volts Overhead❑ Undgrd❑ No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: W Ae_ e45 ►=U/ iq•C e_ lid HQrir /LAMP 1TIsr�4u— Completion oldie followin•table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell:Sasp.(Paddle)Fans No.of- Transformers KVA KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above L. In- 1-1 ❑ No.of Emergency Lighting Ernd. grad. 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 andInitiating Devices No.of Ranges No.of Air Cond. TonsTota( No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons KW No.of Self-Contained ............ Totab: - Detedion/AlertinkDevices Loc al 0 Municiponnection al 0 Other C No.of Dryers Heating Appliances KW Security Systems:' No.of Devices or Equivalent No.of Water KWNo.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 ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: WOO (When required by municipal policy.) Work to Start: —Zg_L3 Inspections to be requested in accordance with MEC Rule l0,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 BOND❑ OTHER❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: 111.OWIA MULL.,•4idfy'Signature I LIC.NO.: 510,0 (If applicable enter"exempt'.in the license number fine./ Bus.Tel.No.' Address: fit? t'nl� ST t4.do.J "xi4 0 23 2 a Alt.Tel.No.: 'Per M.G.L.c.147.s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hove 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:$ 5 — _ ',ilk . •.. .-