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Home My WebLink AboutBLDE-22-005400 Commonwealth of Official Use Only ' •.e._ , 4A Massachusetts Permit No. BLDE-22-005400 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:3/28/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perlomr the electrical work described below. Location(Street&Number) 135 SOUTH SHORE DR UNIT 2 Owner or Tenant Donald Mulligan Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check }ppriate Box) Purpose of Building Utility Authorization 1 Existing Service Amps Volts Overhead 0 Undgrd ■W ers New Service Amps Volts Overhead 0 Undgrd ■ Number of Feeders and Ampacity n Location and Nature of Proposed Electrical Work: Remodel master bedroom A> -/ . , , ,, Completion of the following table mdk be,waived by theilp pector of Wires. No.of Recessed Luminaires 4 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformer � .\\ KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency grnd. grnd. Battery Units No.of Receptacle Outlets 8 No.of Oil Burners FIRE ALARMS No.of Z es No.of Switches 4 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent 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 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: MICHAEL T HINCKLEY Licensee: Michael T Hinckley Signature LIC.NO.: 50356 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:73 BARBERRY LN, MARSTONS MLS MA 026481908 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 (-) - ,0 ar44,4 3 Ivg (:/, iU st4v j '6 -t-h r RECEIVED MAR 2 4 2022 00'' y� k C nwralth of/I/mennachu.�u(}e Officinl Use Only EAtINT DING UEPARTM�[Jrp tmrni of Jiro Serviced Permit No. el i-� OARD OF FIRE PREVENTION REGULATIONS Rev.Occupancy 07) and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK L All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3-,�y-,�'a. • City or Town of: YARMOUTH To the Inspector of Wires: t,- By this application the undersigned gives notice of his or her intention to perform the electrical work described below. r Location(Street&Number) /..35 S ai./14 5 ii0 .D 1-'lV t: U,U t j ,2- aV Owner or Tenant ]k,tyqu'n McJUc.'i k$,J Telephone No. Owner's Address ' Is this permit in conjunction with a building permit? Yes iq No yy El (CheckAppropriate Box) Purpose of Building 124 5 i n-(If/N i.- Utility Authorization No. ,p Existing Service v Amps i7-0/ zyU Volts Overhead❑ Undgrd® No.of Meters j a New Service Amps Number of Feeders and Ampacity / Volts Overhead❑ Undgrd No.of Meters .11 Location and Nature of Proposed Electrical Work: R04U0r2_ To A4i457'r9y2._ar!aA;vaM t Completion of the followinktable int.91 be'valved by the Inspector of Wires. (!�. Na.of Recessed Luminaires 'J No.of Ceil:SasNo.of Total „ 7 p.(Paddle)Fans Transformers KVA Zi No.of Luminaire Outlets No.of Hot Tubs Generators KVA CN �t No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting sand. t rnd. Battery Units No.of Receptacle Outlets Cb' No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners Na.of Detection and 1;. — Initiating Devices N.of Ranges No.of Air Cond. Tool No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons KW No.of Self-Contained Totals: ---- Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑Municipal ❑Otbrt Connection No.of Dryers Heating Appliances KW Security Systems:. No.of Water No.of No.of Devices or Equivalent Heaters KH' No,of Data Wiring: 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: /00 (When required by municipal policy.) Work to Start:3_, y-a 2- 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE IV BOND 0 OTHER 0(Specify:) I certify,under th�e/pa ins and penalties of perjury,that the information on this application is true and complete. FIRM NAME:Y/M,�tata_l-lfiN.ruu,'y LIC.NO.:,S)35uc Licensee: /7,1itiRf_ _/Ito Signamre/'J/l-‘444 LIC.NO.: (If applicable,enter"exempt"in the license umber line.) SD 354o Address: 73 i3sLj3Tt-.1 i.w[ 4644$t oJ5 ktui pUj 07.4.4 Bus.Tel.No.-77Y-3uc-6,l`77 Tel.No.: '''Per M.G.L.c.147,s.57-6 t security work requires Department of Public Safety"S"License: Alt.Lic1 No. OWNER'S INSURANCE WAIVER I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$