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Home My WebLink AboutBLDE-22-002296 Commonwealth of Official Use Only 0 or tit, Al tkI Massachusetts Permit No. BLDE-22-002296 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:10/21/2021 e City or Town of: YARMOUTH To the Inspector of Wir By this application the undersigned gives notice of his or her intention to perform the electrical work described below. �, Location(Street&Number) 4 MARSH POINT ' ' . Owner or Tenant Gail Chen Telephone No. Owner's Address 4 MARSH POINT,YARMOUTH PORT, MA 02675 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 Meters New Service Amps Volts Overhead ❑ Undgrd ❑ ,15flteti/f rs Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Basement bath &laundry. 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 4 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 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 ❑ Municipal 0 Other: • Connection No.of Dryers 1 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. 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: 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.: *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 Ut /C .974 CV4Sk ? Ec,( - )r t7A-\ RECEIVED OCT 21 201,, Co nmonweatlh o//r/neeachw.ttd Official Usese Ont ryry�� c�77 �i Permit No. C..�(/(� Ckj BUILDING DE .Uepartmant a/Jiro Jervicee ar Occupancy and Fee Checked 'TsS • BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/07] (leave blank) ' APPLICATION FOR PERMIT TO PERFORM ELEC RI AL WORK All work to be performed in accordance with the Massachusetts Electrical Code MEC,527 C R 12.Q0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / City or Town of: —YARMOUTH To the Ins a or o fires: By this application the undersigned gives notice of hi or h intrtio to perform the elec cal w k described below. Location(Street&Number) r Owner or Tenant Av 1Telephone No. Owner's Address ,qr 5£ t/�I`,Is this permit In conjunction with a.,bisii1igpermit? Yes� No ❑ (Check Appropriate Box) Purpose of Building/,V�f be(/(/ //f UtilityAuthorization No. Existing Service 106 Amps j,.O l (lC7Volts Overhead r Undgrd❑ No.of Meters New Service Amps / Volts Overhead Undgrd❑ No.of Meters Number of Feeders and Ampacity / Location nd Nature f Pro owed Electrical Work: cP�'I-Prr'11� �� t' LycNci ,„ Completion of the following_table m be waived by tire Inspector of Wires. II: No.of Recessed Luminaires No.of Cell:Soap.(Paddle)Fans No.off 7 otal Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting'r grad, grad. Battery Units No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW _ No.of Self-Contained Totals: ...._... Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local ElMConnectiunicipalon ElOther No.of Dryers / Heating Appliances KW Secure oS yevim s:* or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Rydromasasge 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 f E etric Wo k: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO E E: nless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provid's pro f 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: INSURANCES BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and nobles of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: L Signature LIC.NO.:j Of Itcabl q+e 'eze(rryt'n(r /i e n !i ut.Tel.No.: i (I /1 p�72�j Address: h 77.s.5 Q t'� Q� re of ` AI[.Tel.No.: (/ G-(7 J 4VC °Per M.G.L.c.147,s.5 61,security work requires Dep of Public e "S" c Lie.No. OWNER'S INSURANCE WAIVER: I am aware that t Licensee does nol 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:S 7 S