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Home My WebLink AboutE-19-1134 416 -4 w Commonwealth of Official Use Only lr'LS Massachusetts Permit No. BLDE-19-001134 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.1/07j 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:8/24/2018 City or Town of: YARMOUTH To the Inspector oftres By this application the undersigned gives notice 01 his or her intention to perform the electric rk described below. I, rj �� Location(Street&Number) 183 SOUTH SHORE DR UNIT F ER,5(,s ' l lt Owner or Tenant FRATANTONIO DOMENIC L TRS Telephone No. Owner's Address FRATANTONIO PATRICIA L TRS,397 PROSPECT ST,SHREWSBURY,MA 01545 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 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement condenser. ----3 Corn tion of the wing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)FansiTraoTotal formers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 1:1 �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 Initiating Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons I 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 Equivalent No.of Water KW No.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 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: Gary L Gordon Licensee: Gary L Gordon Signature LTC.NO.: 15290 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:37 BILLINGSGATE DR,DENNIS MA 026382234 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 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:$50.00 . e(7/(s ... ` -&L\ l_omnanrucalg of/t/aasacha c j _ Oficial Use On Permit No.a4- 1 3 art 2cpar{mat j ir `Jc erviat Occupancy and Fee Checked ' BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07] ' peke blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ,527 CMR 12.00 co it (PLEASE PRINT IN WK OR TYPE ALL INFORMATION) Date: 3 /a' City or Town of: YARMOUTH To the Insp cto of Wires: . By this application the undersigned gives notice of his or her intention to perform the ele • work described below. Location(Street&Number) /V J v �t-...iijie aide �• /_ ,y�y�-3 - . tile Own er•or Tenant ?efts-, tQ �y!/{Les s �/i/Tele7phoneNo. Owner's Address Q z Is thisPurpose permit of BttinzZding conjunction with a building permit?Iti$ Yes ❑ No ❑ (neck Appropriate Box) w Utility Authorization No. W en 2 Existing Service /OO Amps / a > N tr /oZ-a yv Volts Overhead Uadgrd El No.of Meters �¢ New Service ❑ Undgrd co 0 Amps / Volts Overhead ❑ Nti,of Meters _ W �aD a Number of Feeders andAmpacity f,/p�QCe_ e �'if]L%r,a /1 _ c /e e/u V �¢ o I Location and IQatnre of Proposed'� Electrical Wbr_k: '--'/ /`�G• �/_. . w ,J�IIJr trAr�-r/CP2 0 mCompletion of the ollow ne table may be waived by the Inspector of Asher. No.of Recessed Luminaires INo.of Cert-Susp.(Paddle)Fans NO'°f Total Transformers }CVA No. of Luminaire Onsets INo.of Hot Tubs Generators (CVA No.of Luminaires (Swimming Pool '4bove 0Ia- INo.of rmervency Ltghnag crud. arnel. Battery Units 1., No. of Receptacle Outie4 No.of OR Burners 'FIRE ALARMS INo,of Zones Na,of Switches No.of Gas Burners No.of Detection and • Initiating Devices No.of Ranges • Total Toa No,of Alerting Devices INo.of Air Cond.. No.of Waste Disposers Heat PumpBNnmber ('Tons ICW No.of Self-Contained 7 Totals:I Detection/4lertineDavices No. of Dishwashers • Space/Area Heating KW' Municipal Local❑Connection 0 Other No.of Dryers (Heating Appliances Security Systems:' No.of Water No.of Devices or Egmvalent Heaters KWNo. of No.of Data Wiring: Signs Ballasts No.of Devices or P` No. Hydromassage Bathtubs Equivalent - g No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER _ k /�-" Attach additional detail ifdesired or as required by the Inspector of Wires. Estimated Value of E .' - Work (When required by municipalpolicy.) li Work to Start i p ry') Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE Co VE• - GE: 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: INSURANCF BOND 0 OTHER ❑ (Specify) v I certify, under the pains to peenn .W.. s of perjury,that the information on this application is true and complete. 1 FIRM NAME: I ,,.,est —j 7 ....(7---c- LIC.NO: �Sa-9d Licensee: pct �d2Ge.N Signature _ (2 nm �' + _ LIC.NO��' (If applicable, enter 'a mpt"in the license number line) ^ - „ Bus.TeL No: Address: 37 Gil{, ,r �-..rq.. 17 et-J C. „ .4-a [� 14" J "Per M.G.L.c. 147,s.57-61 ecurfctyAlt.TeL No. OWNER'S INSURANCE WAIVER:workam requiresarthat then Licenseeu does not have the liabilityrinc insurance c �x required by law. By my signature below,I herebywaive this requiremento wcoverage normally S Owner/Agental I am the(check one)❑owner ❑owner's agent. Signature Telephone No. I PERMIT FEE:S '