The URL can be used to link to this page

Home My WebLink AboutE-19-1338 • Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-001338 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:9/4/2018 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) 60 CEDAR ST Owner or Tenant INGRAM GEORGE Telephone No. Owner's Address INGRAM R ORSO E CARLINO R&S.40 GOLDEN AVE,MEDFORD,MA 02155 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ 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: Replacement weather head. 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 0 In- ElNo.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 Initiation 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 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: DAVID R NICOLL Licensee: David R Nicoll Signature LIC.NO.: 37557 (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:144 DRIFTWOOD LN,S YARMOUTH MA 026641038 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 • /� I . l.ommonmsalsh ry�//f 7r/assacL3eltd . 6.7 tpl,Use 9nlj�5IjFj Pi 1n79 c� c7 t� Permit No. J '/ L�i ' "Wg 2viDe.rfmcrl a/ iro Jervices T1TNc Occupancy and Fee Checked VVv BOARD• OF FIRE PREVENTION REGULATIONS 'Rev. 1/07] Cleave blank) ----• 4 • APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK . All work to be performed in accordance with the Massachusetts Electrical Code(MEPC)),527 CMR 12.00 12.00 (PLEASE PRINT IN INK OR TYPE ALLINFORMATIO?9 Date: seat: 7// *tn. 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) �7r>lm� -41002S 0 •--Q aB Crt p I� t`�6 OwnerorTenant 410.jQ GavAA s z-- CYii/Lvccf(lephoneNo. � (8 Owner's Address `b Is this permit in conjunction with a building permit? Yes I: No It (Check Appropriate Bo ) `7/ Purpose of Building Utility Authorization No. Existing Service/ID Amps /1c/)3a Volts Overhead f Q __ Undgrd❑ No.of Meters A �- ' Nw Service ❑ Undgrd Z _ Amps / Volts Overhead ❑ No. of Meters w `},sLN tuber of Feeders and Ampacity �.. 15L cation and Nature of Proposed Electrical Work: _a-A.40r , //24344 J W o !W Completion of the followinz table may be waived by the Inspector of Wires. V Lb !o .of Recessed Luminaires INo.of Ceif.-Susp.(Paddle)Fans • INo.of Total W I Transformers KVA .of Luminaire Outlets INo.of Hot Tubs (Generators KVA m Iib.of Luminaires ISwimmiug Pool Above grnd. I❑ In- 0 No.ofBattery hmergencyUnits Lighting grnd. No.of Receptacle Outlets No.of Oil Burners !FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and • • Initiating Devices No.of Ranges INo.of Air Cond. Total No.of Alerting Devices Tonnss No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals:I—um--�I "-'-� Detection/Alerting Devices No.of Dishwashers S acelArea Heating KW Municipal PLocal❑Connection ❑ ocher No.of Dryers Heating Appliances KW Security Syystems:' No.of Water No. Devices or Equivalent Heaters KW No. of No. of Data Wirinicingg; 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: 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 covyrage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE lell BOND 0 OTHER 0 (Specify: I cern)", u der the pains and penalties of perjury,that the inforrnati- applic•%on is tr - • complete. F[Rh1 NA . 7l� n � r C.NO.: � ,J>� Licensee: 1l ! viC L Signature •; �/ / Lit.NO.: (If applicable, a er ' a�tpt"in kens,�`number in 4� • . Address: 1, `l tivpp 7 Bus.Tel.No.: 7�f. ;•j'.693r J Alt.Tei.No.: ra�`2 r,� 'Per M.G.L.c.�4 s.57-61,security work requires Department of Public Safety"S"License: Lic.No. -`7` - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n- o�-'7313 S required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner 0 owner's agent t Owner/Agent al Signature Telephone No. I PERMIT FEE: S cj D