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Home My WebLink AboutBLDE-19-000845 . b. Commonwealth of Official Use Only 11.1111Massachusetts Permit No. BLDE-19-000845 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.l/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:8/13/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives no ice o is or er men ion o per orm ec nca work described bepoy✓'-7-1.1-Location(Street&Number) 29 VIRGINIA ST .oV IgJ A- ��f ki Owner or Tenant CARR WILLIAM J(LIFE EST) Telephone No. Owner's Address CARR MARGARET A(LIFE EST),29 VIRGINIA ST,WEST YARMOUTH,MA 02673 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 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install generator 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 1 KVA No.of Luminaires Swimming Pool Abov ❑ In- ElNo.of Emergency Lighting end.e ¢end. 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. 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: John J Ostiguy Licensee: John J Ostiguy Signature LW.NO.: 18192 Cfapplicable,enter"erempt"in the license number line.) Bus.Tel.No.: Address:396 MARION RD,MIDDLEBORO MA 023463102 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 I. Q41_, 9/ f7/ (6 • 036— �( e Sik /r yy COasAWISIM 'LI�k 4 trt�� aeeachiaeeffe Official�Q V el4s � c't �a Permit No. $' �° Theper6Aeaf o,Jire`yeroicee a'le';g ¢'tl$1. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONSRev.110 Oeave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AU scot to be performed in accordase with the Massachusetts Electrical Code fl C).1527 nix 12.00 (PLEASE PRINT LNLNJCORTYP iLLLNoOs FOR ITION) Date: (((OSSS)I` s City or Town of: Ri 1bU,T To the Inspector of Wires: By this application the undersi_aned ves notice of his or her intention to perform the electrical work described below. Location(Street&Number) tel \A.1241N I A- sr Owner or Tenant bb N NA- c€1..l y Telephone No.4)336 q 2.51137 Owner's Address t yyn° Is this permit in conjunction with a building permit? Yes 0 No ® (Check Appropriate Box) Purpose of Building residence nutty Authorization No. Existing Senice_ Amps / Volts Overhead 0 i ndgrd❑ No.of\letet•s New Service _ Amps / Volts Overhead❑ rndgrd❑ No.of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Back up power/generator Completion of the followin table nem'be tratved by the insperror tf alms. No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans :No.addle) T Transformers A No.of Luminaire Outlets No.of Hot Tubs Generators E A No.of Luminaires Swimming Pool Above ❑ In- n No.oftmergency Lighting glad. gt•nd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas BurNo.of Detection and Initiating Devices No.of Ranges No.of Air C'ond. ions No.of Alerting Devices No.of Waste Disposers Totals: Pump ?umber Tons I.\\ %o.of Self-Contained Totals: DetectioniAleitng_�Deices No.of Dishwashers Space/Area Heating EW Local 0 `innieipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:" No.of Deices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hy-dromaseage Bathtubs No.of Motors Total ITP telecommunications\\iliaY: No.of Deices or Equlvafent OTHER: Attach additional derail(/'desired,or as required by the hupecror 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 protides 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 0 (Specify:) IerrtIj',under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Reliable Power Services LIC.NO.:18192A Licensee: John Ostiguy Signature p 1r LIC.NO.:18192A t{fappllcable,enter"exempt"he the license number line) Bus.Tel.No.•508 946 2298 Address: 40 County Rd East Freetown MA 02717 Alt.Tel:No.:508 916 0354 elect M.G.L.e.147.s.57-61.securitystork requires Department of Public Safety"S-License: Lie.No. OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does nor have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)f owner n owner s agent. Owner/Agent Signature __ __ _ _______ Telephone No. .__.._ I PERMIT FEE:S 51i- OJ