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Home My WebLink AboutE-19-731 4 a. Commonwealth of Official Use Only AIa Massachusetts Permit No. BLDE-19-000731 • 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:8/7/2018 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) 26 FOUR SEASONS DR Owner or Tenant DAVENPORT DEWITT P TR Telephone No. Owner's Address DAVENPORT REALTY TRUST,20 NORTH MAIN ST,SOUTH YARMOUTH,MA 02664 t4. Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) tkerth i " / Purpose of Building Utility Authorization No. 2273716 Existing Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires Na.of Ceil:Susp.(Paddle)Fans No. Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool AbovMd. 0 CINo.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. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump NumberTons KW _ No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: WILLIAM SINCLAIR Licensee: William Sinclair Signature LIC.NO.: 18210 (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:180 SOUTH MEADOW RD,PLYMOUTH MA 023608901 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:$180.00 Kok/ eiplib Kt 1017/18 Le $5,pl-t-ied-cli rr( r b 4 CctZUl l '-1r 7/r8 t/..7 / nn / C.ammomunaL of tr�y/alac ltd Official Use Only y g :(j s Permit No. 8 6) 1 n`ems aP art trent o/ Service! =_[i= , • BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fce Checked • ev. I/07j (leave blank) APPLICATION FORPERMIT 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 INFOR CITION) Date: r/$4 q City or Town of: YARMOUTH m 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)a6 60(' 55..srS6l7c 7,("cc, e. Owneror Tenant 7Aciem put 7 , r( CY f CS Telephone No. Owner's Address cQ.g /H u rn c,C--- Y*ru-ro&7, A-1 79- Is this permit in conjunction with a building permit? Yes jEl. No 0 (CheckAppropri Box) Purpose of Building /Jj•� moos (' Utility Authorization No.o7o�,° .Z7JA Existing Service Amps / Volts Overhead 0 Undgrci 0 No.of Meters New Service 19-4t2 Amps /20 /,CC—Volts Overhead❑ Undgrd No.of Meters Number of Feeders and Ampacity y/ef >- vi('jh Location and Nature of Proposed Electrical Work: tone f eta j4 o s1 Completion ofthefollowtng a of Totbe waived by the I sped r of Wires. No.of Recessed Luminaires r No.of Celt-Snap.(Paddle)Fans Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No.of Luminaires Swimming Pool Above ❑ In-orttd. B0 No. attofery EmUnitsergency Lighting grn No.of Receptacle Outlets 60 No.of Oil Burners FIRE ALARMS 'No.of Zones No.of Switches S s No.of Gas Burners No.of Detection and • Initiating Devices No.of Ranges l No.of Air Coad Tons al S No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers ( Space/Area Heating KW' Local❑ Municipal Connection 0 other No.of Dryers ) Heating Appliances KVV Security Systems:•No.of No.of Water No.of No.of Data Wino evices or Equivalent _ Heaters Sirs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors J otal HP Telecommunications Wiring: _ No.of Devices or Equivalent OTHER: ( Attach additional derail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: --------- (When required by municipal policy.) Work to Start: c- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE O RAGE: 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 CBOND 0 OTHER 0 (Specify:) I cernfy,under the pains and penalties of perjury,that the information on this application ' true and complete. FIRM NAME: , 1 � / - f2e7itc Pe .L-/G / /'' •NO.:/frg-e9/ Q Licensee: /(filZr 104 /Nr/I( Signature i ILI iNO.: (If applicable, enter"exempt'in the license numb r(ine.) Bus.Tel.No.: • / Address. / 414 4(9,4;94, fi1v i,Ii! /La-D&Z � Alt.Tel.No.: J 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. Q OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally requ1- Owire d d bygentaw. By my signature below,I hereby waive this requirement. I am the(check one)El owner ❑owner's agent. d Signature Telephone No. I PERMIT FEE: $