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Home My WebLink AboutE-19-2652 or r 011 Commonwealth of Official Use Only vL'E r Massachusetts Permit No. BLDE-19-002652 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Bev.//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 ININK OR TYPE ALL INFORMATION) Date:11/2/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perlomr the`e�lect�rical work described below. 94Q Location(Street&Number) 34 ANTHONY RD 1) 1)Q2r taCe Owner or Tenant Telephone No. Owner's Address A -: .. ----Ts :._4..--, ...._.-: ..IL _ c _-_ . ..._. - Is this permit in conjunction with a building permit? •Yes ❑ No ❑ (Check Appropriate Box)/!s C ,e A6 Purpose of Building Utility Authorization No. 2304390 tLl��yy(�Nf� Existing Service Amps .Volts Overhead ❑ Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Temporary service. 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- 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 Number_ Tons KW _ No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 Stens 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: WILLIAM SINCLAIR Licensee: William Sinclair Signature LIC.NO.: 18210 (Ijapplicable,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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. __ PERMIT FEE:$50.00 a ç,Q II( /t0t Commonwealth of Massachusetts �.°[rr-eria(4lwge oyy, �Z .� Ci G t LCa g_ Department of Fire Services Peretti No. =siti �; Occupancy and Fee Checked ° r V BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11199] (leave blank) �� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI 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: 11/1/18 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)34 Anthony Road Owner or Tenant Davenport Building Co Telephone No. Owner's Address20 North Main Street South Yarmouth Ma 02664 Is this permit in conjunction with a building permit? Yes gl No 0 (Check Appropriate Box) Purpose of Building Utility Authorization Nag41 3'-C) Existing Service Amps 12(1/2 Volts Overhead❑ Undgrd❑ No.of Meters New Service 100 Amps40 / Volts Overhead] Undgrd 0 No.of Meters 1 RINumber of Feeders and Ampacity O, ^^ Location and Nature of Proposed Electrical Work: Installation of new temp service t-0 Completion of the following table may be waived by the Inspector of Wires. Na of Recessed Fixtures Na of CeiL-Susp.(Paddle)Fans No.of Total Transformers KVA ® No..of Lighting Outlets No.of Hot Tubs Generators.' 20 i` Above In- Na of Emergency Lighting LU lTa of Lighting Fixtures Swimming Pool grnd. ❑ grind. ❑ Battery Units > (-5c-a I fin of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones u go i Ila of Switches No.of Gas Burners No.of Detection and Initiating Devices J V p i No.of Ranges No.of Mr Conti. Tons TotNo.of Alerting Devices LLJ Z le— Heat Pump Number Tons KW Na of Self-Contained i Na of Waste Disposers Totals: Detection/Alerting Devices C4u l Municipal tic of Dishwashers Space/Area Heating KW Local (-1 Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems: Na of Water Na of No.of Na of Devices or Equivalent Heaters KW Data Wiring: Signs Ballasts Na of Devices or Equivalent Na Hydromassage Bathtubs Na 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. 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 21 BOND 0 OTHER 0 (Specify:) (Expiration Date) Estimated Value of Electrical Work (When required by municipal policy.) Work to start: 11/1 X18 Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify,under the pains and penalties of perjury,that the information on this appl' ' %An is e and complete, FIRM Nom;: William Sinclair Electric Co Inc LIC.NO.:A18210 Licensee: William Sinclair Signature pi LIC.NO.: (If applicable,enter "exempt"in the license number line.) Bus.TeL No.•50&320-0841 Address: 180 South Meadow Road Plymouth, Ma 02360 Alt.TeL No.- OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not 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 0 owner's agent. Own Signaturetune Telephone Na PERMIT FEE:$ cd