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Home My WebLink AboutBLDE-19-001167 Commonwealth of Official Use Only ate, ItPEMassachusetts Permit No. BLDE-19-001167 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.)/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:8/27/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work describedl IS —. arc Location(Street&Number) 93 STRATFORD LN ' I)`J 1 rt.$$IS ��,UN 4VV c a) A Owner or Tenant ,4L6SGTA-S FeHFN-M ` Telephone No. .y Owner's AddresseSE-14.6/46CLT-r Pfl It h0.6 ,rw:u,ia, y. Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) ` u, Purpose of Building Utility Authoriz tion No. 2Z7 37/54 \��r• iS t Existing Service Amps Volts Overhead 0 Undgr' 0 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 10 No.of Ceil.Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 12 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Ab ❑ In- ❑ No.of Emergency Lighting grnove d. grnd. Battery Units No.of Receptacle Outlets 45 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 12 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump I Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal ❑ Other: _ Connection - No.of Dryers 1 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 INo.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: WILLIAM SINCLAIR Licensee: William Sinclair Signature LIC.NO.: 18210 (If applicable,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 vLet eS (r6 P,ntic /rj6K- r`icN ca IF Conant" tic 21(5 )J1Ce- Y/Z%g Commonwealth of Massachusetts Officififse Orli/ "M�`'t Permit No. a L Department of Fire Services f a'sr# ' Occupancy and Fee Checked ':.fir:*- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/99] ave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK t All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (4);LE,ASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 8/27/18 `[ o8 YarmTo the Inspector of Wires: y this applicationCityor Town the undersigned gives noticeouth of his or her intention to perfc m the electrical work described below. ikLocation(Street&Number)93 Strafford Lane Owner or Tenant Davenport Building Co Telephone No. Owner's Address 20 Main Street South Yarmouth Ma Is this permit in conjunction with a building permit? Yes No 0 (Check Appropriate Boxx) Purpose of Building Utility Authorization No.ac� Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service 200 Amps 240/RD Volts Overhead 0 Undgrd ® No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: wire new house fa 1"' Co ./edam o the allowin; table ma be waived. the Ins.-ctor o Wires. Lli , I,f Recessed Fixtures 10 Na of CeiL-Susp (Paddle)Fans o.o ota I, Transformers KVA !' 1 f Lighting OutletsNo.of Hot TubsGenerators KVA r— mAbove In• No of Emergency Lighting af Lighting Fixtures 12Swimming Poolgrnd. ❑ grnd. ❑ Battery Units I f Receptacle Outlets45No.of Oil BurnersFIRE ALARMS No of Zones Switches1'LNo of Gas BurnersNo.of Detection and m t initiating Devices - Ranges 1 No.of Air Cond. Total No.of Alerting Devices Tons ed No.of Waste Disposers keaPump Totals: •Number Tons KW NDetection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal ❑ Other p g Connection No.of Dryers 1 Heating Appliances KW Security Systems: Na of Devices or Equivalent No.of WaterKms, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Devices os EWquivalent No.of Devices or Equivalent OTHER: Attach additional detail Vdesired,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 8/25/1 8 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 applicatio true a complete. FIRM NAmE: William Sinclair Electric Co Inc N LIC.No.:A18210 Licensee: William Sinclair Signature2I, C.NO.: al.applicable,enter "exempt"in the license number one.) Bus.Tel.No. 508-320-0841 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 rgent PERMIT FEE:$ I n ipso Telephone No.