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Home My WebLink AboutE-19-3061 _: Commonwealth of Official Use Only .01 fE !►i"' Massachusetts Permit No. BLDE-19-003061 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:11/19/2018 4/3.531- 1227. To the Inspector of Wires: City or Town of: YARMOUTH so�'y,-, 2.s8..... %-g By this application the undersigned gives notice of his or her intention to perform the` electrical work described b to C Al(A Location(Street&Number) 21 ST ANDREWS WAY /'�t(O��l�( (RAJA/ Owner or Tenant NEWBOLD JOHN B Telephone No. Owner's Address NEWBOLD JEAN B,21 ST ANDREWS WAY,SOUTH YARMOUTH, MA 02664 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 ❑ 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 11 No.of Luminaires Swimming Pool Above ❑ In- ETNo.of Emergency Lighting grnd. Rrnd. 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/Alertine 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 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: SEAN C ROGAN Licensee: Sean C Rogan Signature _ LIC.NO.: 20141 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:30 MELIX AVE,PLYMOUTH MA 023601280 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:$50.00 1\117p-- 431 - 11/490 e .et_ Stv (aro- c (' — I c%, /IIS) OIL at( 124(8et Olva 9 4 _✓ //�man y� l.o' n, 0 01///ask:Jam is .". Use geA NEM .�, arcuated ol.tire._cervices Pamir No. v = : BOARD OF FIRE PREVERccuev. 1/0 NTION REGULATIONS O 87]ncown and Fee blankeked APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.0D (PLEASE PRINT IN IRK OR TYPE ALL INFORMAT1019 Date: II/15/1y City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. . Location(Street&Number) 2.1 Sr AncLrLW5 WPB/ Owner'orTenant /hi LI,AEI haat1,1lit^ Telephone No. Owner's Address sow _________ • Is this permit in conjunction with a building permit? Yes 0 No [ (Check Appropriate Box) Purpose of Building DWGIIIl) Utility Authorization No. Existing Service_ Amps / Volts Overhead ❑ Und gid❑ No.of Meters New erviee Amps / Volts Overhead 0 � Undgrd0 No.of Meters W1"--%n iNin$er ofFeeders and Ampacity -- 0ca on and ture of Proposed Electrical Work: $1 kW edneror,r 'In1L /Pi ip Itpjs r5t,/,r� ›IRRIQ 1 w u 11{� Completion of thefollowing table may be waived 5y the Inspector of Wirer, 0 1'i9.4•Recessed Luminaires No.of Cal.-Susp•(Paddle)Fans No.of Total V � 1 Tnnsforruers ICVA _ Ll� Cr. ; n.if Luminaire Outlets No.of Hot Tubs Generators KVA (L/ 14...P-Luminaires Swimmin Pool Above In_ No.of Lmergency Ltghun g crud. arnd. 0 Battery Units g NT Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices TNo.of Ranges No.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained — Totals:I I I Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW' Municipal Load 0 Connection 0 Oma No.of Dryers Heating Appliances KW Security Systems:' No.of Water No.of Devices or Equivalent Heaters KW No.of Na.of Data Wiring Signs Ballasts Na of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: — No.of Devices or Equivalent OTHER: ' • Attach additional detail ifdaired or as required by the Inspector of Wlj.es Estimated Value of Electrical World (When required by municipal policy.) Work to Start: 11/15/1'j 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND 0 OTHER 0 (Specify:) I cerdfy, under the pains and penaldees ofperjury,that the information on this application is true and complete. FIRM NAME: _Sea El tciflc fn C LIC.NO.: AII141 Licensee: SG"" C /?c,a✓ Signature . ) ( (If applicable,enter"exempt" n thelicense numr line.) .) LIC.NO.:C• '�1,3r�q 3�Arch gg Bus.Tel.No. 5-7l4 X Acs Nyhool MO O�G7 • Alt.Address Tel.No.: Pi J 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. Q OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coveragenormally required by law. By my signature below,I hereby waive this requirementam I the(check one)0 owner 0 owners agent m Owner/Agentv ISignature Telephone No. I PERMIT FEE:$ 5