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Home My WebLink AboutBLDE-19-003063 kQ(`t Commonwealth of Official Use Only fE �\' Massachusetts Permit No. BLDE-19-003063 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.i/071 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 City or Town of: YARMOUTH To the Inspector of Wires: fit% L (�'Ve_ ' A� , ^ By this application the undersigned gives notice of his or her intention to pertomr the electrical-work described below. Location(Street&Number) 70 LONG POND DR 'J R� -"rb. togS Owner or Tenant WEST ALTON H Telephone No. Owner's Address C/O TOWNS JOSEPH W,70 LONG POND DR, SOUTH YARMOUTH, MA 02664-4164 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ 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- ❑ No.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 Initiatine 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 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 ifdesired.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: 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 4,a /,�/IB t- (ci pates 7111-0-- x,43 i s8 i/2iff � 8E,9_ C 2 -3o> /1/2-o/, 8 • r,( - J� ammo Puma&o//flaesac ffa Official Use Only U his ryaParivun(o�.yi. pervicxs Permit No. €74-310Co3 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 7tey. 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 MK OR TYPE ALL INFORMATION) Date: it / 15/ e City or Town of: YARMOUTH To the Inspector of Wires: . By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) 70 /91/s' /ylit D1;i/{ ,C) Owner kir Tenant 5-.2G j3Wn5 .,.,,9 Owner's Address sdnt„ Telephone No. Is this permit in conjunction with a building permit? Yes 0 No Er (Check Appropriate Sar) Pu ose of Building bWt(II4S Utility Authorization No. n r----Ef4stilI Service Amps J / Volts Overhead ❑ Uvd LU m NeFr dive ❑ No.of Meters M _ Amps / Volts Overhead❑ Undgrd❑ Ne.of Meters •J N NimI r of Feedersand Ampacity w r.-t L atl n and Nature of Proposed Electrical Work: II(Pk (,en U, r AeA. j ce> ,� N Ro^skrSw�rah 0 (wj o Completion ofthe foQowing table may be waived by the Inspector of Wires. Nd.o'Rettssed LuntinaQees �p (p ) No.of No.of Ceti.-S at. Fans INA Transformers t NO.°o'Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above In- 'No.of Emergency Ligating erred. orad. BatteryUnits No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and • Initiating Devices No,of Ranges No.of Mr Cond. Ton 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 KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring - 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(desired or as required by the Inspector of Wires. Estimated Value of Electrical Work (When required by municipal policy.) Work to Start 11/1.51/if 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND 0 OTHER 0 (Specify:) I certs)y, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: cCA L•ltcWtc L' C Licensee: ,t✓1 C griConi //' LIC.NO.: ES)3& Signature (Ifapplicable,enter"es LIC.NO.: F5/36e1 3 M t 4 Atha tpit ri% D a Bus.Tel.No.�SD S }$I Address: CIt 1 /y _J `Per M.G.L.c. 147,s.57-61,security work requires D arnnrnt of Public SafetyAlt.Tel.No.: eP "S"License: Lic.No. -------- ' - - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally j O reddA by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's w ent Signature Telephone No. I PERMIT FEE: S G