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Home My WebLink AboutBLDE-19-000395 i a< Commonwealth of Official Use Only 'twill% Massachusetts Permit No. BLDE-19-000395 . BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked fRev.l/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 TYJ'EALL INFORMATION) Date:7/18/2018 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 described below. _ Location(Street&Number) 32 CANTERBURY RD Owner or Tenant LARIMORE MARGARET A(LIFE EST) Telephone No. Owner's Address OLEARY LISA J TR,32 CANTERBURY RD,YARMOUTH PORT,MA 02675 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd 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: Swimming pool wiring&grounding. 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 SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting prier 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 0 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 Eaulvalent 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 ❑ BOND 0 OTHER 0 (Specify:) 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Lawrence R Brown Licensee: Lawrence R Brown Signature LIC.NO.: 30708 (If applicable.enter"exempt"in the license number line.) . Bus.Tel.No.: Address:30 LIMERICK CT,CENTERVILLE MA 026322713 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:$ 85.00 �FPCeOLL /Vo uJ/0 /Nips 77o/ e p# J /4"'isc Li/� / s etoOF 4 a )hilts c o ofn 19//8r--e_.-- '.e Commonwealth of /Massachusetts at o official Use Onlyr r*�-a c� Permit No. �1.9. ___O-3Q S IE—^g._� P „dt� 5 .l.Ja/JnrtmanF a` iia arnica) 5 Occupancy and Fee Checked 4fr ` BOARD OF FIRE PREVENTION REGULATIONS .,�"=�' [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AR 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: (July /F ao/s' City or Town of:PIRAbilittiaganna To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to performtthe electrical work described below. Location(Street&Number) 32 C4n/ TER.6&cey .9/ Owner or Tenant WETm ORE Telephone No. Owner's Address sigma" Is this permit in conjunction with a building permit/ Yes a No 0 (Check Appropriate Box), Purpose of Building re00 L Utility Authorization No. Existing Service /0O Amps ARO/.aYo Volts Overhead❑Undgrd 0 No.of Meters I New Service Amps /_Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity 3 '`/ /PO ff Location and Nature of Proposed Electrical Work: _,&' " ' `t" it.)//2g— Pap I 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- No.of Emergency Lighting gmd. gmdt< 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. Tons No.of Alerting Devices No. of Waste Disposers Heat Pump..Number_ .-Tara l -- No.of Self-Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local 0 Municipal 0 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 KW Signs Ballasts No.of Devices or Eouivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices gr-Equivalent-----; OTHER: RECEIVED ' Attach additional detail if desired,or as reoutr d spector of Wire. ,3 Estimated Value of Electrical Work: (When required by municipal policy.) ( Jf 1 8 2018 Work to Start: 7-11?""14' Inspections to be requested in accordance with MEC Rule 10,and completion. Qr et INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of ele trjsaj wsutkimaxisii Gl? 1 the licensee provides proof of liability insurance including"completed operation"coverage or its sjibstantial egvivalent.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:) I certify, under the pains and pena 'es of perjuy, that the information on this application is true and complete. FIRM NAME: ZfiRi/ R-0 &"P A1/V " ar12/C At A/ LIC.NO.: 3070�� Licensee: .afal i ?.i , .r Signatu IjAA y 4 �A�t 41 LIC.NO.: (If applicable, enter"exempt"in theli ense number line.) Bus.Tel.No.: 33r) . Address: C I fllnei CM' GT Geld-77572 ide., /IM/i tz4 63 z Alt.Tel.No.;e.g.'-0701) "7163 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.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. Owner/Agent PERMIT FEE: $ Signature Telephone No.