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Home My WebLink AboutE-19-2918 Commonwealth of Official Use Only lE Massachusetts Permit No. BLDE-19-002918 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.l/07j 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:11/13/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonn the electrical work described below. Location(Street&Number) 39 SUMMER ST Owner or Tenant SIMPKINS WILLARD R Telephone No. Owner's Address PO BOX 21,YARMOUTH PORT, MA 02675-0021 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install 60 amp feeder to barn. 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 Ab ❑ In- No.of Emergency Lighting grnove d. grnd. 1:1 No. Units No.of Receptacle Outlets 1 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 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 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 ❑ 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: SANDY I MCLARDY Licensee: SANDY I MCLARDY Signature LTC.NO.: 51160 (If applicable.enter"exempt"in the license number line.) Bus.Tel.No.: Address:608 MAPLE AVE,EWING NJ 08618 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:$7100 Q.ge9 EtpitMti e 1) ((It91(6 c - t/i((9 t :.\)CIN: tAminasa ea' o`Massachusetts • use Only y, cc'� Thew ••‘T---6-5:tre `�i$ •Zeparlanent of Thew.� Permit No. _1_ ...Sig-vices ' '— BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 'Rev. lro7) r (leave blank) . APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK AU work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 1200 (PLEASE PRINT ININK ORTYPE ALL INFORMATI0119 Date: / f- ) '3 _ i City or Town of: YARMOUTH To the Inspector of Wires: By this application the Imdersigned gives notice of his or her intention to perform the electrical work described below. • . Location(Street&Number) 65! 1 ..5U rr, Y✓1 to J T-• Owner'orTenant TTprS2 11,01,062•or.-", Telephone No.$o p_ ga Owner's Address 41/vlF ' Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building ❑ do Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead a Undgrd ❑ No.of Meters _ New Service _ Amps / Volts Overhead❑ Una CTd ❑ No.of Meters Number of Feeders and Ampacity • -- ,1 m titLocation and Nature of Proposed Electrical Work; N tt a Completion of the follawinpytable may be waived by the Inspector of Wives. I '--t , No.of Recessed Luminaires No.of Ceti.-Susp.(Paddle)Fans No.of Tota! 1 C. tl'�� Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA I No.of Lamiaaires . Swimming Pool Above In- No.of k mergency Lighting - grntL grad. 0 Battery Units No.of Receptacle Outlets .1 No.of Oil Burners FIRE ALARMS INo.of Zones - No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Total No.of Ranges No.of Air Cond. Tons 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 [CW' Muni ' al I.oal0 Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* - No.of Water No.of No.of Devices or Equivalent Heaters KH 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: s V "el / ,p _ Attach addit'ional detail if desired oras required by the Inspector of Wires, Estimated Value of Electrical Wort` I Q 0 0 (When required by municipal policy.) Work to Start 1 1-1 3-I g 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:) !certify, under the pains an penalties ofperju ,that the information on this application is true and complete. FIRM NAME: Cp, ,/ r L a Tel. NO.: ,�'1 f. 6 t7 Licensee: �, __ A , Signature �//J (Ifcpplicabl enter"crew 'in the license b lila) LIC.NO.: Address IL7 f/ ?asr-.-r 1� �, �.",, ‘,4 iO�S,f Alt. No. �sP� j *Per M.G.L.c. 147,s.57-61,securitywork rt AIL Tel.No.: quires Deparnnent of Public Safety"S"License: Lie.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 a ent i, Owner/Agentg Signature Telephone No. I PERMITFEE: $