The URL can be used to link to this page

Home My WebLink AboutE-20-88 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-000088 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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:7/8/2019 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) 181 SOUTH SEA AVE Owner or Tenant LAIRD HARRY G III Telephone No. Owner's Address LAIRD MADELINE, 185 SOUTH SEA AVE,WEST YARMOUTH, MA 02673 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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install temporary receptacles. (LOCATED - C M 04 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 grnd. grnd. Battery 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 0 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 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 perjuiy,that the information on this application is true and complete. FIRM NAME: ALEXANDER LATIMER Licensee: ALEXANDER LATIMER Signature LIC.NO.: 54173 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:64 ROUND COVE RD, HARWICH MA 02645 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 '04�� 7/2.L (( ; j 0 ( IV � � `i �/ _ Commonwealth y of///assach”A ff4 • 2. ,- • Official Use Only 3J G . _ �'_ 2epartmoni o�yin.gwviced Permit No. / t1- : , BOARD OF FIRE PREVENTION REGULATIONS Oc a`S'and Fee Checked v `` [Rev. 1/o7] y (leave blank) 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: 7- a-de, i O1 City or Town of: YARMOUTH To the Inspector of Wires:AS. By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. ' Location(Street&Number) in 3 &Ri Se `' Owner or Tenant Andrea Telephone No., Owner's Address . ^ZO Is this permit in conjunction with a building permit? Yes ❑ Noe (Check AppropriateBox) Purpose of Building Utility Authorization No. 16. Existing Service Amps / Volts Overhead ❑ Und grd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd gr ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Pronosed Electrical Work: an pa-les-40_1 Completion of the following_table may be waived by the Inspector of Wires. - No.of Recessed Luminaires No.of Ce r1.-SIIsp.(Paddle)Fans No.of Total Transformers KVA TY No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ in ❑ No.of 1":mergency Lighting ornd ernd. Battery units (� ,Ci No.of Receptacle Outlets No.of O11 Burners FIRE ALARMS 'No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices `C) No.of Ranges No. of Air Cond. Tons No.of Alerting Devices K 40 (� No.of Waste Disposers Heat Pump j Number I Tons I W No.of Self-Contained 1 Totals:I J Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local D Municipal Connection 0 Other ' ' No.of Dryers Heating Appliances Security Systems:* �� No.of Water No.of Devices or Equivalent ^! No.of v Heaters ' No.of Data Wiring: Sins Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent OO Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work required by municipal policy.) Work to Start: (When�-8-.10 e9 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 111 undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE , 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: 410,AC 42 4.:ycet,..- Licensee: r hais LIC.NO.: ' "g Signature .r (If applicable,�rterempt"in the lic mbe li I IC.NO.. Address- ((��!!�' p 'fed.'� //armor / Bus.Tel No.: j `Per M.G.L. c. 147,s.57-61,security work re ires D G[ Alt.TeL No.: 9u Department of Public Safety"S"License: Lic.No. .. 3�1 b" — OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the liability required by law. Bymysignature insurance coverage normally S Owner/Agent below,I hereby waive this requirement I am the(check one ❑owner 0 owner's a eat Signature. TelePhoac No. . PERMIT FEE: $