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Home My WebLink AboutBLDE-19-001721 UNIT G or Commonwealth of Official Use Only fE Massachusetts Permit No. BLDE-19-001721 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:9/21/2018 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) 52G SOUTH SEA AVE Owner or Tenant STANFORD BARBARA RAE Telephone No. Owner's Address TOURIGNY LINDA L,507 N WASHINGTON ST,NO ATTLEBORO, MA 02760 Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec pi ' to Box) Purpose of Building Utility Authorization N itzfrExisting Service Amps Volts Overhead ❑ Undgrd No. New Service Amps Volts Overhead ❑ Undgrd Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install generator. ar n Completion of the following table may be waiv .or of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of • Transformers A No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 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 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 0 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: ALEXANDER LATIMER Licensee: ALEXANDER LATIMER Signature LIC.NO.: 54173 1 . (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 1g 1/141, 9 ratei — Srtt—Nor &Wei y —do c,ttc u/titi r- yer Commonttwea of///a..45ac ftt! Official Use Only c`� /�7 s Permit Ne - ( l __:i-__ = ..Uaparfinent of.1'ira ertriu! cked BOARD OF FIRE PREVENTION REGULATIONS Occupancy cy.a(l Fee blank)nk {Rev. 1/07] (leave 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: 9- /_SAS* '--) City or Town of: YARMOUTH To the Inspector of Wires: 1. By this application the tndersigned gives notice of his or her intention to perform the electrical work described below. Lacation(Street&Number) S p }f S�� i ve �92,, �' —0,_ LO�wner or Tenant . .C l.Ji l4 cA Telephone No. � a:2S-17R-SG67 t °k` `^r�s Address Snc S 4ve.. ,(hvS - =Q ler's s permit in con unction with a buildin1 g Permit. Yes ❑ No (Check Appropriate Box) I L Y cat ' ose of Building Utility Authorization No. F t� CEs sting Service Amps / Volts Overhead ❑. Undgrd W > ❑ No.of Meters c. rn Service r w, i_. Amps / Volts Overhead❑ Undgrd ❑ No.of Meters s a �. l L--- •--- J Vumber of Feeders and Ampacity —Location and Nature of Proposed Electrical Work: 6e,le rct..}.O c r4-41. A TS Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-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.o1 ll mergency Lighting • grid. rrnd. Battery Units çNo.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners No.of Detection and 0 No.of Ranges Total Initiating Devices .J g No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat I Number (Tons 1KW No.of Self-Contained � Totals:l I Detection/Alerting Devices V No.of Dishwashers SpacefArea HeatingKW Municipal kL�❑Connection ❑ �� `iri No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent Q.) No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: L No.of Devices or Equivalent OTHER: Q1 Attach additional detail ff desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) /-, Work to Start: �,. - 9_a(�a�7/�' Inspections to be requested in accordance with MEC Rule 10,and upon completion. 1i INSURANC'E 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. r CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify, under the Rains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: /?/CX L /.; -tcr,,Elecrl-rIC t a.r7 LIC.NO.: Licensee:,(eviz f %Fier Signature � . LIC.NO.: pp (If applicabter "exempt"in the license number line) S 7 rJ Address; C 4'/ c(( c- / ,wr e k m42 oda Ys Bus.Tel.No.: j Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.LiTc.e No.. 77y-al a^S3 cts —vr OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n — mally S required by law. By my signature below,I hereby waive this requirement I am the(check one)El owner ❑owner's agent. Owner/Agent I i Signature Telephone No. ( PERMIT FEE: $ 5(�