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Home My WebLink AboutBLDE-21-003777 Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-21-003777 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:1/7/2021 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) 69 RITA AVE Owner or Tenant GARVEY CHRISTOPHER Telephone No. Owner's Address GARVEY JOHN A JR,82 COLBY ROAD, BRAINTREE, MA 02184 O Is this permit in conjunction with a building permit? Yes 0 No 0 (Che oprr Purpose of Building Utility Authorization No. f 4c) 4IP IR.,Service Amps Volts Overhead 0 Undgrd 0 �' ' t ..___ New Service Amps Volts Overhead 0 Undgrd 0 . r A Number of Feeders and Ampacity � O gr ' Location and Nature of Proposed Electrical Work: Replace all devices, new kitchen circuit&dish washer. v Completion of the following table may be waived j for of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of W al Transformers A No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.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 1 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 (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: $75.00 t,' ' t17--1121 W (6$.0vAA la 5uiz ,p4Aetwgz Vie Uateti40 ata , 1 I 14171 Commonwealth o1 Maaaachwdalid Official 1Use Only ). ' ,i cc7-�� Permit No. Z' ` —377 7 .: J s s� iOccupancy and Fee Checked 0 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (leave blank) ki APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK C) All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 t 1, (PLEASE PRINT IN INK OR TYPE1 , ALL INFORMATION) Date: - 5-aO 3 --V City or Town of: `1c c cx To the Inspector of Wires: 0.j By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) G Q ;-rc A Ile, (, Owner or Tenant -S-cli\Avl. Cln cV e- Telephone No. ce Owner's Address J IIs this permit in conjunction with a building permit? Yes ❑ No;g (Check Appropriate Box) .jf Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters v New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity k Location and Nature� of Proposed Electrical Work: ln�� e,Rc 0- �I deo?,e5 �. �r�k ce S. /`ic�,c nc\ et-t' k.e ct ('i QM- ,,,n,L C1:An waS14pc. ?et.ne k Re pl atceriler 4- 4P``: Completion of thefollowingtable mag be waived by the Ia ctor of Wires. Total t' No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of ,`y Transformers KVA KVA ,', No.of Luminaire Outlets No.of Hot Tubs Generators KVA ‘t: No.of Luminaires swimmingPool Above ❑ In- 0 No.of Emergency Lighting grad. grnd. Battery Units -' No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detectionand Initiating Devices 1 1= No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Heat Pump Number Tons KW No.of Self-Contained Totals: — Detection/Ale a Devices M No.of Dishwashers Space/Area Heating KW Local 0 Connection 0 O No.of Dryers Heating AppliancesKW NSecurityy of Devices or Equivalent No.of WaterKW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Egcommunicationsi�uiv�alent No.Hydromassage Bathtubs No.of Motors Total HP Tel No. f Devices or REquivillent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: oZOC)C) (When required by municipal policy.) Work to Start: (-LI-GZO 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 cerdfy,under th�t ns and penalties of perjury,that the information on this application is true and complete. FIRM NAME: /-tle1C I n „ruler LIC.NO.: f14 (7 3- Licensee: '4lC 1 -Io(- Signature, LIC.NO.: (If applicable,enter"exe,m_,ppt"in the license number line.) Bus.Tel No.; 7 1'1- l.Q- 31$ Address:5 Mzct� i15p L. ..»e ) I-foca_.t c,/tT Q oa64/s Alt.Tel.No.: *Per M.G.L.c. 14TS.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.