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Home My WebLink AboutBLDE-23-001782 Commonwealth of official Use Only fE Massachusetts Permit No. BLDE-23-001782 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:10/4/2022 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) 21 HERVEYLINES LN Owner or Tenant ATANAS PROEV Telephone No. Owner's Address 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 ❑ 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: Repairs to 0/H service. 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 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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 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 my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Sig ature Telephone No. PERMIT FEE: $50.00 I a ,P b'eGZ Pc ._—Cc7vivN— L C 'J tel.((72 ICE , 1 • . , _b ,.. • ^: ✓ e - ' r F I E ® t 4-oft c W� / o aa[th //aeeaclzueaf`le Official Use' Only tok .,� t C�C1 �� 2� cc��` `° ` Permit No. 5 � ` l c 1- �`^ .C1s art]punl v/�ipe Serviced j;� '''t Occupancy and Fee Checked 0 ` ''iOd D OF-�JllE.PREVENTION REGULATIONS [Rev. 1/07] (leave blank) V 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: /0- 4(- 02Oact 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. Q) Location(Street&Number) a ( He c veC �-i ne 5 L . . Owner or Tenant A k �0.S p f.O f,1 j Telephone No. G I Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No .Au (Check Appropriate Box) rU- Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd No.of Meters e New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity I Location and Nature of Proposed Electrical Work: Rey ,s-. C�,R e(P_C"T c ccaA se 4-V UC',P Ne? G.,cervie, o c� ,,„e s w e �(/._eo d v t Completion of the following table may be waived by the Inspector of Wires. "A No.of Total i,l, No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans cv Transformers KVA _ '.1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA (-..-.A Above In- No.of-Emergency Lighting No.of Luminaires • Swimming Pool grnd. ❑ grnd. ❑ Battery Units 't 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 Ili No.of Ranges No.of Air Cond. Total No.of AlertingDevices 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 , 'No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydroroassage 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: .. dv (When required by municipal policy.) Work to Start:76-"{- 20, , 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 [ 3 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: ,47l__.)c ( p`4 ;,n,l e_C— LIC.NO.: Licensee: 4(P_x Z__c..-1 i A,t_c- Signature ",�-7e,�E._ ��---- LIC.NO.: / ( 7.-5 (If applicable,enter"exempt"in the license number line.) / Bus.Tel.No.• -I T4-v`t 1 a-53g8' ' Address: Ge-14,� r c Ln te (Ir-L,t1 t /V4 OoZtL/LIt.Tel.No.: *Per M.G.L.c. 147,s.5-7-61,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 ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No, 12,4 & r6.'t-% !`/14/7 y