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Home My WebLink AboutBLDE-23-000973 Commonwealth of Official Use Only . ` ; Massachusetts Permit No. BLDE-23-000973 it `+-»' 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:8/23/2022 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) 111 SISTERS CIR Owner or Tenant RANA MAHMOOD M Telephone No. Owner's Address 111 SISTERS CIR,YARMOUTH PORT, MA 02675 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 generator 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 1 KVA No.of Luminaires Swimming Pool Above 0 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 ❑ 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 ❑ (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 Signature Telephone No. PERMIT FEE: $100.00 ' Ffitproi 1€ CO ikaufr 6170)i gE- i12e22a .- 4 • 4 •4 Commanuniall4 o/Madusachimetia .Official Use OnA Permit No. 2eparimsn1 of ties...ceruiced atoBiorOnTAthoRewunDndersOoFf:igFnleRdieEcAriPvesRevunEnoliEceN:f4{,lhOisN.orRhEerGiliUlAtiTonIOtoNpSerfToorm° the electrical and Fee Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK cj. '7- All work to be perfonned in accordance with the Massachusetts Electrical Code de(ME:52v7eCbMlanl:12.00 1 2Rrie n aN Tn t IN [Rev.the liInspector of Wires: electrical work described below. Telephone No. Ed \Boy(PLEASEtnheisra'application or Tenant INK OR TYPELLINFLORMA RaauLTION) Date: 6:).-a 3.-cac.) .R. ti Location(Street&Number) /1/ S iS4CCS C;Istt (...t a., Owner's Address (-1.,•• I/I' Is this permit in conjunction with a building permit? Yes El No 0 (Check Appropriate Box) 40 i Purpose of Building Utility Authorization No. Q..) Existing Service Amps / Volts Overhead n UndgrdEl No.of Meters New Service Amps / Volts Overhead 0 Undgrd El No.of Meters --• Number of Feeders and Ampacity Location and Nature of Proposed Electrical Woilc: •S+0 ,„Ab 8e,n_e„...4-0.,r-- ,- 14 r-AN. 4-mock tin Completion of the followingjable m97 be waived by the Inspector of Wires. ks, No.of Total No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans Transformers KVA C No.of Luminaire Outlets No.of Hot Tubs Generators KVA t.: No.of Luminidres Above r---1 u Swimming Pool Pool su.nd. grnd. 17 No.ot Emergency Lighting — Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Na of Detection and N ' o of Ssvitches :4'• No.of Gas Burners Initiating Devices Total I'I, No.of Ranges No.of Air Cond. No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local r--1 Municipal l•-•1 nig_ LJ Connection '--, "`"'"'" No.of Dryers Heating Appliances KW SecuNrity vi Systems:* o.of Deces or Equivalent No.of Water No.of No.of ICW Data Wiring: Heaters signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromusage Bathtubs No.of Motors Total HP No.of Devices or Equivident OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: ISO 0 (When required by municipal policy.) Work to Start:.8'-(ei-dada a 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 certifr,under the inn an penaldes of perjury,that the information on this application is true and complete. FIRM NAME: ti(epe j„,,a4r‘ t 01.9 C"-- LIC.NO.: Licensee: Ateic. if.4.4-tm.et-- Signature ..‘iorX _________ LIC.NO.:5 4 (7 3 -6 (If applicable,enter"exempt"in the license number line.) Bus.TeL No.: ? 74t-.),(A-VS eat Address: E /4<it F?,eitt. ',Gale- (-40.4iftl.t. /14/Q 0 9.414 5 AIL TeL No.: *Per M.G.L.c. 147,s.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)D owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ _ _