EP-37 Report Fee pd $ 20.00
Owner Long Built Homes Date 7/20/94
Address 26 SUNDANCE RD., N. D. 79/48-29 Permit No. 37
Contractor Kenneth Charlton C1127 L uo _= Red
Address30 Acorn St. , N.B. MA 02740 Green White
Remarks NEW DWELLING: SECURITY SYSTEM (pre-wire only)
Ready 7/21/94
Inspected By: Date
�) p O WORK REQUEST INFORMATION PAGE 1 OF
1v'h.l�b tY� �Itl� WORK It \ PAGE 1
Y """' _` SEP 09 , 1996
Entry Date : C•....S ED....n Req . Da t : 18-..S Eu-9
Work Request No : 119529 ��.,u�: . 0� SEP �6 \� ;�
Entered Sy : oAMOS , DEBORAH A . a /Re,- Co
WR Type : N W SERVICE Annual
nnla- Ka r am �J
O,L�V4.1
WR Status : DES Annual K�rVH: c c,
Demand Lb-ad „W:
1,7 C? I /RES NEW WIRING r C HOUSE ^_n
4Y1, Description : JD , f?E YLYY �,
WR Name /Custom r : GU A LEONARD t�
m L!'„ IYl,I,V
Service Address : 42 SUNDANCE ST Acct# : ca -'-• -rn
City : DARTMOUTH
Ci i tP d-i• MH No : 10/'y0n72 t'S 90(�.- B l et : Pl of :
i fl e t l a t i 1 1 V V! G t 1 J 1.1 V V 1. . 1+
YO NG a A Rov
Designer : l �J .�8. 00D„�!",,,,\ � L
CONTACTS Name - Tyne Phone No
FALL °IVE°, P'/h 02720 ELECT ( ; x
WALTERS , CLAY ELECT (508 57o_n290
ELECTRICAL
REQUIREMENTS Service Voltage : 120 /240 3W 1PH Number of Meters : 1
Amperage : 200 Typo of Heat :
Phase : 1 Meter Number :
Service' Location : OK TO TERMINATE SERVICE AT HANDHOLE NEAR
„� �TERMINATE SERVICE
DRIVEWAY Or_, RIGHT SIDE FACING HOI IS C LEAVING
,l L VV I'"\ f � � RIGHT FACING Y V i V V J L V /-\ Y V
ENOUGH CABLE FOR COM/ELEC TO MAKE
�( �•,
v'ONNECTIONS . TM! #93426
O A D
T nlr'r,r.t4a-r rr,$I
ice ese Only1
€.wt__z The Commonwealt of Massachusetts / L
.., 'Ltd_-r Permit So.
.H f_ : L/epQ 2CT)t of Public Safety Occupancy 1. Fee Checked
�' BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 1200 3/90 (leave blank) 7--a �'
� `r ',/-
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code.527 CMR 12:00
(PLEASE PRINT IN INK OR. TYPE ALL INFORISAJ:ION) Date 7/%<2/yam
City or Town of zAt '/2v e'('/ /2' To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below. -, y
location (Street Eh Number) .off - 1:---o'//)///C. ,< ,J Lt Jc
ep,
Owner or Tenant !— V/ t:-'e . f /Je`/+i':.�
Owner's Address , % X/ L_„
%,5i . .✓L /V / /_ ,v�C, ',)
Is this permit in conjunction with a building permit: Yes Er No ❑ (Check Appropriate Box)
Purpose of Building '/V47/, . /A ;'/V Utility Authorization NO.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters
New Service Amps / Volts Overhead ❑ Undgrd 0 No. of litters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work ?4 /�/e/ ...5 X , /Tip
(1,sC9f---v+is: 's- e�hii.y)
No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total
RVA
No. of Lighting Fixtures Swimming Pool Above In-
grnd. ❑ grnd. ❑ Generators KVA
No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting
Battery Units —
No. of Switch Outlets No. o-f-Gas-Burners -- FIRE ALARMS No. of Zones
No. of Ranges No. of Air Cond. Total No. of Detection and
tons Initiating Devices _
Heat Total Total
No. of Disposals No. of Pis Tons KW No. of Sounding Devices
No. of Dishwashers Space/Area Heating KW No. of Self Contained
Detection/Sounding Devices
No. of Dryers Heating Devices KW Local❑ Municipal ❑Other
Connection
No. of Water Heaters KW No, of Lo:. Voltage
Signs Ballastsof Wiring
—
No. Hydro Massage Tubs No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current Liability nsurance Policy including Completed Operations Coverage or its substantial
equivalent. YES❑ NO I have submitted valid proof of same to this office. YES❑ NO
If you have checked YES, please indicate the type of coverage by checking the appropriate box.
INSURANCE ❑ BOND ❑ OTHER❑ (Please Specify)
Estimated Value of Electrical Work $ -i 6 (Expiration Dace)
Work to Start //, -'/4 ' Inspection Date Requested: Rough 7. / /g-Final
uigned ta.:der the Penalties of perjury: ?'& is—vv:.,e &v ow.3'
` FIRM NAME C�C ..iZi 7-2/ C - f1/�/;/ / j..Ic. NO. C- /f
Licensee /�.�%,/,/,,�%/// ///f4/f4A' Signature s.,, X /'1!-R.t.L'!,LIC. NO. ,`
Address f7 ,"` ,:-' //44i 4,,, .,i .'l'Bus. el. No. � 1..Z >"
3 /`1 o✓ -�/f/V�v✓ f�r�/�� x
Alt. Tel. No. /4 )H .- :: ?4 f'%G/.. ` t
0 'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub-
at nt 1 equivalent as required by Massachusetts General Laws, and that my signature on this permit
ap li a n wa ves t is requirement. Owner Agent (Please check one)
\ Telephone No. �-- /6 w // PERMIT FEE S )0
Signature of Owner o nt)
BC- 84
RECEIPT FOR PERMIT
�00 :4.M TOWN OF DARTMOUTH -`
� �r PERMIT NO.
No
•to yy
-Jeea•s
Date
Received From M
Owner r
Location
Type
Amount Paid
Received By
4