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Home My WebLink AboutBlde-22-003457 '� Commonwealth of Official Use Only 11#41% Nit Massachusetts Permit No. BLDE-22-003457 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:12/20/2021 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) 55 NORTH SANDYSIDE LN Owner or Tenant Nicole McLaughlin Telephone No. Owner's Address YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 Purpose of Building Utility Authorization +,7 , , '"-` Existing Service 100 Amps Volts Overhead 0 Undgrd L. ' - - New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade 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 Initiatinn_Devices No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: -„- No.of Devices or Eauivalent 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: Steven F Figlioli Licensee: Steven F Figlioli Signature LIC.NO.: 10207 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:49 WAGON WHEEL RD, PLYMOUTH MA 023603482 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: $75.00 NA /IJL7�z l C e ry Sg2✓+camDisc, ta A,'v24 7t vMfr4�. b s4 £ikc,) £ Jov¢c°c /Z%7// ,..?-"a 41-,2 101 s.)vvM ci, .3,/ / ,40 t 2 l?Art, A • • CommenweaK el//laddacliadd#s Official Use Only '• .Uepar nE of,tier Serviced No. �ZZ J `57 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CM 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: M15-4 (9-I City or Town of: Yet f)'roU-{'ti\ 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) �s Nor-1-4- ncQ y�)d Owner or Tenant N 1 cal- m_c_La.v3h)i rl ( Telephone No.7E1-7 L7 /9/5- Owner's Address 1_iY)t-- Is this permit in conjunction with a building permit? Yes ❑ No Er- (Check Appropriate Box) Purpose of Building Utility Authorization No. 6 7 9//16 Existing Service /60 Amps DO/9/O Volts Overhead U Undgrd No.of Meters I New Service 9 co Amps /(0/al/C)Volts Overhead❑ Undgrd[ No.of Meters r/ Number of Feeders and Ampacity '//Q Al i Loading and Nature of Proposed Electrical Work: oP 9 /c o A-irr , lin a ) c ze Completion of thefollowingtable tp be waived by the hvpector of Wires. Total IA No.of Recessed Luminaires No.of CeL-Snap.(Paddle)Fans Transformers KVA W. KVA G1 No.of Laminaire Outlets No.of Hot Tubs Generators ' No.of Luminaires Sig p Above ❑ In- ❑ Bat eo y Units Lighting tend. mid. Battery Units No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners Rio.Io Detection i and � Initiatiaa Device i! No.of Ranges No.of Air Cond. Toons No.of Meiling Devices Heat No.of Waste Disposers PumpT Number Fans KVh�Detectig le�Devka No.of Dishwashers Space/Area Heating KW Local 0 CII nnaI on 0 Other Security s: No.of Dryers Heating Appliances i No.off Devices or Equivalent No.of Water , No.of No.of Day Wiring:Heaters Signs Ballasts No.of Devices or Eq �t _ No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsofDevices ��VV No.of Devices or Equivalent OTHER: Attach additional detail tf desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When requited by municipal policy.) Work to Start: 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 cov is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I cert0,under the pains and penakks,of perjury,that the on dds application is true and compete. FIRM NAME: Ste oe R311 c 1 i Mas� /� -/c/a.n LIC.NO.: f/0c7 Licensee: Sf UCL 1 F1 • �i of i Signature Z LIC.NO.: /9-/4�d 7 Of applicable.eater" "in the I Timber line.) Bus.Tel.No.:_�$-39 Address: V? G�o-ra /i) eL/ Rd. a' M, J_/nA 0 236'O Alt.TeL No.: ,_mil/ 'Per M.G.L.c. 147,s.57-61,security work requires r . 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 requitement. I am the(check one) ' Owner/Agent Downer ❑owner's agent. Signature Telephone No. I PERMIT FEE:$ e•4t • .tf-4,