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Home My WebLink AboutBLD-21-002711 ` Commonwealth of Official Use Only E0Massachusetts Permit No. BLDE-21-002711 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:11/12/2020 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 scribe low. Location(Street&Number) 40 TURTLE COVE RD ( rfl c C-,12. Owner or Tenant NiilijigetbililieliS Telephone No. Owner's Address 40 TURTLE COVE RD,SOUTH YARMOUTH, MA 02664-4133 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. 7 Existing Service Amps Volts Overhead 0 Undgrd 0 o. New Service Amps Volts Overhead 0 Undgrd ❑ +. M e Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: GFI&switch for Taco relay for boiler. 4 b Completion of the following table may be wai8 c o Aires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of �a Transformers 4 No.of Luminaire Outlets No.of Hot Tubs Generators No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency Lighting grnd. grnd. Batter,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 ❑ 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: WILLIAM C FLIGG Licensee: William C Fligg Signature LIC.NO.: 12584 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:55 FREEMAN RD,YARMOUTH PORT MA 026752304 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: $50.00 w r - QQII �j / Commonwealth o/�/aalachudetb Official Use Only y / � dCJe arEmenE o ire�eruicea Permit No. �� 2� l ( Willi------- P / �� . Occupancy and Fee Checked ,� —�' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1107] (leave blank) 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 INF`O,,RMS T IOA) Date: 1\ — LO - 7_n City or Town of: XCyt/(�. a•..AkA To the Inspector of Wires: By this application the undersigned gives notice of his or her intentio to perfor the electrical work described below. Location(Street&Number) 9-6 T'LsY--k-k CcNi-e— ' CArW(. L. VV1kPc Owner or Tenant �c, \I..net V.�r V-A.( \\ Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes I I No n (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service te)(.1 Amps a Cs / Z\(OVolts Overhead Undgrd r No.of Meters New Service Amps / Volts Overhead I ( Undgrd No. of Meters Number of Feeders and Ampacity Lo ation and Nature of Proposed Electrical Work: 1,,`s ,\_e. c,--c., q v4 SW l+6 C/\_ I Completion of the following table may be waived by the Inspector of Wires, No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf Tot Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units , No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No. of Switches No.of Gas Burners No.inInitiatinnggan Dete and Devices No. of Ranges Total ges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons ,KW No.ofSelf Contained P Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal Other P Connection HeatingAppliances MN; 'Security Systems:* No.of Dryers PP No.of bevices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H •dromassa„e Bathtubs No.of Motors Total HP Telecommunications Wiring:al y i; 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: ti—[Cs—7 O 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 El-- BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties o xerjury,that the information on this application is true and complete. \ FIRM NAME:(./ -' A l C p%, l •i - C LC vL k 'L..__Xik4 I.IC:.NO.: VZS y —3 Licensee: k/�l ,((t �„,,,v C, cl to Signature �(�,6 ` (71 LIC.NO.: t(Ifapplicable.enter"exempt"in the licens umber line.) Bus.Tel.No.: `77 4- 5c.i'l� eY Address: Alt.Tel.No.: *Per M.G.L.c. 147, s. 57-61,security work requires Department of Public Safety"S"License: Lie.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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ to - 1