HomeMy WebLinkAboutBLDE-22-000870 ,
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l�/' I`� Commonwealth of Official Use Only
tip% �/ Massachusetts Permit No. BLDE-22-000870
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•8/16/2021
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) 179 CENTER ST t 4 27 3 1
Owner or Tenant Michael Lettera Telephone No.
Owner's Address 179 CENTER ST,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 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters
New Service 400 Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Upgrade service, remodel main house,wire new garage with office.
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- ElNo.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
Initiatine 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 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: 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 my
signature below,I hereby waive this requirement.I am the(check one) 0 owner ❑ owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $450.00
FOR- 40.0uN s (x ) 13(17( -4 ga Oieg,pott / /7t
'iR ru ..xh,1 :vrl .� 613l(� P i AL C 0 irk,7 64 i ee
Cot-Otte 6oM. l rttp + R.,1G It/� c - -(�z 0 ?/29(2ZI( -
oovr (-ovA4 .sti) 3/i3iv
&., Coossamsamanh o`//Jsaedachhuealb // ZOfcial Use Only
n . F, Permit No. V ®670
'�` span o Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/o7] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code MEC) 527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 5 /I( l a 1
City or Town of: Yes r im o v 41 To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to performo the electrical work described below.
Location(Street lit Number) 11 ct C cv\\--c-r- C-�c-�_'t— ,a rtnACkik\A 6y MIA- U Z(o2
Owner or Tenant tc U\a.tQ` ,( Le_\\-e tr o. Telephone No. rp 7$S ZSO/(o
cr
Owner's Address
Is this permit in conjunction with a building permit? Yes B No ❑ (Check Appropriate Box)
Purpose of Building S tv\s\4 cc,on)\ki 'ow-d t v, Utility Authorization No.
Existing Service 0/00 Amps 1 ZV/ ZyCVolts Overhead❑ UndgrdE/No.of Meters '
New Service (4 cC_ Amps 716 /L..34°Volts Overhead 0 Undgrd Q—o.of Meters
Number of Feeders and Ampadty
Location
�and Nature of(Proposed Electrical Work: ` Ci--,C C le- 1^ (.9.—A
L
e e 1 C) "lab' W` t f-I �Clameol.Q\ M/�Qll V1 . DV'� c.-.j \n Lc• 0 2 Cc 1U
- 'Q k
Completion of thefollowingtable ntg be waived by the Jncector of Wires.f cs-e—
tit No.of Recessed Luminaires No.of Cd1. Fans Total VV��
Q� �aep.(Paddle) Transformers KVA E
No.of Luminalre Outlets No.of Hot Tubs Generators KVA
No.of tin
k No.of Luminaires Swimming Pool de ❑ Ind,. 0 Battery Units
n� g
Z No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
of
No.of Switches No.of Goa Burner's No.InDetengon and
Initlath>S Devices
1 1! No.of Ranges No.of Air Cond. Tun l No.of Alerting Devices
$
Heat PumpNumber. Tons KW °No.of Self-Contained
No.of WsateDisposers To .--- _. ....,. ..____ Detection/Ale Devices
No.of Dishwashers Space/Area Heating KW Local 0 Other
No.of Dryers Heating Appliances KW 'ecurity Systems:"
No.of Devices or Equivalent
No.of Water No.of No.of Data Wiring:
'Heaters signs Ballasts No.of Devices or E q uivalent
dcations
No.Hydromassage Bathtubs No.of Motors Total HP Tf Duev '��N �t
OTHER:
Attach additional detail if desire4 or as required by the Inspector of Wires.
Estimated Value o El 'cal Work: (When required by municipal policy.)
Work to Start: (;, Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE VE GE: 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 a is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 1'BOND 0 OTHER 0 (Specify:)
I certify,under the p U �\ and penalties of , tise info n on this application is true and complete. am,
FIRM NAME: " ,q u C x 1 t & ��. LIC.NO.: 17`-r,Q`t-B
Licensee: ( Signature LIC.NO.:
Qf applicable,enter"exempt"in the lic line.) Bits.Tel.No.:7 7 y Q 9'I 7 T'-/
Address: Alt.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 bylaw. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent.
Owner/Agent I PERMIT FEE:$
Signature Telephone No.