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HomeMy WebLinkAboutBLDE-22-000870 , il 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.