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Home My WebLink AboutBLDE-21-007009 Commonwealth of Official Use Only �E Massachusetts Permit No. BLDE-21-007009 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:6/3/2021 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) 7 LITTLE DIPPER LN Owner or Tenant Eric Johnson Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead CI Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Service upgrade. 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 Abovegrnd. ❑ In- ❑ No.of Emerge • gh4j/J grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE AL • i /i , --ZZ • No.of Switches No.of Gas Burners No.of io Initiati • It • No.of Ranges No.of Air Cond. Tons Total No.of Alerting 4i _,4 gzi, ei 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 ❑ 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 Sins 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 ..rm 7..P .m -.'1 n I Fe �NMOJfWt[at01RQ6CC/ItAf[f6 Official Use Only • • ,: L, 4 1 .Uspartment o�..ti,.s,.vice Permit No. -7001 s" � ,; 1 i Occupancy and Fee Checked _ .1 W BpA DD OF FIRE PREVENTION REGULATIONS [Rev. lro7) (leave blank) t- ,,c i fv,LPJT ION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in acconlance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK ORPE ALL IMATION) Date:Co 3-2A City or Town of: C� ✓1.0 To the Inspector of Wires: By this application the undersign gives noticehis or intention top�perform the electrical work described below. Location(Street&Number) 7,9-9 Li-4e )1 cr r \et vti — Owner or Tenant .�,c-‘ C...30‘/.4A so A Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No [(Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 2C31, Amps [1 /z-yU Volts Overhead Er- Undgrd❑ No.of Meters / New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Anspaclty ` Location and Nature of Proposed Electrical Work: c 1� v Act t t& . (-. Nc,,—.1-- 0.A.\,-‘45%.61..... , 26 t. AAAA e ca,+-k1 tot- C m.,i^1)._ v) Completion of the followingtable may be waived by the hissector of Wires. VN ltd No.of Recessed Luminaires No.of Ceti. (Paddle)Fans No.of Total T. Transformers KVA C1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In_ NO.of>i mergency Lighting No.of Luminaires Swimming Pool grad. Li gird ❑ Battery Units No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones y Detection and No.of Switches No.of Gas Burners No.Initlating Devices I:. No.of Ranges No.of Air Cond. Too i No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tis __KW ____ No.Det oSelf-Contained No.of Dishwashers Space/Area Heating KW Local 0 C n n E per. HeatingAppliances y `4 No.of Dryers Pp KW No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or unicationsEquivalent ing No.Hydromassage Bathtubs No.of Motors Total HP Tel No of Devices or Equivalent ent 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:„-1-21 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 covers"is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ND 0 OTHER 0 (Specify:) I certffy,under the pains and penalties o perjury, ,, Qn ation on this application is true and complete. FIRM NAME: W A\10AM. \ . \C -C; 0.v� LIC.NO.: re Licensee: s. . Signature /1,'_ 4. LIC.NO.: r f (If applicable,enter"exempt"in the license , .' line.) r ,� Bus.Tel.No.; 77 y 99 7r, /r 7y 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 by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/Agent IPERMIT FEE:Signature Telephone No.