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Home My WebLink AboutBLDE-22-005569 A\17) Commonwealth of Official Use Only t`. , - Massachusetts Permit No. BLDE-22-005569 a 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:4/1/2022 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) 127 WHITES PATH Owner or Tenant COLONIAL GAS COMPANY Telephone No. Owner's Address 40 SYLVAN RD,WALTHAM, MA 02451 Is this permit in conjunction with a building permit? Yes 0 No 0 (Ch $oxo ri Purpose of Building Utility Authorization N i '� (fn"� ,t,'�� Existing Service Amps Volts Overhead 0 Undgrd 0 - �� S0 UM New Service 400 Amps Volts Overhead 0 Undgrd 0 No.of Meters n Number of Feeders and Ampacity 7(2V2/1/ Location and Nature of Proposed Electrical Work: Install service for EV charging stations. 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 Initiating 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/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 Eauivalent 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 coy ge is in force,and has exhibited proof of same to the permit issuing office. /�-�.K„ CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) '77 f-- 2-3 17 (o b.S( I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Peter S Liddy Licensee: Peter S Liddy Signature LIC.NO.: 20264 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 103 BRITNEY DR, HOLDEN MA 015201097 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 - 412.4 Aft C 6/\/D UZ f /�-0/2 i ce v C 7/ /v2� Commonwealth of Massachusetts Official Use Only r I - - Permit No. ZZ �/ T_..,-.101_-.- Department of Fire Services I = Occupancy and Fee Checked . _I_I= P Y 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 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3/30/2022 City or Town of: Yarmouth To the Inspector of Wires: 0` By this application the undersigned gives notice of his or her intention to perform the electrical work described below. --' V Location(Street&Number) 157 Whites Path, South Yarmouth r Owner or Tenant National Grid Gas Telephone No. 347-456-7190 v Owner's Address same Is this permit in conjunction with a building permit? Yes n No ® (Check Appro Hate Box) .2.7) .„ Purpose of Building Utility Authorization No. � ; 1 10,7.--- Existing Service Amps / Volts Overhead n Undgrd n No.of Meters New Service 400 Amps 120/208 Volts Overhead n Undgrd No.of Meters 1 Q.) Number of Feeders and Ampacity 0` Location and Nature of Proposed Electrical Work: new 400A underground service to outdoor meter main and 400A panel V for conenction to future EV chargers.EV Chargers electrical work by others. Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. Transformers KVA KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA G.) 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 Initiating Devices ONo.of Ranges No.of Air Cond. Tons No.of Alerting Devices 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 ❑ Other Connection No.of D Heating Appliances KW Security Systems:* r3'ers No.of Devices or Equivalent No.of Water No.of No.of Data Wirin Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNofDeieor Wiring: No.of Devices 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: 4/1/22 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 ❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: LidCo Electrical Contractors IncLIC. NO.: 20264A 619(Licensee: Peter S.Liddy II Signature ) ...----- c IC. NO.: 50411E (If applicable, enter "exempt"in the license number line.) Bu . el.No.: 508-R29-6776 Address: 452 Main Street Al .Tel. No.: 508-829-9870 *Per M.G.L.c147,s 57-61,security work required 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 ❑owner's agent. Owner/Agent PERMIT FEE: $ 80.00 Signature Telephone No.