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Home My WebLink AboutBLDE-21-007493 Calle Commonwealth of Official Use Only irelift Massachusetts Permit No. BLDE-21 OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:6/24/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to.pertorm the electrical work described below. Location(Street&Number) 78 SISTERS CIR Owner or Tenant Cannon Telephone No. Owner's Address 1 Is this permit in conjunction with a building permit? Yes 0 No 0 • Box (✓.F1 Purpose of Building Utility Authorization - L V 0 j)('7 _, `lExisting Service Amps Volts Overhead 0 Undgrd 0 " • •i:`l` `' "' zA New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence 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 0 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. 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 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: RAYMOND E LAFLEUR Licensee: Raymond E Lafleur Signature LIC.NO.: 16814 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:355 Old Jail Ln,PO BOX 253,Barnstable MA 026301426 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: $180.00 Isa 1 el "l am b. `Cu 7/'e/7 • YK ?).-e-Ctd. Commonwealth ol Maeoackasette Official Use Only cc�� cc77 Permit No. (.. ----1'' 7 49 .. l= .apartment o`_ lee (.. ----1�ervicea l f- Occupancy and Fee Checked '�,-_.n y BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) c-8APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 1-- -. _____1 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 I a u-.... __(PLEJISE PRINT IN INK OR TYPE ALL INFORMATION) Date: 6/22/2021 E �; ? City or Town of: YARMOUTH To the Inspector of Wires: �;' Byth'il application the undersigned gives notice of his or her intention to perform the electrical work described below. - Locallfion(Street&Number)78 SISTERS CIRCLE Map Parcel# `n it , Owner or Tenant CONNON Telephone No. -- f Owner's Address 8.! Is-thio permit in conjunction with a building permit? Yes n No n (Check Appropriate Box) " Purpose of Building Utility Authorization No. 549-3130 Existing Service Amps / Volts Overhead n Undgrd n No.of Meters New Service 200 Amps 120 /240 Volts Overhead n Undgrd ® No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: WIRING HOUSE AND NEW 200 AMP UNDERGROUND SERVICE Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf 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 of No.of Switches No.of Gas Burners No. InitiatinnggDeteon and InDevices No.of Ranges No.of Air Cond. Total 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 Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 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: 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 El OTHER El (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete FIRM NAME: R&S LaFleur, LLc ? 2 LIC.NO.: 16814A Licensee: Raymond E. LaFleur Signat re ' '��r LIC.NO.: 15675E (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: (5081775-6814 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)El owner El owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 180.00 * IMPORTANT:A separate permit is required for the installation of smoke detectors.Fire Alarm inspections are performed by the FD having jurisdiction.