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Home My WebLink AboutBLDE-22-002197 Commonwealth of Official Use Only i Massachusetts Permit No. BLDE-22-002197 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:10/18/2021 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) 378 ROUTE 6A Owner or Tenant MUSANTE NEIL E Telephone No. Owner's Address MUSANTE CYNTHIA J, 8 KESWICK ST APT 5, BOSTON, MA 02215-3758 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 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for garage with office and feeder from house. (3 Inspections) 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. 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 Signs 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 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 FEE: $150.00 aAY -1213 f 017 IC( 17'1 ig r qi - - * ( C. pv spue d 3/i`fir RECEIVED emunamtittatk of Ma eth' Official Use Only jOCT 18 2021 c~� c� Permit LT NO Z-z-7)1/4 7 1. ,, j 2:_ ep+f•star ni 434.. rce . • .1 iLDICSLlPd1U 15 9ti *REV NTION REGULATIONS a /07) and Fee Checked d,, -- ' (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 T1PE ALL INFORMATION) Date: /0 -1 ?-v`Z( City or Town of: e..vti Flu v4\ 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 �� n '. \LO�t �O;� '‘ ot,rwt ri .; 'k.Ae LI C-�- 4''Vlv'k- GzCr 7 C Owner or Tenant e i\ 1 'V.i Sea va',(,_ Telephone No. SC*,7)(o 0 LA 9 , ; Owner's Address Is this permit In conjunction with a permit? Yes Er No 0 (Check Appropriate Box) Purpose of Building -oveekt us,\a-r`dict-tc k c2k4. Utility Authorization No. Existing Service 2, Amps I.?G /.1.—:1;`Volts Overhead 0 Undgrd Er No.of Meters I New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: , , -r .l . eit ( `4 • 0. tm. -'\SP- ( v ( ki At L\ `r C_G� lS C e..L1,ii1 `Cs,,cC'nL r`vi/ tivic-,vi/ l LS0 ket 1 Completion of the fallowing leas,tie a be waived ived by the Inspector of Wires. No.of Recessed Luminaires No.of Ce11.-Sasp.(Paddle)Fans No. Total Transsformers KVA C1 No.of Lumiasire Outlets No.of Hot Tubs Generators KVA Above In- Ivo.of Emergency Lighting No.of Luminaires Swimming Pool grad, ❑ -end. Battery. units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones _ T. of Detection and <�-. No.ofSwitehes Na.of Gas Burners No.initiating Devices t Li No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices Heat No.of Waste Disposers Number;Toss No. _....KW ____ � Dces No.of Dishwashers Space/Area Heating KW Local 0 Connection 0 Other No.of Dryers Heating Appliances KW SeeNo of l or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or '.uivalent No.H dro Bathtubs No.of Motors Total HP 'TelecommunicationsoDevices r ' , Y No.of l?cvicvets or En ent OTHER: `Z-i ).1 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: k (When required by municipal policy.) Work to Start 1,13 (S-1,1 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 cov- e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEBOND 0 OTHER 0 (Specify:) I ceKtfy,under the pains end pe t ofperjury,that the Ibfortnation on this applicadon is true and complete FIRM NAME: L' tkkkotc.+� l 4---t► c, ' .e c�c-c.c 1 O LIC.NO.: I ZSW `E Licensee: �,'u ,1.`t lim,v► C.C l( Signature G til'/ LIC.NO.: (If applicable,enter"exempt"in the lie member line.l Bus.Tel.No.:77`1 `l Ll 7"t''TV 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 Q owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE: