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Home My WebLink AboutBLDE-22-001409 Commonwealth of14\ Official Use Only IIIMI Massachusetts Permit No. BLDE-22-001409 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:9/13/2021 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) 405 STATION AVE Owner or Tenant HAGERTY JAMES F Telephone No. Owner's Address 26620 AUGUSTA SPRINGS CIR, LEESBURG, FL 34748-1226 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans 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 Gas Burners No.of Detection and No.of Switches Initiatine Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Conne Municipalion ❑ Other: Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP NQ.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: SAGAMORE ELECTRIC LIC.NO.: 22878 Licensee: Stephen Davis Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.N . 7743137154 Address: 117 Old Plymouth Road, Sagamore Beach MA 02562 *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 (PERMIT FEE: $50.00 Signature Telephone No. 9/6( p lam' Commonwealth, /�//� /��ad r Mf/t" iii C..om�rnonweaL�o////a.4dac/zuoetL Official e OM, =*_ _'l cc�� cc77 Permit No. 2Z-'(`rt''�q _t!_ 5g T epartment onire�erviceo -_�_�_ Occupancy and Fee Checked h BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) w 1 —u PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK z All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 — o 'OL ASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9/10/21 E City or Town of: Yarmouth To the Inspector of Wires: 0 By t 1 is application the undersigned gives notice of his or her intention to perform the electrical work described below. W Cl) �IOc,,tion(Street&Number) 405 Station Ave, South Yarmouth `-`-'e �,er or Tenant June & James Hagerty Telephone No. Owner's Address 405 Station Ave, South Yarmouth Is this permit in conjunction with a building permit? Yes ❑ No J (Check Appropriate Box) Purpose of Building Residence Utility Authorization No. Existing Service 100 Amps 120/240 Volts Overhead ® Undgrd❑ No.of Meters New Service 200 Amps 120/240 Volts Overhead® Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Changing service, upgrading from 100amp to 200amp Completion of the following table may be waived by the Inspector of Wires. N rann No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans T of T Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. 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❑ Municipal ❑ 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: 9/10/21 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 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: Sagamore Electric LIC.NO.:22878-A Licensee: Stephen Davis Signature 41 �-�-` Lic.NO.: 53534-B (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: (774)313-7154 Address: 117 Old Plymouth Rd 1 B Sagamore Beach, MA 02562 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 50.00