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HomeMy WebLinkAboutBLDE-23-004495 0 et ../C\ Commonwealth of Official Use Only NI A= ." ` Massachusetts Permit No. BLDE-23-004495 `:0 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:2/14/2023 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) 9 BOWSPRIT PATH Owner or Tenant FLAGG JAMES F Telephone No. Owner's Address FLAGG MARGARET E, 66 ROBIN ST,WEST ROXBURY, MA 02132-2148 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 ❑ Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Restore power and evaluate damage. 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 grad. 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 Initiatine Devices No.of Ranges No.of Air Cond. To No.of Alerting Devices 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 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: David E Coleman Licensee: David E Coleman Signature LIC.NO.: 17221 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:62 FLEETWOOD PATH, MARSTONS MLS MA 026481048 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:$50.00 i‘j174 2WS-5 Op cc ".1c.) �✓'`' Commonwealth of Massachusetts Ofec l Use On �' F` Department of Fire Services Permit No. - - 9< i i jb Occupancy and Fee Checked � _ ,' BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (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: .x/13/2 3 City or Town of: tad.I.rrrov-6- To the Inspector o Wires: By this application the undersignves notice of his or her intention to perform the electrical work described below. Location(Street&Number) 7 $®!<J S rA..,7AgRowL P lu,x' Owner or Tenant .,e. -r F I jo 4.�' Telephone No. Owner's Address Jc Ar1ry Is this permit in conjunction with! "'C building permit? Yes 0 No (Check Appropriate Box) Purpose of Building 2 e S,al 44,4 e.. -.2 Utility Authorization No. Eiyt f..I r,rs r..1 Existing Service /00 Amps /pd /,71A7 Volts Overhead©' Undgrd❑ No.of Meters I New Service /00 Amps /20 1/VO Volts Overhead Er Undgrd❑ No.of Meters Number of Feeders and Ampacity • Location and Nature/o-f Proposed Electrical Work: .5 r p„ „�„ � /J Ala , D v C A -PA Completi of the following table may be waived by the Inspector of Wires. otal No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.roof TVA 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 — *And { IFNo.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones • • 't'r' No.of Switches No.of Gas Burners No.of Detection and Initiating Devices '. No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Dis osers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of.Dishwashers Space/Area Heating KW Local❑ Conic halo ❑ other N• o.of Dryers Heating Appliances KW Security Systems:* rY No.of Devices or Equivalent No.of Water I No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromass a Bathtubs No.of Motors Total HP TelecommunicationsNofDevices or Wiring: y >� No.of Devices Equivalent / o OTHER: c�P((c-e>,,,,,,,.l-- D0-/. 'L:^,c�vt,...4., 5,,4A, .a' '�' it, (.-4�� 441-e v O!V F`d. p t,E.0..s f........ cle,B,o.�... Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lec 'cal Work: r.cc' . (When required by municipal policy.) W L•,..t) r Work to Start: Z l c/ ,2 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. yr INSURANCE C VE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless Gy Dv' the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The •undersigned certifies that such cover a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEOND 0 OTHER 0 (Specify:) • I certify,under the mins and penalties of perjury,that the inflation on this application is true and complete. FIRM NAME: Arkiei..,_, i,Pc-ri.v, e.� - - LIC.NO.: 6.?4kD 7 Licensee: .. A-t9e c) CoI,2iyrwr� Signature /�e�/�J �,� LIC.NO.: /7 .:t.�.� :I Of (If applicable,enter"exempt"in the license number�i ) /� Bus.Tel.No.•t Sa 3ro`I' `�-��� Address: bpI�'6efLtinma/ 'we /v /r�•� O G d Alt.Tel..No.:`/ Y - 71 ig *Security System Contractor License required for this work;if applicable,enter the license number here: f' 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)0 owner 0 owner's agent. Owner/Agent PERMIT FEE:$ ' ' . Signature Telephone No. Direct:(617)557-5647 Cell:(508)776-7822 jcullity@mpiva.com JASON CULLITY SENIOR CLAIMS ADJUSTER MASSACIIUStiTTS PROMO Y INSURANCIi(MIN RWRI'T'INC ASSOCIATION RIIODE ISLAND JOINT RCINSURANCE ASSOCIATION Two CENTER PLAZA. BOSTON,MA 02108-1904 • • • • • 7