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Home My WebLink AboutBLDE-22-002886 07... r/liqj Commonwealth of Official Use Only Permit No. BLDE-22-002886 � � Massachusetts 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:11/18/2021 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) 18 CAPT DANIEL RD Owner or Tenant LAWLESS MARGARET Telephone No. Owner's Address 89 PONTIAC RD, QUINCY, MA 02169 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 $f Meters New Service Amps Volts Overhead 0 Undgrd 0 i V • ers Number of Feeders and Ampacity 4141010/1 Location and Nature of Proposed Electrical Work: Upgrade service O Completion of the following tab may Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of 4/Total Transformer KVA No.of Luminaire Outlets No.of Hot Tubs Generators ' 2 44 -O A No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Light►n 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 Initiatine 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 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: $50.00 RFCFIVED NOV 1 7/2�011 /� ``II �r�ryy� 1 L. Comnwnweaa el r//aeessLd o Official Use Only BUILLING • I,,N-I Permit No. �2-7--eAG BY __. _1 V 1: 2aparimeni of.c-7 ire-cervical Occupancy and Fee Checked / 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: ‘\-11- 2-1 City or Town of: j,-,T 0.'1 0 U r\A 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) l L-A. �„%\EIS Owner or Tenant Ma Y (-( L fll i ..e..S S 1G,(0✓t 11(Mi T Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters ENumber of Feeders and Ampadty 1 Location and Nature of Proposed Electrical Work: c..e i-j l C o_C 1,, \( t.t l. C4ow�c.r ,o5-7c ,•.ec - VA6-e-.f->cckei— x�— . Completion of the followingtable m be waived by the/nn�rvecctor of Wires. tb $O1P•(Paddle)No.of Recessed Luminaires No.of Cell Fans NO'°�Transformers K�l VA Q No.of Luminaire Outlets No.of Hot Tubs Generators KVA a Above In- No.of Emergency Lighting f No.of Luminaires Swimming Pool grad. ❑ grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones T No.of Switches No.of Gas Burners No of Detection and Z. Initlating Devices I U No.of Ranges No.of Air Cond. Tun l No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/A►ertIng Devices Coe No.of Dishwashers Space/Area Heating KW Local 0 necd In 0 Omer No.of Dryers Heating Appliances KW Na of ystem s or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel Noo, munications of Devices or Equivalent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: I (When required by municipal policy.) Work to Start:I I-I-(-Z I 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 0 BOND 0 OTHER 0 (Specify:) I certify,under the pup and peaalsle ofpeijasy,that the information on this application is due and complete. FiRM NAME:tN \l0,IA-, C I-&cp / LIC.NO.:/ L-SO y', Lice°see:wt�k i G 1n C l� ( \i Signature `` ( r2/6 LIC.NO.: Of applicable,enter"exempt"in the)'bnre number line.) Bus.Tel.No.-)7tF9 5 L/7-f f y 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: 1 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:$Signature Telephone No. CV-*1 13U 0