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Home My WebLink AboutBLDE-21-007008 Commonwealth of Official Use Only v Massachusetts Permit No. BLDE-21-007008 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 I2.Q0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:6/3/2021 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) 817 ROUTE 28 Owner or Tenant KIM HOLDINGS LLC Telephone No. Owner's Address DBA CAPT GLADCLIFF,817 ROUTE 28 ATTN:OFFICE,SOUTH YARMOUTH,MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate$os) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.of New Service 400 Amps Volts Overhead 0 Undgrd 0 No.of M f` Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Emergency repairs&relocate service from 0/H to U/G. J 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 Tuns 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 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: 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 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 till.1 114 (21 IGf' (i4Z1F1 tc.y eerie 6-truce NTT)A'ea -Nc 66 q_Gszs j R ,�,. r -.a n Commonwealth o`/7Jaeeachuisl Official Use 7Only I i ' -: p"' c� c7 [� Permit No. ��2� - ( 608 • �(Jspart.msnt o`.}irs Jsrvics9 ? �• Occupancy and Fee Checked JlJld A.� J BeARD OF FIRE PREVENTION REGULATIONS Rev. 1/07] (leave blank B'"`r'"`' utAppt tCATION FOR PERMIT TO PERFORM ELECTRICAL WORK By 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: (, -; - Z I City or Town of: `' •\ 1,..1‘,, k. 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) Z. Owner or Tenant C�C+O- • (\c<(kc1 t k ( ( C Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes n No (Check Appropriate Box) Purpose of Building t\ 77 ivt tiv1 V v\( i% ` Utility Authorization No. ' Existing Service (fit` Amps i 7 k.. I Z qbVolts Overhead - Undgrd No.of Meters / New Service Amps / Volts Overhead❑ Undgrd No.of Meters Number of Feeders and Ampacity Location and /Nature of Proposed Electrical Work: k 0 c� 0 .\‹A\„ c „,1 ,f c� yt.} �wQ e♦ `}iN l 1?^ i"'cUlr✓�` , A L, \ 1 J, c.V'<1�1�CA— - Completion of the following,table may be waived by the Inspector of Wires. tb No.of Recessed Luminaires No.of Ceil:Sus (Paddle)Fans No.of oral p Transformers KVA CI No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units "•/ No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones z- No.of Switches No.of Gas Burners No. Initiatingof Detetion and Devices i L! No.of Ranges No.of Air Cond. Tons) No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* Y No.of Devices 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 Telecommunications ui g No.of Deviceessor 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: c j- Z 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_srage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE NIII BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties o perjury,treat theinformation on this application is true and complete. z FIRM NAME: l,---i t"\at vv\f('\ ' Al‘\ %iS aCl,.� C `t^'/CkCi v‘ LIC.NO.: j-Z ci 9- 1 l Licensee: L J r,�,\\\ Vv 3 -- Signature /7/ ! LIC.NO.: (If applicable,enter "exempt"in the licensirNntber line.) Bus.Tel.No.: 7 7 t/ Li L;c( 7 Y7y 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: l 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.