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Home My WebLink AboutBLDE-23-005524 . o► Commonwealth of official use only Ems, Massachusetts Permit No. BLDE-23-005524 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:4/4/2023 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) 6 TOWN HALL AVE Owner or Tenant BOWSER ANNA (LIFE ESTATE) Telephone No. Owner's Address C/O STEVE BOWSER, 1 GLENGARY RD, CROTON ON HUDSON, NY 10520-2139 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: Remodel kitchen (All old work) 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 lnitiatine 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/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 Siens 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 ❑ 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: Licensee: Nicholas Fligg Signature LIC.NO.: 57241 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 55 Freeman Road,Yarmouth Port MA 02675 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: $50.00 ULC b 4/413 e-g s '- RECEIVED //,�� ryy� o '1, Co ratth o`///aeeac�w.Ne Official Use Only . MAR 22 2023 Permit No. z 3 —�� nro/3eS'.rk.. J IL'BOAiRV'OF'FIRE'REVENTION REGULATIONS [Rev.ItI/07) a(leavend ebC�)ked i- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TY ALL INFORMATION)�" Date: 3�21'ZO22, City or Town of: 9 0(1MO Y11.1 To the Inspector of Wires: /1 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. V Location(Street&Number) Cp Tp(,�1(n l) k\ {�V.t2_ Owner or Tenant L aN Y 0._ 13 pvJSQ`t- Telephone No. Q 1(-I-L�e,2.-I 11 Owner's Address '4 Soa,v\I (1$ lc c oic i C in.4C Is this permit In conjunction with a building permit? Yes ❑ No l"" (Check Appropriate Box) Purpose of Building `2e Si C'dfV rl,a-\ Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd E No.of Meters �J I Number of Feeders and Ampacity /i Location and Nature of Proposed Electrkai Work: k i- e n - 2Rvvto de 1 - 1n1 ire -F p � C6 - 01(A warc. - cone 1v)Sp€•c+to,n vlCompletion of the following table may be waived by the Inspector of Wires. WP No.of Recessed Luminaires No.of CelL-Son . addle)Fans Tr.of Total Transformers KVA p No.of Lumtnaire Outlets No.of Hot Tubs Generators KVA a $ No.of Luminaires Swimming Pool Above ❑ In- ❑ No.or Emergency Lighting g gird. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones and FBurners Initiatingtion No.of Switches No.of Gas No.of Detection Devices Total I ki 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 t Totals: Detection/Alerting Devices l No.of Dishwashers Space/Area Heating KW Local 0 M Systems:* ❑other No.of Dryers Heating Appliances KW Security No.of Dm Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivaent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications quingg No.of Devices or Equtv4ent OTHER: n_-1'2 GM Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value f EI cal Work: I W (When required by municipal policy.) Work to Start: ?11- 2 3 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 0 OTHER ❑ (Specify:) I certify,under the pains and nanities of perjury,that the information on this application is true and complete FIRM NAME:V,,'3A10Y1ira 1`K QQrw3 l LIC.NO.: 5 9-2--I 1,(3 Licensee: Nt C k 10 0-s n i al Signature �,�s�6 'a' LIC.NO.: Of applicable,enter"exempt"in the liters Amber line.) Bus.Tel.No.. Address: Sr-, freeW1o.1A 2 s r 40.VNIC1/4.34A st*I 1.-40.Ovar}5 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,1 hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$