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Home My WebLink AboutBLDE-19-000750 Commonwealth of Official Use Only full Massachusetts Permit No. BLDE-19-000750 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/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:8/7/2018 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) 487 STATION AVE Owner or Tenant STATION AVENUE LLC Telephone No. Owner's Address 487 STATION AVE,SOUTH YARMOUTH,MA 02664 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 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: Re-wire exterior sign light. 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- 0 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 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:` No.of Devices or Equivalent No.of Water Kw No.of 1 No.of Data Wiring: Heaters Stens 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: DAVID W SPRINGER Licensee: David W Springer Signature LIC.NO.: 21170 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:70 Bishops Ter,Hyannis MA 026012106 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 �i� Telephone No. PERMIT FEE:$130.00 ( Vll.�c0 er eh3 rr/ i . Commonweal of ir/aesachasef/s . Official Use Only =k cP / O Permit No. _-e�+ The arfineni o nukes 1'f ' I Occupancy and Fee Checked _D BOARD OF FIRE PREVENTION REGULATIONS 1tev. 1/07] ' (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK A All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12.00 0 MPLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: 5 /��&' t0 I City or Town of: YARMOUTH To the Inspector of Wires: "- CO `--_ I:y this application the undersigned gives notice of his or her intention to perform the electrical work described below. �}� ocation(Street&Number) y% 7 S f Ami d t� 0.� S YdS MO U "JI: Yw a wner or Tenant prix r1eot CS1-4:1-e. oTelephone No. VFW U co ; 7 a wner's Address w ¢ ' I s this permit in conjunction with a building permit? Yes 0 No (Check Appropriate Box) Y •- 'urpose of Building 0 c'c,-C{ Utility Authorization No. ----- zisting Service Amps / Volts Overhead 0 Undgra❑ No.of Meters New Service _ Amps / Volts Overhead 0 Undgrd 0 Ni.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: C(.)ft)co c .s 1-5 IN c 8tCt S Completion of thefollowing table may be waived by the Inspector of Wirer,of Recessed Luminaires No.oCCeiL Snap.(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.oflimergency Lighting grad. ornd. Battery Units No.of Receptacle Outlets . No.of Oil Burners FIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Mr Cond. To sl No.of Alerting Devices • No.of Waste Disposers Heat Pump J Number(Tons JKW No.of Self Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Leal Municipal 0 Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.o1 Heaters KSI No.of Data Wiring: 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 El tricai Work it 000, (When required by municipal policy.) Work to Start: g 17 fi g 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 i ce including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove e 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 p ins and penalties of perjury,that the information on this application is true and complete. FIRM NAME: OflnrnrC CryICt✓{-( Ir !� LIC.NO.: Z1i7e A Licensee: ag% f SrV" I-N Signature fhVl�c,.\) Vr LIC.NO.: Z 6 (ifapplicable,e9.t 'exempt' in the is anum rline.) Bus,Tel.No." 6-0 g Q 11 Address: g7a 6 *,yaps }CC, I &N M 5 • J *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.L c.No. Q OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally Ownred by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner D owner's agent. j Signature Telephone No. 1 PERMIT FEE: $