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Home My WebLink AboutE-19-1404 1 ,r Commonwealth of Official Use Only / Massachusetts Permit No. BLDE-19-001404 n.§:;7- BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.I/071 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:9/9/2018 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) 77 NEPTUNE LN Owner or Tenant PAQUETTE THOMAS E Telephone No. Owner's Address PAQUETTE BARBARA E,P O BOX 4511,SHREWSBURY,MA 01545 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd ❑ No,of Meters New Service Amps Volts Overhead CI Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Temporary service. 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 CIIn- CINo.of Emergency Lighting grnd. grd. 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 ❑ Municipal ❑ 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 ❑ 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 W SPRINGER Licensee: David W Springer Signature LIC.NO.: 21170 Qfapplicable,enter"exempt"in the license number line.) Bus.TeL No.: Address:70 Bishops Ter,Hyannis MA 026012106 Mt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"5"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:$50.00 dr $ lammoruar aid 01/flassae ifs . , Official Use Om Apartment � ^� C.( OW JJsparfinanfo`yirtJeroicrd Permit No.� 9 l 1 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(ME 527 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: 9/7 J ( $ City or Town of: YARMOUTH To the Inspector of Wires: . By this application theµndersigned gives notice of his or her intention to perform the electrical work described below. . Location (Street&Number) .1 1 fie {-Ut\e v 1 n S icka-k0 U•\\ I .Owner'orTenant &CV% VN :nCC (Co01'4Lkpn Telephone No. Owner's Address Ca. Is this permit in conjunction with a building permit? Yes No 0 (Check Appropriate Box) ' Purpose of Building 3 tom\\(N5 Utility Authorization No. .3• Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Und gid 0 No.of Meters lturaber of Feeders and Ampaclty • CD 1- cation and Nature of Proposed Electrical Work: �'e, � 4 • Completion of the following table may be waived by the Inspector of Wirer. I- of Recessed Luminaires (Paddle) No,of Total Mira No.of Ces1-S Fans Transformers KVA J4f of Luminaire Outlets No.of Hot Tubs Generators KVA V W 'si9 of Luminaires Swimming Pool Above ❑ In- No,of Emergency Lighting gmd. 'rod. 0 Battery Units Or. apio. 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 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained - • Totals:I I I Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municipal Loaf❑Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:' No.of Water No.of No.of Devices or Equivalent Heaters 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 Electrical World 57)0,.. (When required by municipal policy.) Work to Start 1 /7118 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 c�ov�s a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE p' BOND 0 OTHER 0 (Specify:) I certify, under the pains and penalties ofperjuty,that the information on this application is true and complete. FIRM NAME: r(n3C.r E 1cL}Cit. Licensee: bvc) S rr�5 \ �((l�. -- LIC.NO.: Z\�� (If Licenlieable,enter"exempt" X Signature 14"�J ` \ LW.NO.: 13Z. 9 empt' in the sense mtmbgr line.) s '1 Bus.Tel.No:sd�' 3�( 4 U t3Q Address. 10 Rt3LepS -}' FFuwtryc-' requires Alt.Tel.No.: J 'Per M.G.L.c. 147,s.57-61,security work Department of Public Safety"S"License: Lic.No. �- - 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)❑owner ❑owner's agent. Owner/Agentg Signature Telephone No. I PERMIT FEE:S