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Home My WebLink AboutBLDE-19-001948 LIM Commonwealth of Official Use Only a Massachusetts Permit No. BLDE-19-001948 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/07j 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:10/2/2018 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) 56 CANTERBURY RD Owner or Tenant NUGENT BERNARD E JR Telephone No. Owner's Address 56 CANTERBURY RD,YARMOUTH PORT,MA 02675-1415 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 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: Wiring for garage heater. 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 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 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: 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 iteftiyie�" /8 tcYGc)1— +..'� Y ammo. r.J _ = nmra o f aesac Us Officia Use Only / V � if i= ccyy c7 �[s� Permit No. Ej j .r ( {'LL 8 m .1Jrparimsnl'of min Jrrtricrs BOARD OF FIRE PREVENTION REGULATIONS Occupancy.and Fee Checked ev, I/07] (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C) 527 12.00 (PLEASE PRINT IN INK 01?TYPE ALL INFORMATION) Date: i b Az. 1 7 City or Town of: YARMOUTH To the Inspector of Wires: v I . By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) 61e Callit•,buc-u) 1n Yarn,uc k()act q OwverorTenant eecnt�C f��pnfi �J Telephone No. Owner's Address 'U \' Is this permit in conjuu on with a building permit? Yes 0 No ,a�— I' � (Check Appropriate Boz) Purpose of Building 0tr.Rk\.'1V\ Utility Authorization No. i.3 t z jiistin Service Amps / Volts Overhead 0 Undgrd /-� w >T ❑ No.of Meters W P� j� ew Service 0 Undgrd Amps / Volts Overhead 0 No.of Meters c is i44mber of Feeders and Am el • er W 6 o IAtion and Nature of Proposed Electrical Work U iK Q0.00.JQ hCa 0 z -� Lu OO 0 14 Completion ofthefollowin table may be waived by the Inspector of Wars. o,of Recessed Luminaires No.oCCeiL�Sasp.(Paddle)Fans o.of Total ce m Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool Above 0 In- 0 No,of Emergency Lighting . ernd. trod. Battery Units No.of Receptacle Outlets . No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and • Initiating Devices No.of Ranges No.of Mr Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons JIM No.of Self-Contained Totals: Detectio&Alertingpevices No.of Dishwashers Space/Area HeatingKW Municipal Load Q Connection 0 Other No.of Dryers Heating Appliances MW Security Systems:" No.of Water No.of Devices or Equivalent No.of Heaters No.of Data Wiring Signs Ballasts Na of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - Na of Devices or Equivalent OTHER: _ Attach additional detail ifdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work: ISO.", (When required by municipal policy.) Work to Start i oh M 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 is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0" Ooffice.ND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIReLicnseeAME: StJC(ccger 6 (,tt, r; hr LIC.NO.: Z\`mk- in SignatureLIC.NO.: \3Z \ (If applicable,enter"ezempt' in the ease numberire.) Bus.Tel.No..... � Address: 10 la(Se`I�,S snr(S �_�V 0 i � j Per M.G.L.c. 147,s.57fiI,securitywork requiresAlt.Tel.No.:_ OWNER'S INSURANCE WAIVER: I am are tht tDepartmentensee does not have the liability insurcense: ance coverage n c.No. �t required by law. By my signature below,I hereby waive this requirement I am the(check one)0owner 0 owner's a ent. t Owner/Agentg f j Signature Telephone No. I PERMIT FEE: $ 5 O I