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Home My WebLink AboutE-19-2721 .a�i� Commonwealth of orfieialUse Only — lE.T�` Massachusetts Permit No. BLDE-19-002721 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:11/5/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertomr 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 0 BOX 4511,SHREWSBURY, MA 01545 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 200 Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Underground 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 0 [n- ❑ No.of Emergency Lighting rnd. ed. 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 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 ❑ (Specify:) I certtfy,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:$75.00 ,tg/,/,s (a-la/4/CVDU 704 �_' Cimino. &of Ir/adiac(adatta _ pUse oni j 1i ry, c7� n C 'On, =.til= 2 a,{ment e/..fin Jervicsi Permit No. Z BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _= ) • 7tev. 1/07] . (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK Q • 1- All work to be performed in accordance with the Massachusetts Electrical Code C) 527 CMR 12.00 Lu ,ca ( 'LEASEPRINTININ OR TYPE ALL INFORMATION Date: 11 /5 /Ig ;g-z; f City or Town of: YARMOUTH )a I y this application the To the Inspector Wires: to i {mdersigned gives notice of his or her intention to perform the electrical work described below. LII O ;1.4-1 ' • •-tion(Street&Number) -Ti e V {z IswnerorTenant -rn N P 1-0 ie S r�C dJ�� PMoeA-1-c Telephone No. W o is wner's Address m m' s this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building a(are 11 i 4Utility Authorization No. Existing Service kVAmps I ZCq Z-lo Volts Overhead ErTindgrclO No.of Meters New Service WI) Amps I Z.(r /29.6 Volts Overhead❑ Undgrd 0�No.of Meters Number of Feeders and Ampacity z ZOO ft Location and Nature of Proposed Electrical Work: (Ineee9<a d A Cur i CC Completion of thefollowitivable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cert Susp.(Paddle)FansNo.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool Abovd. 0 Bae ❑ In- Notte.oeFE, ry Unitsmergency taghting grid.. cru 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 l No.of Ranges No.of Air Cored. Ta s No.of Alerting Devices • No.of Waste Disposers Heat PumpNumber Tons KW No.of Self-Contained ' Totals:I I I Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW' Municipal Local❑Connection ❑ Other No.of Dryers Heating AppliancesSecurity Systems:" KW 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 derail if derire4 or as required by the Inspector of Wires. Estimated Value of Electrical Works 47)O0,co (When required by municipal policy.) Work to Start I l k!iB 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 coverts s 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 erjury,that the information on this application is true and complete. FIRM NAME: `5priA5er -gedret L GIC.NO.:L\\�_ Licensee: D(Luc—O c�prVrno.4C- Signature 7�.� LIC.NO.: 3234 8 (If applicable,enter•ex t"'i theMense rnmber line.) Address. /6 5��5 -er � Bus.Tel.No.- 4 013 9 j `Per M.G.L.c. 147,s.57-61,securitywork requiresAlt.TeL No.:_� OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nothavethe liability insurance coverage normally cense: Lic.No. <C , required by law. By my signature below,I hereb waive this c Owner/Agent y requirement I am the(check one)0 owner 0 owner's agent II Signature Telephone No. I PERMIT FEE: $ 1