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Home My WebLink AboutBLDE-19-003280 l or4141 • Commonwealth of Official Use Only E Massachusetts . Permit No. BLDE-19-003280 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.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 TYPEALL INFORMATION) Date:11/29/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perlegn c clectncal work describe be w. Location(Street&Number) 135 OCEAN AVE !�/S / f J `/ Owner or Tenant SMALL JOSEPH G Telephone No. ji Owner's Address C/O JOSEPH J SMALL,35 FOX RUN RD, BELLINGHAM, MA 02019 . O r Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Bo )3 Purpose of Building Utility Authorization No. 2308257 t(� Existing Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters New Service 60 Amps Volts Overhead 0 Undgrd 0 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 0 In- 13No.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 Initiatinz 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 Siens 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 tga (11i//e et �s yy 3 l.ommorsmra of//Ia eac tti ', c-iial Use Only `moi c7a 2ire PecmitNo. I 3ZEQ li- =_Iii- 11 partnwtt of yi..Jsrvicne ....k?ki(\Z BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked C\`` Rev. 1/0 � 7] (leave blank) 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: \\ IVS I l'W B 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)) 11S 0 G CQf d�Ve._ Sou\ ' \(aCMrlt)}ln Owner Or Tenant SCO)An A) i C cM V i L Telephone No. Owner's Address Q Is this permit in conjunction with a building permit? Yes 0 No Check Appropriate Bax) ``�9 Purpose of Budding aU-tLI l( rt ck Utility Authorization No. -30$ ZS 1 bExisting Service GO Amps �J1240Er—Undgrd Volts Overhead ❑ No.of Meters k `, New Service _ .Amps / Volts Overhead 0 Undgrd ❑ No.of Meters C2"4.1.1 m rydf n I r of Feeders and Ampacity • C N ifse:4on and Nature of Proposed Electrical Work: f n9 Se.,CV t t`c co Completion of thefollowing table may be waived the Ins V by Inspector of Woes. Ze.o'Recessed Luminaires No.of Cei.-Susp.(Paddle)Fans • Transformers Total W Na.of Luminaire Outlets ICVA ��,� No.of Hot Tubs Generators [NA IM • Ng).Of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting — ernd. crud_ 1-...1 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 Air Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Local Q Municipal Connection ❑ other No.of Dryers Heating Appliances KW Security Systems:* — No.of Water No.of No.of Devices or Equivalent Heaters No.of Data Riring Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Celecommvnications Wiring: No.of Devices or Equivalent — Attach additional detail if desired or as required by the Inspector of Wirer. Estimated Value of Electrical Work SW (When required by municipal policy.) Work to Start I\ 22/1s Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: 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, a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE L`7 BOND 0 OTHER ❑ (Specify:) I certify, under rhe ains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: t tAqt( FI Cc-it i c Z\ 7 a U 1Q ( /� LIC.NO.: Licensee: h.Yc- 5SriR\cye. Signature /v!�`\" rU'�y1�� LIC.NO.: (3-u (If applicable,enter"nevi"in[he lic use numbe line! 9 g Address. "7 v �f51..ael f cat,t S Alt.Tel.No.: t 4 13 \ j Per M.G.L.c. 147,s.57-61,securitywork re AIS Tei.No.:_� qar s 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 n�ly required by law. By my signature below,I hereby waive this requirement stn the he(check one)0 owner ❑owner's a¢ent Owner/Agent `fiyJr Signature Telephone No. I PERMIT FEE: $ S