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Home My WebLink AboutE-20-1108 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-001108 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] 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:8/28/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or tier intention to perform the electrical work described below. Location(Street&Number) 161 MID-TECH DR Owner or Tenant ELDREDGE THOMAS TR Telephone No. Owner's Address THE LAMB REALTY TRUST, 357 MID PINE DR,YARMOUTH PORT, MA 02675-1644 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 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Check property to restore sery r t _ 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 ofperjury,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:$80.00 8ZetN �, c.e LA ,'. c N (A-1) 'k o C z��fi 'bk. dao C' CY •__--- Commonwealth�Yil ris c�, �7 g�Of�6aial Use Only i CI I- ---=-..off-=-_--t W I: _ -' 2epartma t o/. -u-e Serviced Permit No.C-�C QJ--� .,,..= BOARD OF FIRE PREVENTION REGULATIONS0,��d Fee Checked ` �G i •ev. 1/07] eve blank —� APPLICATION FOR:PERMIT TO All work to be performed in PERFORM ELECTRICAL WORK (PLEASE P accordance with the Massachusetts Electrical Code(MEC), 27 CMR 12.00 ,o PRINT IN INK OR TYPE ALL INFORMATION) Date: �IV `J City or Town of: II �� m y this application the Ander: ed —ARM�UTH To the Inspector of Wires: gn gives notice of his or her intention to perform the electrical work described b • . vocation (Street&Number) I (Q - r Owner or Tenant & i G W �Cr"1�0l-=F' real Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building G&c'0.�P (Check Appropriate Box) Utility Authorization No. Existing Service I t)C Amps I-Z / Zt{G Volts Overhead New Service 1_5____34-.) 0 Undgrd Er No.of Meters Amps ]_ / �OVotts Overhead❑ Undgrd Number of Feeders and Ampacity a No.of Meters _� Location and Nature of Proposed Electrical (U� M, P cal Work: .-JC_ Stint. kne1 cam. , ,, , Com,letion a the ollowin_table m, be waived, the Ins.- for o lyres. No.of Recessed Luminaires No.of Col.-S usp.(Paddle)Fans °•°f Total No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA No.of LuminairesSwimming Pool Abovegrad. ❑ In- •o.o mergency • ,ting N No.of Receptacle Outlets ted• 0 Batte • IInits No.of Od Burners FIRE ALARMS No.of Zones and No.of Switches No.of Gas Burners `o.of Detection vic No.of Ranges Iniiia.l _ Devices No.of Air Cond. ° No.of Waste Disposers Tons No.of Alerting Devices �sP Heat Pump umber Tons Totals: a elf-Contai - No.of Dishwashers DtectctioNAlertin• Devices Space/Area Heating KWLocal❑ Municipal No.of Dryers HeatingConnection 0 Other AppliancesKW Security Systems:* ' '�� No,ofwater No.of Devices or E.uivalent Heaters KW No.o o.of C Si• s Ballasts Data Wiring: ,Y No.Hydromassage Bathtubs No.of Devices or .uivalent No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or E.uivalent o Estimated Value of Ele trical Work ' CO..., Attach additional detail if desired or as required by the Inspector of Wires. V (When required by municipal policy.) Work to Start: g' �(� P P cY•) INSURANCE COVERAGE: UnleInspections s swaived by the owner,requested opermitaccordance p�rm e of el and upon complytiss r-{ the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The ctrical work Y unless cJ undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE IC NI certify, under the pains and penalttesBOoND 0 OTHER 0 (Specify:) (perjury,that the information an this application is true and complete. FIRM NAME; f . ��L� {,�L YLicensee: ' ' LIC.NO.:2-tt 76 ` �� _v c . c j ! Signature N „ (If applicable,enter"erem,t' in the cense nu •er line.) LIC.NO.:_132:_l_ Address: 10 .; Bus.Tel.No.: .v � 3 J "Per M.G.L. C. 147,s.57-61,security work requires Department of Public Safety4!t•Tel.No. OWNER'S INSURANCE WAIVER: I "S"License: Lic. No..-----________ required by law. Bymysignature am aware that the Licensee does not have the liability insurance coverage no gnature below,I hereby waive this requirement I am the(check one 0 ownero Owner/Agent0 owner's a Signaturecrit al Telephone No. PERMIT FEE: $ p —