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Home My WebLink AboutBlde-20-002623 Commonwealth of Official Use Only Ems; Massachusetts Pennit No. BLDE-20-002623 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:11/5/2019 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 scribed below. Location(Street&Number) 75 SULLIVAN RD {v` � I C_i lb Owner or Tenant LOPILATO SHARI J TR Telephone No. Owner's Address SHARI J LOPILATO LVG TRUST, 136 BRIDLE PATH RD, NORTH ANDOVER, MA 01845 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade 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- ❑ No.of Emergency Lighting rnd. 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 ❑ Municipal Connection ❑ Other: 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 ( ( (@t( I fir= (), Itt7/(4 _ �1� P, C E . � - �,�3geoCi_ �oc v - �• C NUUV U 5 20LL i E '' „ Commonwaa[th ol aasac�uaattd /JseAn. ly tY c� c'� n Permit No. z .2)partmanf a j.}in:&micas I 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(M C),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: \i /5�l`\ City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her inten ion to perform the electrical work described below. Location(Street&Number) -1 S SU\\c J et\ � Owner or Tenant (I'\, K-e_ L P a\1-fc. Telephone No. Owner's Address Is this permit in conjun Lion with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building d t '&.li a3 Utility Authorization No. Existing Service Amps rzc Z46Volts Overhead❑ Undgrd❑ No.of Meters New Service 7C) Amps I tO / 210Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity " ,.C,S P‘ Location and Nature of Proposed Electrical Work: sesq;(,t° (��aLeip _ \r" Completion of the followingtable may be waived by the Inspector of Wires, ti,, Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. f Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pal Above In- No.of Emergency Lighting g _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 AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other, Connection No.of Dryers Heating Appliances KWSecurity 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 El ctrical Work: L SOb (When required by municipal policy.) Work to Start: W 15111 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 cove a is 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 perjury,that the information on this application is true and complete.FIRM NAME: SeC i t\ -e-C E c.. C 1 C. Z -1 A LIC.NO.: \\ (� Licensee: c^k. Signature IA ;(7'.."."------ LIC.NO.: 7, (If applicable,enter"exempt"in e lice n ber line.) Bus.Tel.N0.• & Z. d J Address: ' l 5 '. t:om 5 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires De artment 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 0 owner's agent. Owner/Agent I Signature Telephone No. I PERMIT FEE:$ ',j 0 ' SFr -Z_ 1. Z12 COKCotS}, yet