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Home My WebLink AboutBLDE-22-006713 Commonwealth of Official Use Only ,,,,. �, Massachusetts Permit No. BLDE-22-006713 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:5/20/2022 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) 91 NIGHTINGALE DR Owner or Tenant Boris Eibelman Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 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: 3 Season room conversion 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. To No.of Alerting Devices 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 Ballasts Data Wiring: Heaters Signs 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 my 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: $75.00 'irr,i,o,/ 51241/2 k?,04-(— fr7(p4 RECEIVED [CK4 Ia 1-1 MAY 19202 n //jj _ (nommonwsa[th o`ma,..A.uesfie Official Use Only �f / BUILDING L) 1; '"v w •. t►/(/z�G` l ( �j .:' 1 ` �/ /`J Permit No. .J By. -'.'_--'F 2sparinani of 3ire&Facie v ,,I,I ;" Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK JAll work to be performed in accordance with the Massachusetts Electrical Code(M C), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: S/(q (2Z o City or Town of: YARMOUTH To the Inspector of Wires: v By this application the undersigned gives notice of his or her intention to perform the electrical work described below. R) Location(Street&Number) 9 I N IG��--I�act � (Ni Owner or Tenant Bor S E t bel qJ r\ J Telephone No.1 74 3573 6.&'5-Z I Owner's Address N Is this permit in conjunccion with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building c u'c. f rei Utility Authorization No. N Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters <t. Number of Feeders and Ampadty V\ Location and Nature of Proposed Electrical Work: 3 St_ctsoN5 (^+"\ cc)notes-S I d , vni Completion of thefollowingtable may be waived by the Inspector of Wires. W. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total el Transformers KVA f'.1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA ^E_ No.of Luminaires pool Above In- No.of Emergency Lighting Swimming fZrnd. ❑ rnd. ❑ Battery Units .r No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and c` Initiating Devices 11 r No.of Ranges No.of Air Cond. onsi No.of Alerting Devices 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 ❑ Othc, , Connection _ No.of Dryers Heating Appliances KW Security Systems:* 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: tAtt ,. (When required by municipal policy.) Work to Start: S1llA(22 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COOVERAGE: 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�e a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [3 BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: rjP C,A. kCAT i L ( LIC.NO.: 2\\� it Licensee: o�,_ Fi Signature ) �3 LIC.NO.: 23' (If applicable,enter"exem t" n the 'ense nu er line.) _ 4.--y- Bus.Tel.No.: 4-.0X Address: 1 6 Q,S 5 }�, al t\t 'S Alt.Tel.No.: *Per M.G.L.c. 147,s.57- 1,security work re ires 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 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 Signature Telephone No. PERMIT FEE:$ `f S,D 6