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Home My WebLink AboutBLDE-21-001475 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-001475 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked LRev.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:9/22/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electncai work described beloyy, „i Location(Street&Number) 65 CAPT CHASE RD �J✓� 1. u Cps Owner or Tenant GRIFFITH WILLIAM F Telephone No. Owner's Address 65 CAPT CHASE RD, SOUTH YARMOUTH, MA 02664 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: Remodel two(2)bath rooms. 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 Initiatine 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/Alertine 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 r -74 / undersigned� certifiesesthat 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:) 7110*--, 17 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:$75.00 2o, yfisizo t6 "- f"-----, -k-.e(20 (24 i ACommonwealth o/laeeachueetra 5OOfficial Use Only I. �� .Uepeen et & Permit No. l U —("t Ys ,V . -• Occupancy and Fee Checked C ,' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) -k' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),52 CMR 12 (PLEASE PRINT IN INK OR TYPE ALL INFO MATION) Date: `1/ZI/- 3 City or Town of: Y A i`Mckyl 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) 6,c Cttpik�0•N Cl\ci, 3l C) S yaclhOcf t"N r--} Owner or Tenant P k 501�1,5 cot\ `cl.01 r' Telephone No. N Owner's Address Is this permit in conjunctionwilta building permit? Yes LNo ❑ (Check Appropriate Box) __(( Purpose of Building b se,1\%r Utility Authorization No. Iv Emoting Service Amps / Volts Overhead❑ Undgrd El No.of Meters C New Service Amps 1 ! Volts Overhead❑ Undgrd Ci No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Z. &- mo Se,‘_ Q, Completion of the followinktable mg be waived by the Inspector of Wires. VI Total Q4 No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.rnsof KVA � Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA rco, 4 No.of Luminaires SwimmingPool Above ❑ In ❑ NBo.of EmergencyUnLighting grnd. grad. 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 s," Initiating Devices 1 Li No.of Ranges No.of Air Cond. Ton No.of Alerting Devices No.of Waste Disposers 'Beat Pump Number Tons KW _ No.oil Self-Contained Totals: Detection/AlertintLDevices No.of Dishwashers Space/Area Heating KW Local 0 Connnelioaln 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsofDevices r Equivalent No.of Devices or Equtvs�nt OTHER: n Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: .7/666.4 (When required by municipal policy.) Work to Start: 9 0-14A2,0 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVEGE: 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 cov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [BOND ❑ OTHER 0 (Specify:) I centfy,under the pains and penalties ofpointy,that the information on this application is true and complete. FIRM NAME: 55f( 1"c�J 6 t-ec. .. LIC.NO.: 2..W70 ;}'l Licensee: )meq i a 1 act t�-C� Signature .._J LIC.NO.: I3Z3g Z (If applicable,enter"exempt' in the cense ber line.) Bus.Tel.No.: 6'd$ 344 O\3°1 Address: 7o B 3�.t Q5 le-C. ��.S Alt.TeL No.: •Per M.G.L.c. 147,s.57-61,security work 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$