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Home My WebLink AboutBLDE-21-002756 BLD F Commonwealth of Official Use Only Permit No. BLDE-21-002756 Massachusetts 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:11/16/2020 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) 248 CAMP ST Owner or Tenant FOXWOODS CONDOS Telephone No. Owner's Address CONDO MAIN,248 CAMP ST,WEST YARMOUTH, MA 02673 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 ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace exterior fixtures, receptacle, &reattach meter socket. i,* F) ` 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 ❑ 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: $200.00 eommontuaanh o/gladdachudslid fficial Use Only 1 tit'1111441 k � Permit No. 7.7.q . •u �# � l Pa oira rvresd r c—prow R Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS {Rev. 1/07] (leave blank) C`5F APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK `2 1 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 ,J= (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 1/W1 Z0 ` ' City or Town of: Ui Ya.0 motJ To the Inspector of Wires: -a By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Ni Location(Street&N mber) Zy Ct, C a OA f 5l- 13 U 1 b, I 1'i '• • r --- Owner or Tenant tOA( Oa S COn ,6 VSi" Telephone No. n. Owner's Address Is this permit in conjunction with a building permit? Yes IT No ❑ (Check Appropriate Box) t Purpose of Building 6 vie\Vtt S Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters C. - New*vice Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity , i Location and Nature of Propos Electrical Work: Imp(GCt ^oylk 6u'dad d r t.;-)1(\‘--5 f lo4_L K 60-- .:)dr \cyktS i ( Write c 005S, I ct &k cr. t+Ac kc-( bcktv K Completion of the,followingtable may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans KVA Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.01 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 Tons No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump „ imber.''rons. ..._1(W 'No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 CoMnnectionipal ❑ 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 TelecommunicationsWiring. No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: �i GOO�. (When required by municipal policy.) Work to Start: {p JZS/Zto 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 covelme is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perju7,that the information on this application is true and complete. FIRM NAME: )cin 0. f 1 Z C,t c i-C. LIC.NO.: Z 11-7 C !\ Licensee: -Dc, Sc --Deo,/ ,1 ., a SignatureN --. LIC.NO.: 1.7, r\ ,f3 (/f applicable,enter"ezegrpt"rn the llcetts number li e 1 `� Bus.Tel.No.:50S (, Q1 ;r Address: 1C)) CV, Sty: , j .1-QC. i'`�lt\N;') Alt.Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work requires'rtlepartment of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hate the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: S