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Home My WebLink AboutBLDE-21-002751 Commonwealth of Official Use Only �� Massachusetts Permit No. BLDE-21-002751 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 or 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 socker:womplii44, 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 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 Heat Pump Number Tons KW , ,No.of Self-Contained No.of Waste Disposers 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 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: $200.00 • Commontosa[th o/Maseachcwetis Official Use Only / Permit No. 27 C . , r. eU.partrn.ni o/}ins Serviced. I ic,.s4,' Occupancy and Fee Checked j BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 4— _ APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK `1 All work to be performed in accordance with the Massachusetts Electrical Code(M C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ' 1/tOfto 'J 1 City or Town of: W yi (MoUW-h To the Inspector of Wires: 0 ` By this application the undersigned gives notice of his or her intention to perform the electrical work described below. tsj Location(Street&Number) Zy 1 Cattp 51' 1Ste0 t(a ,t,.) , IOwner or Tenant 'f07((A)ci s Coc b +r�Si- ,Telephone No. N.; Owner's Address r.._.); Is this permit in conjunction`with a building permit? Yes No El (Check Appropriate Box) Purpose of Building 8 ii re`1Vrtc\S Utility Authorization No. Existing Service Amps J / Volts Overhead 0 Undgrd❑ No.of Meters c New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Cl:- Number of Feeders and Ampacity H Location and Nature of Propos Electrical Work: p t rncL Rfi t&JO U- c l��t 51 h&c K OO- iC \c, kks i ot0th0oC' kt355 I rek Cts 6A.0 bcnK Completion of the followingtable may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Sus .(Paddle)Fans No. KVA p Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming POOL _and. ❑ In- ❑ No.of Emergency Lighting grnd. nd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones v No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total g Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained ispose Totals: Detection/Alerting )evices No.of Dishwashers Space/Area Heating K' ' ❑ Municipal ❑ (liber Connectiony No.of Dryers Heating Appliances KW Secustems:* No. f Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNNo.of Devices or Equlivalent OTHER: / Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 41 G OO,,4 (When required by municipal policy.) Work to Start: i p ITS. 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 covelsge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I cent',under the pains and penalties loaf perju cam',that the information on this application is true and complete. FIRM NAME: C i n y f E(Z CA-C 1-c LIC.NO.: Z 11-]O Licensee: t)xv i Sc- n y Signature LIC.NO.: 13 Z.34\ Z (If applicable,enter"exggg�++pt"in'the/ic�rts number li e) ' Bus.Tel.No.:SOS GLk 0131 Address: .7to V ,---4 -‘,0 S an c\11.-- Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires'Hepartment 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $