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Home My WebLink AboutBLDE-22-003414 Commonwealth of Official Use Only #� Massachusetts Permit No. BLDE-22-003414 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:12/15/2021 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) 21 ACORN HILL DR Owner or Tenant Lisa Suey 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: Wiring for room over garage. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 8 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 12 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 4 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. TotaloNo.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 ❑ 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: $75.00 /\/// - At) Cwt.; ma-111Vt17>J•T� t3l�C.;9.Jl.1rJl: ,•,�s•,y z 7 ....._........../461•.. —� r 2` ti,, to' v,� � /�v(Jb1l "At f1►)i� I¢r s' .t2 S tr.�t}�1„ Ail- w;<<e'er gvJ -4i , �1 r RECEIVED co nwQa[th o f aeaac�ladle Official UseUsO I ; N DEC 15 2021 Permit No. l.—`3 1 r - :e'er p parfmsnl o`.Jiro Swrcoe C •ice"' LUItioRii6A6 F IKE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK vAll work to be performed in accordance with the Massachusetts Electrical Code(MEC),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 12,/I$-L21 c..) City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives noticeA � of his or her intention to perform the electrical work described below. N Location(Street&Number) Z ( iTo Cri ►t\ ('a yacrwu r'1 1-1 Owner or Tenant Ls SJ e,) Telephone No. N Owner's Address Is this permit in conjunction with a buildingermit? Yes �o 0 (Check Appropriate Box) N Purpose of Building 0 p (nt',1\,„ Utility Authorization No. c) Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters — C New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters 4..I. Number of Feeders and Ampacity kn I Location and Nature of Proposed Electrical Work: f r‘t51,‘ W re._ CO vk 6006 Vt 3C‘Cctgt VI V v .fa Completion of the followinv gable may be waived by the Invector of Wires. t1.1 No.of Recessed Luminaires g No.of Ce11.Susp.(Paddle)Fans No.of Total 1:4< Transformers KVA No.of Luminaire Outlets 11_ No.of Hot Tubs Generators KVA C' A No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting irnd. and. I—) Battery Units ` No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.of Zones No.of Switches No.of Gas Burners 'No.of Detection and 1 No.of RangesTotal - Initiating Devices No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons -kWNo.of Self-Contained Totals: Detection/Alertln Devices No.of Dishwashers Space/Area Heating KWLocal 0 Municipal ❑ Oti cr Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Heaters KW Data Wiring: 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: 1t1 006,... (When required by municipal policy.) Work to Start: 1' ./I S 2A Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE: 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.ONE: INSURANCE [�OND 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: C rx -eCh.'C �1 tLC t. LIC.NO.: Z 'V7 O A Licensee: v - Sp C. Signature6i LIC.NO.: 132,3q B (If applicable,enter"exempt"int licenselidn ber line.) Bus.Tel.No.: SnSCct1 l3 Address: - g,S1A6p) -142-1-. y an IN, Alt.Tel.No.: *Per M.G.L.c. 147,s.57411,security work n�quires 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. I PERMIT FEE:$