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Home My WebLink AboutBLDE-22-003891 Commonwealth of Official Use Only �- Massachusetts Permit No. BLDE-22-003891 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:1/12/2022 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) 52 ALDEN RD Owner or Tenant HEBERT DAVID W Telephone No. (,),Owner's Address HEBERT DEBORAH ANN, 68 MERRIAM LN, SUTTON, MA 01590 =4,_'4N-- , Is this permit in conjunction with a building permit? Yes 0 No ❑ (Chec '- opriate : /, Purpose of Building Utility Authorization No fl '7(O'7 t Existing Service 100 Amps Volts Overhead 0 Undgrd 0 49of Meters New Service 200 Amps Volts Overhead 0 Undgrd 0 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service. 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. Tonal No.of Alerting Devices 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 ❑ 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 Siens No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: $50.00 � (1...131/F )-i3/W Commonweal o///Iaeeachueette Official Use Only c� c� n Permit No. X22-3C� ( 9) '^'7M•,• �t .dJeparfinent oi.}ire&P ced i I j' Occupancy and Fee Checked -1- ''_,: ` BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 4.4 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code EC),527 CMR 12.00 p (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 I ` 2,17-7.- Q City or Town of: W YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his orher intention to perform the electrical work described below. Location(Street&Number) ij Z. A-i j e( Wpbi- Va...f .`Q U k--\,\ I`," Owner or Tenant pot -3—,t Cc/4)s (CO r*c *off) Telephone No. 4 i Owner's Address ['-.1 Is this permit in conjunction with a building permit? Yes No (Check Appropriate Box) V---4 Purpose of Building (( k t,t\� UtifitAuthorization No. {•iitt Existing Service 100 Amps 1 ZQ / t 'olts OverheadPP ndgrd❑ No.of Meters t ,C New Service 2.00 Amps .1 W /29 O Volts Overhead Undgrd❑ No.of Meters I, Qc.' ► Number of Feeders and Ampadty .Z 2o6'// )i Location and Nature of Proposed Electrical Work: N et,) Sem rZ,t ,,, \Up Completion of thefollowingtable may be waived by the Inspector of Wires. Q.) Luminaireses/ No.of Cell:Susp.(Paddle)Fans No.of Recessed No.of Total Transformers KVA '�,t No.of Luminaire Outlets No.of Hot Tubs Generators KVA t No.of Luminaires Swimming Pool Above ❑ In- 'No.of Emergency Lighting gtrnd. 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 sInitiating Devices _ I I' No.of Ranges No.of Mr Cond. Tons No.of Alerting Devices No.of Waste DisposersHeat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting_Devices No.of Dishwashers Space/Area HeatingMunicipal p KW Local❑ Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of 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: L Attach additional detail if desired,or as required by the Inspector of Wires. �.r,�_..._ ted Value of Electrical Work: Il(J a6_., (When required by municipal policy.) rWa k to Start: 1 laill,f Inspections to be requested in accordance with MEC Rule 10,and upon completion. 9 2 - IN RANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless %< ' h-+ lhe;:censee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The LI tnd •igned certifies that such cova is in force,and has exhibited proof of same to the permit issuing office. CK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) ice fy,under the pains and penaltie operjury,that the information on this application is true and com lete. )TI' NAME: 6trG(C C.. r'L LIC.NO.:ic4 see: �11"� Ct Signature ;. krli LIC.NO.: 32 g a 'licable,enter"exempt n t elic�irse n r line ' � less: �Q 1 i5� '` Bus.Tel.No.• so b Alt.Tel.No.: .G.L.c. 147,s.57-61,security work requires eparlment 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,t hereby waive this requirement. I am the(check one)q owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$