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Home My WebLink AboutBLDE-21-002765 BLD P Commonwealth of Official Use Only Massachusetts PennitNo. BLDE-21-002765 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 pertorm 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 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity a Location and Nature of Proposed Electrical Work: Replace exterior fixtures, receptacle,&reattach meter socket. 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 rnd. 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 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 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 7 Comnsotuveanh o f 9Vaddachuaa& Official Use Only !r , cc-� .C.'} n Permit No. l i — 27 �v ` ,p, .[Japartnts o�.}in Serviced C 1 4 4P Occupancy and Fee Checked z, ,: BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) I. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 0 I (PLEASE PRINT IN INK OR TYPE ALL INFO TION) Date: ' l / )I Z.Q City or Town of: L YIw.0 teW L To the Inspector of Wires: ® I By this application the undersigned gives notice of his or her intentio to orm the electrical work described below. li 1 Location(Street&Number) Z�5 C� p St, IDQ: i n5_ ____ r 11 Owner or Tenant UT. WOO 3 S Co O •S '" Telephone Telephone No.T�� N Owner's Address \---4 Is this permit in conjunction with a building permit? Yes �No ❑ (Check Appropriate Box) Purpose of Building 0 t \Ccv. S Utility Authorization No. •i) Existing Service Amps `i / Volts Overhead❑ Undgrd 0 No.of Meters C New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters �.- Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: R{n tie f)ij Utl( c- C\k' t, ` out-�jc)( b c V;;*S , 6 add( tt; S t ;� Ofrk , tkti-e< bo,iN C codipletlon of thefollowing;table may be waived by the inspector of Wires. No.of Recessed Luminaires No.of Cefl.Susp.(Paddle)Fans Ti T Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pal Above ❑ In- ❑ No.of Emergency Lighting �rnd. grad. Battery Units , No.of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zonesof No.of Switches No.of Gas Burners No. Initiatinnggon Deteand InDevices ToNo.of Ranges No.of Mr Cond. Toast No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW PT.of Self-Contained Totals: _ .. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW ,�a1❑ Coun al 0 Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of WaterKms, No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel No of Deviaeso ors qui a No.of Devices Equivalent OTHER: / n Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: £ i Odo a w (When required by municipal policy.) Work to Start: (b (Zo 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 OND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties o,fperja7,that the information on this application is true and complete. FIRM NAME: _ ! C j�ytr e I C LT C i C. LIC.NO.: i\\ o fk S SignatureC\-41...t 1 LIC.NO.: 1 L , Z Licensee: ,�y t-�n` g (If applicable,enter"exgg►pt"it'the Itthi number li ) Bus.Tel.NO.:50A 117.4 01, Address: 7 G Ci, SLc P 5 1\f\ti3 Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires partment 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: $