The URL can be used to link to this page

Home My WebLink AboutBDE-22-005659 -�0MaCommonwealth of Official Use Only E ssachusetts Permit No. BLDE-22-005659 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:4/5/2022 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) 9 MAYO RD Owner or Tenant CITRANO JOHN A Telephone No. Owner's Address CITRANO ROBIN M, 35 BUEHLER RD, BEDFORD, MA 01730-1130 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: Second floor room&bath. 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 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:) 1 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,securi► ' • esquires Department of Public Safety"S"License: OWNER'S INSURANCE WA R:I am a ''r- hat e License does not have the liability' urance erage no�rnally required by law.But my signature below,I hereby waive is requireme t.I a he(check one) 0 owner owner' age Owner/Agent Signature Telepho . o. PERMIT FEE: $75.00 Mr ("Vi CPG Ift) 6'5 fjrj5--— ) Conn onwsa[th o/Maosaclkuestta Official Use� Only v• • •r c� cc77 nn Permit No Z—&'cP -I— r -. J 2spart iani al..tars Jsrrriced CV ! yFed C BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) --I— APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 8 All work to be performed in accordance with the Massachusetts Electrical Code(MEC ,527 CMR 12.00 (PLEASE PRINT IN INK OR TyPE ALL INFORMATION) Date: 4) I�ZZ- 9 City or Town of: ` To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 9 AAaD (� Owner or Tenant Jnr C;fra ilO J Telephone No. MN Owner's Address 1. Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. NExisting Service Amps / Volts Overhead I=1 Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd ❑ No.of Meters ‘ L•-f �� Number of Feeders and Ampadty n Location and Nature of Proposed Electrical Work: ( j ctf 9$}u; r5 co?3114 4..11� b 4 v" Completion of the followingtable mg,be waived by the Inspector of Wires. ' ' No.of Total 1st No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans Transformers KVA f.":', No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4 No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of emergency Lighting Rrnd. 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 i, ; Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste s Heat Pump Number Tons KW No.of Self-Contained Totals: �� ......... Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Connection 0 Other No.of Dryers Heating Appliances KW No Security Systems:* onf Devices or Equivalent No.of Water KwNo.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices oruuiivnaglsent mu No.Hydromassage Bathtubs No.of Motors Total HP 'TelNgo of Deviicces�or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lee cal Work: Old (When required bymunicipalpolicy.) Work to Start: 3/3 11-1,7-- 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 coo ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE (BOND 0 OTHER 0 (Specify:) 1 certify,under the pains and penalties ofperjury,that the information on this application is true and complete FIRM NAME: eC1r+� Lt e(, L LIC.NO.: Z[l 70A. Licensee: at ,- n -h Signature `1!sr GIC.NO.: 132.39' 0 (If applicable,enter"exempt"in he lic - mber Ii .) Bus.TeL No.: 5Z3 G Li 0 i 3`t Address: —lb (3 l)hoes i•-C U/lll t^S Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requ �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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ .111..., a