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Home My WebLink AboutBLDE-21-002763 Commonwealth of Official Use Only , Massachusetts Permit No. BLDE-21-002763 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace exterior fixtures, receptacle&reattach meter socket.(BUILDING M) Completion of the following table may he 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 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 ❑ 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 o2g 7441V Kg Commonwealth o`Maaacku5att4 Officiciiaal�Use Onl —` t� c� Permit No. v `- c— �� la 2s rinusni of irs Son eRI '� 1 ..Wars i., 1°R C ea y({.` ✓ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS jRev. 1/07] (leave blank) t APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK i All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 5-1 (PLEASE PRINT IN INK OR TYPE ALL INFO TION) Date: \ 1 if0 to J City or Town of: (A) Yok..(004111N To the Inspector of Wires: -0 , By this application the undersigned gives notice of his or her intentio to�t erform the electrical work described below. c.,)U �• M Location(Street&Number) Zy5 C 1 i St ... �Qlat-ns _ I Y t, Hi Owner or Tenant 6..y. WO d 3 S CO v Sk' " Telephone No. N' Owner's Address \--.1 Is this permit in conjunc on with a building permit? Yes [ -No ❑ (Check Appropriate Box) Purpose of Building C ime,& •n $ Utility Authorization No. .5 Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters C. New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity " Location and Nature of Proposed Electrical Work: Ilrr p l e d�;�Uv r U C`k" t\ ti\k- Curd d r C7i1-4-c L►�*5 l l�lik-Oa ( akJ y S l N P G'��•7�1. (At" bc=ti b� 1 Cohipletion of the following table may be waived by the/nsoector of Wires. -NoTra KVA nsformers KVA No.of Recessed Luminaires No.of Ceil:Susp Tra.(Paddle)Fans of No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- Li No.of Emergency Lighting grad. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones oNo.of Switches No.of Gas Burners No. Initiatingon nDete and Devices No.of Ranges No.of Mr Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ MunicCpal ❑ Other p Connection No.of Dryers Heating Appliances SecurityKWNo Systems:* f Devi es or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.H dromass a Bathtubs No.of Motors Total HP TelecommunicationsNofDeviesor Equivalent Y a8 No.of Devices Equivalent OTHER: J ,1 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: t-1 l OC ) w (When required by municipal policy.) Work to Start: (0/ /Z() 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 cove3ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties El perjury,that the information on this application is true and complete. FIRM NAME: �''C►rl 1i`{_ C l e.CV c i C.. ^ 1 I, LIC.NO.: Z 1\-]G f\ Licensee: �cZV i u �Qr-%A c: - - Signature ba-.1 LIC.NO.: 13Z3°i Z (If applicable,enter"ex pt"in the lic number lie) 4,e------r- Bus.Tel.No.:504iS 11-. O 1 3 Address: -7i) CS;SLO1 S '". hanNu') Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires epartment 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: $