HomeMy WebLinkAboutBLDE-21-002759 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-21-002759
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 perform 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
Location and Nature of Proposed Electrical Work: Replace exterior fixtures, receptacle, &reattach meter socket. (BUILDING I)
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
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 Siens 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 ❑ 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
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Cf j %s� Occupancy and Fee Checked
�,• f BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07] (leave blank)
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`� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
0§ All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
I (PLE.4SE PRINT IN INK OR TYPE ALL INFORMATION) Date: ' 1017-0
0 City or Town of: s) Val-rMOU 4 To the Inspector of Wires:
-_ By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
N3 Location(Street&Number) Zy 1 COk•f/Nor 5u t(d , nT I� Al t
Owner or Tenant 'D)(taac S Co c•I Cif -1-c()Si' Telephone No.
NI Owner's Address
r...4 Is this permit in conjunction with a building permit? Yes Er No 0 (Check Appropriate Box)
k Purpose of Building (71ts"1��ItokS Utility Authorization No.
:S:' Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters
New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters
`,
Number of Feeders and Ampacity
Location and Nature of Propos Electrical Work: �` p i q(t, Rl r U Pleo r y\t 5 i b K
ov\--Ssdr \►ykVS i ot1 wC Ou5S re &'1ct c . Mc k( bctinK
Completion of the followinktable m be waived by the Inspector of Wires.
Total
No.of Recessed Luminaires No.of Ceil:Sus . Paddle Fans Trano. f KVA
P (Paddle) _Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimmin Pool Above ❑ In- 0 No.of Emergency Lighting
g grnd. grnd. Battery Units
•No.of Receptacle Outlets No.of Oil Burners `FIRE ALARMS No.of Zones
of
No.of Switches No.of Gas Burners No. Inl�itiatlngon ete and
Ia Devices
No.of Ranges No.of Mr Cond. Total No.of AlertingDevices
g 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❑ Municipal ❑ Other
Connection
No.of Dryers Heating Appliances KW 'Security Systems:*
No.of Devices or Equivalent
No.of Water KW 'No.of No.or- 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: -ei C 00 e,� (When required by municipal policy.)
Work to Start: ID !lc20 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 covei3ge is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE tQ BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of peritny,that the information on this application is true and complete.
FIRM NAME: %Cinyt.0 E( L C i--c. .^ LIC.NO.: 2.\\"]G !\
Licensee: c v (;1 A``e.,C SignatureC�% _LIC.NO.: 1 ail
(if applicable.enter"exggrpt"in the lic�r(s number Ile) , Bus.Tel.No.:`�G2:. -73i7i4 01 11
Address: i) Cf), Sty:G'a te(.. kketnc'i,') Alt.Tel.No.:
' Per M.G.L.e. 147,s. 57-61,security work requires 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 ❑owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: S