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Home My WebLink AboutBLDE-21-003513 � � ;y� '# Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-003513 :` 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:12/21/2020 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) 24 CAPT YORK RD Owner or Tenant Jeff Whittemore Telephone No. Owner's Address 24 CAPTAIN YORK RD, SOUTH YARMOUTH, MA 02664-1763 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: Remodel 2 bathrooms 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 Ab ❑ In- ❑ No.of Emergency Lighting grnove d. 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 ❑ 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: 65 PINE GROVE AVE, HYANNIS MA 026012524 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: $75.00 A 4(7A Ke, R7_11«(u - Cousmonwealih al Maesachua®lto �- Official Use Only Ir - •�. .7: cc�� 1 1 Permit No. -� � • 2epartmeni o�)ire Senfice:s t:. _.' Occupancy and Fee Checked ►;-'� . ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07] 4- m.- e' L (leave blank) rrif i APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK �) All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 C'MR 12.00 'v= (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: \ 161 12...0 V I City or Town of: fj yq(^(AO,)- To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. 01 Location(Street&Number) —\ L.qp 0(1 yitAr Owner or Tenant Ted W h ,}-re M d&e_.- _ Telephone No. N. Owner's Address Is this permit in conjunction with a building permit? Yes Eri No t t (Check Appropriate Box) ` Purpose of Building d ;NL`\;(\ Utility Authorization No. .� Existing Service Amps )/ Volts Overhead n Undgrd I I No.of Meters C. New Service Amps / Volts Overhead❑ Undgrd fl No.of;deters inC):- Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: a bc,0-11-\ ,ram CAS:c`i ...A.5 Completion of the.following table may be waived by the Inspector of Wires, No.of Recessed Luminaires �No.of Ceil:Sus . FansNo or Total P (Paddle) Transformers KVA No.of Lurninaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool 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. initiatinnggon nDete and I Devices No.of Ranges No.of Air Cond. T;ons No.of Alerting Devices No.of Waste Disposers -Heat Pump Number Tons KW 'go.o.of Self-Contained P Totals: ?Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local[� Municipal Other _ P Connection No.of Dryers Heating Appliances KW ea; No of Devices or Equivalent No.oMater No.of No.of Data Wiring: Heaters KW ____ Si ns Ballasts No.of Devices or Equivalent No.Hydromassa a Bathtubs No.of Motors Total HP -TelecommunicationsofDeiceor Equivalent g No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Elec ical Work: .... Oa '., (When required by municipal policy.) Work to Start: 1 Z., ZJ)u j1 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 coverte is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE (t BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: )C i ct t .f t:t ,(_i'( i C. LIC.NO.: a.1 V-]C� IA Licensee: �,^, vc. ;:-,r1�%�� Signature �� 1 LIC.NO.: 1 iret� r�i (lf applicable,enter"exeeGrt�ipt'•in the lice' se number firm, A Bus.Tel.No.:5CC`6 -i,k-‘ 01 T Address: /I ' Ut °=,ksi:'!7a C t-P , 1E�11rif1(�,.). Alt.Tel.No.: _._..._...�... *Per M.G.L.c. 147,s. 57-61,security work requires'Ilepartment of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hove the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)E owner ❑owner's agent. Owner/Agent _f PERMIT FEE: $ Signature _ . _ Telephone No.