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Home My WebLink AboutBLDE-21-005779 ‘,L 9) Commonwealth of Official Use Only L" Permit No. BLDE-21-005779 Massachusetts 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:4/7/2021 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 bel Location(Street&Number) 11 CARVER RD L S 7,?e Owner or Tenant WAITE THERESA M TR elephone No. Owner's Address CARVER ROAD REALTY TRUST, 9 BROUSHANE CIR, SHREWSBURY, MA 01545-2050 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 kitchen&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 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 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 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: $75.00 commonwea[tji of///aaaac /.Official Al' / n e Only * ,t cc� cc}} Permit No. u I �� 2)epartinent el ire Serviced `=_f_i . Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) , APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 1 All work to be performed in accordance with the Massachusetts Electrical Code(MEC,527 CMR 12.00 1:0 (PLEASE PRINT IN INK OR TrPE ALL INFORMATION) Date: 11 L / 1 c' City or Town of: Westytt&(MO AA To the Inspector of Wires: ` By this application the undersigned gives notice of his or her intention to perform the electrical work described below. j Location(Street&Number) 1\ C a.0 itf c r J Owner or Tenant Kr IA 0 (cc 6 " Telephone . 5-- Owner's Address ? 0 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Ap ro, . c x O Purpose of Building ; i eAv,4 3 Utility Authorization No. ,Qp ' fr-N Existing Service Amps l / Volts Overhead ❑ Undgrd❑ N. of Metrk 4 Q ens ,,,,' .. N New Service Amps / Volts Overhead❑ Undgrd❑ .�'''';� ,r''`�:, 0 Number of Feeders and Ampacity l Location and Nature of Proposed Electrical Work: K I .1-CIAtA, Z, 6,:11/1 1- .f.ifi de - /4 cCompletion of the following table may be waived by the Inspector o Wires. (c o.of Total (. No.of Recessed Luminaires No.of Ceil.Susp.(Paddle)Fans Transformers KVA C No.of Luminaire Outlets No.of Hot Tubs Generators KVA \VIAbove In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers HeatTotals:Pump Number Tons_..._.,Kw_ No.of Self-Contained Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ Other _: Heating Appliances KW Security Systems:* No.of Dryers No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: L1 U V (When required by municipal policy.) Work to Start: 1/S'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 cover is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Q BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application Is true and complete. rin , L'�{C.1"ft(. LIC.NO.: 21176 A FIRM NAME: q �;`� Licensee: pow t�v i U Sp C +1 Signature ikir LIC.NO.: j 3 Z- (If applicable,enter "exempt"in the h ense number line.) _ Bus.Tel.No.:.'t7$ . 0-1 a 13' Address: 14' Q 1I-‘iip S `C tinCi 5 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work rr AZ 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,1 hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent I PERMIT FEE: $ Signature Telephone No.