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Home My WebLink AboutBLDE-22-002085 Commonwealth of Official Use Only ;•••* . Massachusetts Permit No. BLDE-22-002085 zi • • 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:10/12/2021 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 below. Location(Street&Number) 500 ROUTE 6A Owner or Tenant DALY MURIEL S Telephone No. � Owner's Address C/O DONA SCANNELL, 115 FRESH POND PKWY, CAMBRIDGE, MA 02138 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box tC:F � �' Purpose of Building Utility Authorization No. 6809746 Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Temporary service. 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. grad. 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 Initiatine 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/Alertine 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 Siens 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.: 21 170 (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 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: $50.00 alc,, RECEIVED OCT 12 202 ,. lro eaGth o/Ma.ddachuaatfd Official Use Only k t.._:�, ;(lLDING DEPART'M NT e7 Permit No. i` — 3 411,a;_ -- �LJ are of of �awicad ,;f,[ n i` BOARD OF FIRE PREVENTION REGULATIONS [Rev.Occupa 1/07] Checked cy and( Fee Fee blank) eave 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: i 0' 2-1 Z\ City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to performL�_ the electrical work described below. Location(Street&Number) UO ("t.t,d\ S 1- YU,,f W .jjUk 'I et(� Owner or Tenant w 1-k,c-6,� r (tic i J ' Ac.(c 1 Telephone No, Owner's Address /� Is this permit in conjunction with a building permit? Yes E No E� (Check Appropriate Box) Purpose of Building r3',\J{_q i'l UtIlity Authorization No. Cr.? C) ( 7 11 (0 Existing Service Amps J / Volts Overhead n Undgrd I g n No.of Meters ' New Service Amps I Volts Overhead E Undgrd ❑ No.of Meters Number of Feeders and Ampacity Z I t)C (1 i Location and Nature of Proposed Electrical Work: --T----',,,p 5txvcc.� ,.4 V' Completion of the followin table m be waived by the Inspector Wires. voof No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.orf Total r<� Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA <i..- No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zones •,` No.of Switches No.of Gas Burners No.of Detection and Initiating Devices 11 t No.of Ranges No.of Air Cond, Total No.of Alerting Devices ns 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 Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Heaters KW No.of No.of Data WIring: 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 I ctrical Work: It 60(I, _ (When required by municipal policy.) Work to Start: U31 1 iLk 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 cove a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE C� BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties perjury,that the information on this application is true and complete. FIRM NAME: 5 �;^c' ate' ( �{ ,L b � 1 LIC.NO.: Lk �-] _______4:=E___ Licensee: =J0.vA h Sp,, - l Signature ,j-..,___s LIC.NO.: I 3 ' c (3 (If applicable,enter"exemp,,{{' in th icense number ling.) Bus.Tel.No.: S-C (..`e C>1 Address: `7 G .i): orS '\-•",`` 1Nk) Alt.Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work requires Ihcpartment 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. ( PERMIT FEE:$