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Home My WebLink AboutBLDE-22-003830 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-003830 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:1/10/2022 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) 62 DIANE AVE Owner or Tenant FARROW DAVID L Telephone No. Owner's Address FARROW MARTINA M,62 DIANE AVE, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 Purpose of Building (Check Appropriate Box) Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 gNo.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: Kitchen remodel. 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 1 Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- CINo.of Emergency ting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Signs Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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 operjury,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.) Address: 70 Bishops Ter, Hyannis MA 026012106 Bus.Tel.No.: 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 Owner/Agent ) 0 owner 0 owner's agent. Signature Telephone No. PERMIT FEE: $75.00 Q7 l itiscuri 9/,(0,2 «ate tit f ea 3 c gt1 r7zfj 74 /�f7Y � Commonwealth of Massachusetts Official Use Only Department of Fire Services F.:. rt' sPermit No._�✓�LZ__j �(� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.9/05] (leave blank) 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: City or Town of: Sv�i�\ ��,�-,�,.�G v� _` 4�2Z By this application the undersigned gives notice of his or her intention to perform To the te electrical Inspector� described below. Location(Street&Number) (,Z Q;di nl\• , Owner or Tenant suns \ c, Ut\ r ioc cd G Owner's Address Telephone No. Is this permit in cogjan tion with a building permit? Yes v, Purpose of Building ��, No El (Check Appropriate Box) V ExistingUtility Authorization No. Service_ Amps / Volts Overhead New Service AmpsE] Undgrd 0 No.of Meters _ --- _Volts Overhead❑ Undgrd Number of Feeders and Ampacity 'd ❑ No.of Meters V Q.-1 Location and Nature of Proposed Electrical Work: 1 �(�-�k � U�Lr c-4 � Co ,letion o the ollowin; table ma be waived b the Ins,ector o Wires. ( C `'.) No.of Recessed Luminaires No.of Ceil.-S `o.o usp.(Paddle)Fans Transformers o : t No.of Luminaire Outlets No.of Hot Tubs KVA `� Generators KVA No.of Luminaires Swimming Pool • ' 've n- 'o.o Units cy . ,ng C u d. ❑ d• ❑ Butte Units `� No.of Receptacle Outlets No.of Oil Burners No.of Switches FIRE ALARMS No.of Zones No.of Gas Burners `o.o l etecon an, No.of Ranges Initia •1 , Devices No.of Air Cond. ° No.of Waste Disposers rat ,mp , Tons , No.of Alerting Devices Total um i •r ons `o.o • I- ontam• _.__... No.of Dishwashers Detection/Ale •i Devices Space/Area Heating KW Local❑ 'maps No.of Dryers Connection ❑ Other Heating Appliances KW ecarity stems• y `o.o "ater No.of Devices or E,uivalent Heaters KW 0.° `o.o S•. , Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Motors a ecoNo'mmumcaons of Devices or E sing: Total HP gig. OTHER: No.of Devices or E I uivalent ago, Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value f Electrical Work: Work to Start: r ZZ (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The permit for the performance of electrical work may issue unless undersigned certifies that such covers is in force,and has exhibited proof of same to the CHECK ONE: INSURANCE [ BOND ❑ OTHER ❑ (Specify:) permit issuing office. I certify,under the 'its and FIRM NAME: penalties of perjury,that the information on this application is true and complete. Licensee: V,�_ Pt'k`R c� LIC.NO.: L 110 (If applicable,enter "exempt"in the license number line. .Signature LIC.NO.: 3 Z 3`� Address: 0 0 Bus.Tel.No 0_ 3 I *Security System Contractor License requit$H for this work,if applicable,enter the license number here: OWNER'S INS Alt.Tel.No: INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normall required by law. By my signature below,I hereby waive this requirement. I am the(check one) owner Owner/Agent y Signature owner's a ent. Telephone No. PERMIT FEE:$