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Home My WebLink AboutBLDE-22-000054 or Commonwealth of Official Use Only _ Massachusetts Permit No. BLDE-22-000054 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:7/6/2021 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) 200 PLEASANT ST Owner or Tenant Andrew Benassi Telephone No. („(7—875'. $'7 30 Owner's Address 200 PLEASANT ST, SOUTH YARMOUTH, MA 02664-4557 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: Master bedroom addition. 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 Rwate 7/efr ( 4L_, 1 /, ('241 ,a•l RECEIVED 2 2021 6) , 1 O _ BUIG DEPARTMENT ��11 y�j� ev — Commontvea/a o////addaclu4setla Official Use Only G ,..` +t c� cc77 n Permit No. X2'7——icr).54 iii,.;:`' .2epart~meni o1.}ire Serviced --4-- --- 1 i--, Occupancy and Fee Checked kei - BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK q All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 v (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7(//2 "L\ ®' City or Town of: YARMOUTH To the Inspector of Wires: NBy this application the undersigned gives notice of his or her intention to perform the electrical work described below. r4 Location(Street&Number) ZOO \eck art S V Owner or Tenant Pr\c � 1 eet,---y _,A S S Telephone No. .4_4Ai Owner's Address Is this permit hi conjunction with a building permit? Yes Er<TO ❑ (Check Appropriate Box) N Purpose of Building A)f k`;ry`q Utility Authorization No. S Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters ' L, New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters ' \ Q,.� Number of Feeders and Ampacity \\ Vl i Location and Nature of Proposed Electrical Work: k.AS .e co O 14\. aj ( �d f C1 �— ai Completion of thefollowingtable may be waived by the Inspector of Wires. Total 1.5 No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Tof Transformers KVA Ce C.). No.of Luminaire Outlets No.of Hot Tubs Generators K ?► V mak- No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting grad. ❑ grnd. ❑ Battery Units v 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 11,I No.of Ranges No.of Air Cond. Total No.of AlertingDevices 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 Munonnectionicipal 0 Other C 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 o Elec 'cal Work: Ce1000. (When required by municipal policy.) Work to Start: 3 O Z\ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liabilityinsurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov a 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 o perjury,that the information on this application is true and complete. a FIRM NAME: fj�C i IV�.Q,(' e(tckr irG LIC.NO.: 2.1\-7.l l C Licensee: ,�<- t; Signature 0 , LIC.NO.:\32_31 a' (If applicable,a ter"ex pt' i the lie a number line1 Bus.TeL No.: SO' 3 G 4 0\31 Address: 0 1'31)O5 t. nth Ntr5 Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires llliepartment 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 16---