The URL can be used to link to this page

Home My WebLink AboutBLDE-22-000717• Commonwealth of Official Use Only "AU Massachusetts Permit No. BLDE-22-000717 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:8/9/2021 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) 16 RIVER ST Owner or Tenant Ben Dezek Telephone No. Owner's Address 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Living room&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 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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: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 my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature L � Telephone No. PERMIT FEE: $75.00 ei(oAtl 01 (i RECEIVED A, AUG 0 4 2021 .0117 -f-- Cormmonwaalth of Maddachuaeite O_tial U.sc Only _ i: ,y,' L` t BUILDING DEPARTMENT �! :liE,- `� /�, s Permit No. Ry * e =^ A:;4., K slvart~msnf o us arvicse �' •• I f ``7 Occupancy and Fee Checked ../3 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) v 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: 6/9 /t cCity or Town of: S 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) (p R%-sit,rSt 5 '/&r no a j,11 ` Owner or Tenant c„,,3 V A Zir K Telephone No. Owner's Address NI t U`Is this permit in conjut ction with a building permit? Yes No El (Check Appropriate Box) I Purpose of Building i.lsti\f, Utility Authorization No. Existing Service Amps / Volts Overhead El Undgrd EJ No.of Meters L. New Service Amps Number of Feeders and Ampadty / Volts Overhead❑ Undgrd ElNo.of Meters VIELocation and Nature of Proposed Electrical Work: �.,vt 11 (-6 J, , 1ac7,�v^� A OfCvn d Completion of thefollowingtable may be waived by the Inspector of Wires. Cl= No.of Recessed Luminaires No.of Cell:Sasp.(Paddle)Fans No.of Total -` ' Transformers KVA '=.'t No.of Luminaire Outlets No.of Hot Tubs to.:‘ Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 'No.of a mergency Lighting grnd. grnd. ❑ Battery Units ` No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners 'No.of Detection and 1 E Initiating Devices No.of Ranges No.of Mr Cond. Tons) No.of Alerting Devices No.of Waste Disposers Heat Pump I Number j'1'ons I KW No.of Self-Contained Totals: 1I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems: No.of Water No.of Na.of No.of Devices or Equivalent HeatersK ' Data Wiring: Signs Ballasts 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: I p, COO,,) (When required by municipal policy.) Work to Start: /3/Lk 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 i ranee including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coy e 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 of perjury,that the information on this application is true and complete. FIRM NAME: AT ^ `a E t't L t f (� LIC.NO.: ZLQ � Licensee: & ,r; Signature 'v-2' \+ (If applicable.enter"exempt"in e lice".e n tuber line.) LIC.NO.: 3 L Address: Q,S�l 'p 'i , t�R t5 Bus.TeL No,: r;8 "�t.4 c�,3`1 *Per M.G.L.c. 147,s.57-61,sec ity work requires De ent of Public Safety"S"License: Alt 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 a,ent. Owner/Agent Signature Telephone No. PERMIT FEE:5 7 . e # / 3 /Iv coif ,e,N15,1..E i' .S r4 nos r 3? (A)(,) J et If) (9EA-71.r vrca.