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Home My WebLink AboutBLDE-21-002673 tJ�1 -e in Commonwealth of official use only e "1-. \\P Massachusetts Permit No. BLDE-21-002673 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•11/10/2020 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) 65 CAPT CHASE RD 8 r776 - 2?34 Owner or Tenant GRIFFITH WILLIAM F Telephone No. Owner's Address 65 CAPT CHASE RD, SOUTH YARMOUTH, MA ❑02664y Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appro /r Box) Purpose of Building Utility Authorization No. `/ Existing Service Amps Volts Overhead 0 Undgrd 0 4r f M to y° A Z� 0New Service Amps Volts Overhead Undgrdo. Number of Feeders and Ampacity , r Location and Nature of Proposed Electrical Work: Install recessed lights. 4:)P V.-."ComPletion o the followin table may be wa - .r of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of N , .+ Transformers No.of Luminaire Outlets No.of Hot Tubs Generators KV. No.of Luminaires Swimming Pool g bovernd. ❑ Ig ❑ No.of Emergency Lighting 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 Water No.of Devices or Equivalent 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 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 S eci I certify,under the pains andpenalties o (Specify:) fperjury,that the information on this application is true and complete. FIRM NAME: DAVID W SPRINGER Licensee: David W Springer Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 21170 Address:70 Bishops Ter, Hyannis MA 026012106 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. I PERMIT FEE:$50.00 I () \744- iiii -zh4 glz_., Ni A-- t i ( K L (7 - SZN Lommonw,awc o`fa46achuaeltd Official Use Only _ 1 �� R'" `� c7 Permit No. C_ (' ^ part/n*sl o/.}in&rvic�r �;F ' ,;" BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked •1'� �' �� Rev. 1/071 (leave blank) 0� APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 0 S (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ' I/9 120 JCity or Town of: 3 \k i• M �a To the Inspector of Wires: g 1 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. tom.►( Location(Street&Number) (o S ( G e'ck1,, C1 e\40 C Cc i ri Owner or Tenant IA t GP, i ;j., Telephone No.111-1 163 toySZ N Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No E (Check Appropriate Box) ham�tt° Purpose of Building (� �, l\cr‘r\ Utility Authorization No. cS`?'° J Existing Service Amps / Volts Overhead 0 Undgrd Cg ❑ No.of Meters New Service Amps I Volts Overhead❑ Undgrd 0 No.of Meters U=- Number of Feeders and Ampacity n Location and Nature of Proposed Electrical Work: Arl t`E'C e551NtS Completion of the following table may be waived by the In ector of Wires. No.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans No.of- Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pal Above ❑ In- No.of lvmergency Lighting grad. grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners 'No.o Detection and Initiating Devices No.of Ranges No.of Mr Cond. Tons] 11N__o of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1KW No.of Self-Contained Totals: } ._.._._..,. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Municipal 0 Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of 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: L(6 d, � (When required by municipal policy.) Work to Start: k\ 115/Zo 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 is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE [t OND 0 OTHER 0 (Specify:) I certify,under the pains andpenalties o f perjq ,that the information on this application is true and complete. FIRM NAME: C - f- Ct C L Licensee: LIC.NO.: Z \ () A^ �eV.j S Ot—,n tC Signature (If applicable,enter"e pt"r the lick& number li LIC.NO.: `3 Address: J Bus.Tel.No.: 8 %....4.1a31 a Q *Per M.G.L.c. 147,s.57-6I,security work requires a etyAlt.Tel.No.: License: Lic.No.OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance overage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one owner Owner/Agent owner's a eat. Signature Telephone No. p PERMIT FEE:$