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Home My WebLink AboutBLDE-23-000399 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-000399 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:7/26/2022 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) 3 OAK GLEN VILLAGE Owner or Tenant YOUNG DAVID Telephone No. Owner's Address YOUNG SANDRA, 18 WESTVIEW DR, MANSFIELD, MA 02048 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: Remodel kitchen 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/Alertine 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 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 ❑ 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 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: $75.00 7f-/vv i'J/A- .scitw ccat4 7 2`j 22 RECEIVED n `. JUL 25202/ o sairk 4 Mamacluses ie Official Use Only �- ..�f`�LDING U�PARTn,�r�T c/ Permit No. s _0 37 7 ,�. -i --- 40 4. ir.Servic e - f' � Occupancy and Fee Checked .dir BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK UAll work to be performed in accordance with the Massachusetts Electrical Code IV ),527 CMR t 2.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: -7 S )ZZ City or Town of: YARMOUTH To the Inspector of Wires: NI By this application the undersigned gives notice ofhis�he intentioto perform the electrical work described below. �—{ Location(Street&Number)cc 3 Q� l i co yacv ra 6, N Owner or Tenant SAnel t V: Nq Telephone No. u Owner's Address �J �� 1 z�� G��3 Is this permit in conjunction with a buildingpermit? Yes No 0 (Check Appropriate Box) N Purpose of Building O 1\ &5 Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters ' " New Service Amps / Volts Overhead verhead ElUndgrd ElNo.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: c 1-NeIN t^C - 3•4 lb s Completion of the following table may be waived by the',vector of Wires. tit No.of Recessed Luminaires No.otCeLL No.of Total -Sm�.(Paddle)Fans Transformers KVA nNo.of Luminalre Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool ode ❑ In-d. ❑ Battery Unigrocy Lighting `l No.of Receptacle Outlets No.of OH Burners FIRE ALARMS INo.of Zones No.of Detection and No.of Switches No.of Gas BurnersInitiating Devices IL! No.of Ranges No.oIr Air Cond. Tops) No.of Alerting Devices No.of Waste Disposers Heat Pump 'Number I Tons �.KVi? No.of Self-Contained Totals:I "f.� "' Detection/Aler�Devicea No.of Dishwashers Space/Area HeatingKW Municipal Local❑ Connection ❑ 'Au"- No. KW Security w No.of Water No.of Heating No.ofNo. f or Equivalent ' Heaters ' Signs Baptista Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: • requited additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lectri Work: l/OOU..-6 (Whenby municipal policy.) Work to Start 1LS 1-a- 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 cov 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 pal and penalties of perjury,that the Inform ant on this V ,,,Realign Is trite and complete. FIRM NAME: IN e.e ((Art t A\. I LIC.NO.: Z, 6 Licensee: A,v c � P.t Signature , -ir LIC.NO.: 3 t 3 (If applicable,enter" t"in he li e number liq I Bus.TeL No.• 0 l3431 Address: 16 ;5 u pp s ttr u I\tll S Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,sedurity work requ ailment 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 0 owner's agent. Ow ner/Agent Telephone No. I PERMIT FEE:$