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Home My WebLink AboutBLDE-22-000266 Commonwealth of Official Use Only ,t NI Massachusetts Permit No. BLDE-22-000266 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:7/16/2021 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) 24 CHARLES ST Owner or Tenant Amy Mclssac Telephone No. Owner's Address 24 CHARLES ST,SOUTH YARMOUTH, MA 02664 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: Replacement of sub panel&add circuit for door. 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 Ton 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 ❑ 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 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 my signature below,I hereby waive this requirement.I am the(check one) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 (--( I� EG ! VED Cl0-I —t� C � L 15 2021 "' ~masa&°/Mamachuuafld Official Use Only t, `B`= ,t n Permit No��L tJ c.. r t° " h DEPARTMENT apar wisI° .c-�is &rvicsd V`` —_"""'_-_ -E PREVENTION REGULATIONS Occupancy and Fee Checked `"` [Rev. 1/07] (leave blank) d APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK vV All work to be performed in accordance with the Massachusetts Electrical Code( EC),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: IS- Z 1 City or Town of: YARMOUTH To the Inspector of Wires: c�)i By this application the undersigned gives notice of his or her intention to perform the electrical work described below. (\J Location(Street&Number) 7-LA CV\0 f-l{S S k. S 0 u Yar ridcj Yr\ Owner or Tenant A(` =S5(kt Telephone No. (\) Owner's Address Is this permit In conjunction with a building permit? Yes No Purpose of Building 0' I,U 2`\(�'" 0 (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd ID No.of Meters tC New Service Amps / Volts Overhead❑ Undrd L,, g El No.of Meters a—, Number of Feeders and Ampacity iLocation and Nature of P oposed Electrical Work: re SV Pad 9a�� oac cCrcu P ce nel� neq �p ,,,c,„_ Completion of the followinktable may be waived by the In vector of Wires. tt1. No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.of Total Transformers KVA CA No.of Luminaire Outlets No.of Hot Tubs r\ 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 INo.of Zones No.of Switches No.of Gas Burners No.of Detection and t°` No.of Ran Total es Initiating Devices g No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number!Tons 1 KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ 'e No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW Data Wiring: No.of 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 o Electrical Work: z,000,.cv (When required by municipal policy.) Work to Start:'7 I hA 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 undersigned certifies that such cove 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: *`'n .e e(2rfrr Licensee: VqJ.� a..3LIC.NO.: 2 ?d Sp i'i Signature LIC.NO.: 23 (If applicable,enter••xempt"inthe Ii nse numb r line.) Address: 1is i Shr>Q 5 � 61.11A.iS Bus.Tel.No.• S 4 Q kTi *`Per M.G.L.c. 147,s.57-6"1,security work requ res Department of Public Safety"S"License: LiAlt. c.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 agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ s� I