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Home My WebLink AboutBLDE-21-005454 Commonwealth of Official Use Only /LAI Massachusetts Permit No. BLDE-21-005454 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:3/23/2021 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) 47 HOLLY LN Owner or Tenant JOHNSON JAMES L TR Telephone No. Owner's Address JAMES&MARYBETH JOHNSON REV TRUST, 518 LOWELL ST, LEXINGTON, MA 02173 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: Wiring of attached garage. 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 ❑ 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.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: Y g 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 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 IP ,/424 K (s (.0 CA)a a -4r6/N) 6-/3/2-1' 4f1 ------ Lommonwaawi.o`iaeaachuaotta Official Use Only/ Permit No. : . 2sparEnvnt ins srvicr3 ` Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.Occupancy and 1107) (leave blank) C 'i'# 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: 3/22 I Z City or Town of: Les)- Yac Yvwii}t\ To the Inspector of Wires:. By this application the undersigned gives notice of his or her intention to perform the electrical work described below. V Location(Street&Number) 91 \p't \n NJ Owner or Tenant insksa �- 7 SOt) Telephone No. Owner's Address N Is this permit in conjunction with a building permit? Yes [SNo ❑ (Check Appropriate Box) Porpoise of Buildin r• N rpose g Utility Authorization No. Existing Service Amps/ / Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead El Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: epU,,i, a , -c-n.-,)t. :re et.-NGit ` V Completion of the followingtable may be waived by the lnpector of Wires. No.of Recessed Luminaires No.of Cell.-Snip.(Paddle)Fans tilNo.of Total c Transformers KYA CI No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In 'No.of emergency Lighting No.of Luminaires Swimming Pool grad. ❑ Krnd. ❑ Battery Units E No.of Receptacle Outlets No.of OH Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices A. No.of Ranges No.of Air Cond. Tons To No.of Alerting Devices No.of Waste Disposers Meat Pump Number_Tons _ KW 'No.of Self-Contained _. .. Detection/Ale . Devices No.of Dishwashers Space/Area Heating KW Local 0 MConneunidcHp oa 0 Other No.of Dryers Beating Applirtaces KW Security Systems:* No.of Water ICW No.of No.of Data Wiring:0.0or Equivalent Heaters Signs— Ballasts No.of evices or t No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications irf gg 1Vo.of Devices or Equivalent OTHER: Attach additional detail tfdesired,or as required by the Inspector of Wires. Estimated Value of El trical Work: 31(x (When required by municipal policy.) Work to Start: 3 ZZ 2 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE AGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability ins)Wance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coy 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 theca and pen o r}:try,that the information on this application is true and complete. .4 ^ Signature LIC.NO.: 13Z3 (If applicable,enter" t in the ' ense r line.) Bus.Tel.No.: St)$ 3I.y 13c Address: 76 ►5 as�s , pMt) *Per M.G.L.c. 147,s.S7-til,security work ices Department of Public Alt.Tel.No.: 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 ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ I