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Home My WebLink AboutBLDE-23-001175 ; or 44\ Commonwealth of Official Use Only i `' Massachusetts Permit No. BLDE-23-001175 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:9/2/2022 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) 500 ROUTE 6A Owner or Tenant SHEILA FITZGERALD 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Re-bar grounding 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. $rnd. 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 Initiatiine Devices To No.of Ranges No.of Air Cond. Ton I No.of Alerting Devices 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 Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 ltc Commonwealth o///aeaachuaatie Official Use Onl / � B'�At /c'� ' `� I Permit No. > ` 7 A r; h: sivartmsn�o }u o�arvresa �-- "'1`I'' Occupancy and Fee Checked 0 „ BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK --(-- All work to be performed in accordance with the Massachusetts Electrical Code EC),527 CMR 12.00 cl (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1/ , 1 Z Z City or Town of: YARMOUTH eo<\ To the Inspector of Wires: 4 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. v Location(Street&Number) ga a ►^Ackr‘ St YochcsikkP a 0- Owner or Tenant 51,,e'lt 0. FA-zg6(4\a Owner's Address Telephone No.$Z?$ Z�0 SILZ jIs this permit In conjun tion with a building permit? Yes �o N r Purpose of Building ri(tom\\in ❑ (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd � ❑ No.of Meters tril _ New Service Amps / Volts Overhead Undgrd of Feeders and Ampacity ❑ El No.of Meters E Location and Nature of Proposed Electrical Work: 'F-0U n b ak-C6(\ &,� v Completion of the followin&table may be waived by the In ector of Wires. ti. No.of Recessed Luminaires No.of Ceil:Sus . No.of s� ,, p (Paddle)Fans Transformers Total '='t No.of Luminaire Outlets KVA r='t No.of Hot Tubs Generators KVA �' No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting sgrad. 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 No.of Ranges Initiating Devices g No.of Air Cond. 'rotal No.of Alerting Devices Tons 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 No.of Dryers Connection ❑ Other ry Heating Appliances KW Security Systems:'t No.of Water No.ofo No.of Devices or Equivalent Heaters ' Signs Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Motors Total HP Na of Devices or Equivalent Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value f lectrical Work: SUO,,., (When required by municipal policy.) Work to Start: ( ZZ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE lJ BOND 0 OTHER 0 (Specify:) I certify,under the p ins and penalties of perjury,that the information on this application is true and complete. FIRM NAME: C C L:\-e Lt-c,z. Licensee: ID0 S / � LIC.NO.:Z\\ C�� Signature l l� c II NO.: 13Z3`\ g (If applicable,enter"exempt"in the nse rum line) Address: 1 &;Sk^ �S� k;S Bus.Tel.No• d S *Per M.G.L.c. 147,s.57-61,security work req res Department 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:$