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Home My WebLink AboutBLDE-22-005795 Official Use Only Commonwealth of Massachusetts Permit No. BLDE-22-005795 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:4/11/2022 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 workor described below Location(Street&Number) 39 GROUSE LN K1✓ 7-� Owner or Tenant Jensett Corporation Telephone No. Owner's Address 39 GROUSE LN,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead ❑ Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Miscellaneous work per attached. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting No.of Luminaires grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Ton Heat Pump I Number L Tons KW No.of Self-Contained No.of Waste Disposers Totals: I Detection/Alertine Devices Municipal 0 Other: No.of Dishwashers Space/Area Heating KW Local ❑ Connection Security Systems:* No.of Dryers Heating Appliances KW No.of Devices or Equivalent I No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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 ❑ (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 LIC.NO.: 21170 Licensee: David W Springer Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:70 Bishops Ter, Hyannis MA 026012106 *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 0 owner's agent. signature below,I hereby waive this requirement.I am the(check one) 0 ownerI Owner/Agent 'PERMIT FEE: $50.00 Signature Telephone No. cf ((Vice) 5J10 TV av 6,9„47,,.9 RECEIVED —VI 1 c)cf _ �j 1 G DEPARTMENmOn '°a °�r//�aachueafte OffUse Only a -' qs v :s,y 4 cc+►�� c� Permit No. C t ..414:Z F 2iepartmsnf o f.}ire serviced �'11r Occupancy and Fee Checked 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(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9/11 I ZZ- C�) City or Town of: \NJ 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. N Location(Street&Number) 30 G C0 LI,St. ,n K---4 Owner or Tenant \)CAn St''-A-- &Jae 0 czkATO 1 Telephone No.1 l y '`I Is 3i N Owner's Address Is this permit in conjunction`with a building permit? Yes ❑ No (Check Appropriate Box) N = Purpose of Building d va-c`\,,1\ Utility Authorization No. Existing Service (O 0 Amps 1 / Z.41.-Nolts Overhead Er—Undgrd❑ No.of Meters l -LI 5 New Service ((3 U Amps \'i3O /2-40 Volts Overhead[Undgrd❑ No.of Meters ( Number of Feeders and Ampacity '2_ t C) i Location and Nature of ProposedElectrical Work: .Ipkace `o S SW?rc,�e) V L0. (aa� ,, c m.,0 n I i-e_p � S-ecvik_ t 'for\3Uc..f0 c- a�` aPP Isaac( au Completion of thefollowingtable my b�waived by the Inspector ofWire t)- No.of Recessed Luminaires No.of Ceil:Sns . No.off s' �,J p (Paddle)Fans KVA Transformers KVA .„! No.of Luminaire Outlets No.of Hot Tubs Generators KVA t` 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 1 No.of Ranges Total Initiating Devices g No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons �R�V 'No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent No.of KW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: 1_ Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: ,/O()C-) (When required by municipal policy.) Work to Start: ''i Ig/ZZ_. 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 coves 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 andpenalties o fperjury,that the information on this application is true and complete. FIRM NAME: Vc ON��f Elt LkT L LIC.NO.:1,4`—kJ {...--- Licensee: `� c tY1a Signature 1,),,,,S LIC.NO.: 1'3Z 3� Qj (lf applicable,enter„ xe t 'in the cease nu,,jber line.) Address: 10 �3"�o g .ec, ►{�, kAt,j Bus.Tel.No.: $ j4, 0 i *Per M.G.L.c. 147,s.57-61,security work re Department of Public Safety"S"License: Alt.LiTe.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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 5( ..c OI (4111R (I/ V ,C PUNir QF Arke4AMLIVrt/ q(wav& i 5, tor,,__ c4 ?