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Home My WebLink AboutBLDE-22-006131 Commonwealth of Official Use Only or Massachusetts Permit No. BLDE-22-006131 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:4/26/2022 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) 58 HOWES RD Owner or Tenant SIMONELLI MICHAEL L Telephone No. Owner's Address SIMONELLI COLLEEN T,427 MAIN ST, SHREWSBURY, MA 01545 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: Sunroom addition. 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 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. Tn Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alerting Devices Space/Area Heatin ElMunici al No.of Dishwashers P g KW Local Connect ❑ Other: HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent 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. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq P P y' 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 LIC.NO.: 21170 Licensee: David W Springer Signature Bus.Tel.No.: al- Address:applicable,enter"exempt"in the license number line.) Alt.Tel.No.: o. 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 signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent 'PERMIT FEE: $75.00 I Signature Telephone No. F1,104-1,, 44w ' • 14 Commoniwsai'L of/llaaeac(iaeet#s Official Use/Only f, ; Perri"'*T f✓2'Z Cot 31 ■ 2epahtnent el gimp IHvieit } , Occupancy and Fee Checker BOARD OF FIRE PREVENTION REGULATIONS iRev. l�j Heave blank' V c` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ...E-. All work to be performed in accordance with the Massachusetts Electrical Code ME ,527 CMR 12.00 V - (PLEASE PRINT IN INK OR Ty PE ALL INFORMATION) Date: Z1 ZZ `' City or Town of: f rid tyliel To the Inspector of Wires: By this application the undersigned gilies notice of his or her intention to perform the electrical work described below. VLocation(Street&Number) $$ -' t.J ez (--) `J Owner or Tenant pi\t K Q, S t to M.c n S Telephone No. Owner's Address 4 Is this permit in eoaJuncti n with a building permit? Yes No El (Cheek Appropriate Box) Purpose of Building (r e r u n Utility Authorization No. 0 Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead ElUndgrd 0 No.of Meters c' Number of Feeders and Ampacity v Location and Nature of Proposed Electra al Work: A a ) }-i n 50,1 Co 6 P'1 \r Completion of the followingtable may be waived by the 1 tar of Wires. No,of Total W; No.of Recessed Luminaires No.of Ceti.-Snap.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Poo, Above ❑ In- ❑ No.of Emergency Lighting and. grad. 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. Tatar No.of Alerting Devices Tons No.of Waste Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Ale jti Devces No.of Dishwashers Space/Area Heating KW Local❑ MulConnectionelPal ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water ICW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications i No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Elec 'cal Work: S,DUD-- (When required by municipal policy.) Work to Start: 1,1 27- 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 a 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 ofpedmy,that the information on this application is true and complete FIRM NAME: Ax LC ekc'fc i L LIC.NO.: l—\\'lb fl Licensee: f't` Signature LIC.NO.: 132-3 Q. 6 (If applicable,enter" tce in the a number ine.) Bus.Tel.No.:Ca`� 344.U 13 5 Address: 7$ ' W o()) CC, ei nth) Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work Department 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$