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Home My WebLink AboutBLDE-22-005434 • �01 0 t, Commonwealth of Official Use Only 11)1 Al Itti Massachusetts Permit No. BLDE-22-005434 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:3/29/2022 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) 52 ALDEN RD Owner or Tenant HEBERT DAVID W Telephone No. Owner's Address HEBERT DEBORAH ANN, 68 MERRIAM LN,SUTTON, MA 01590 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A• • opriate Box) Purpose of Building Utility Authorization No. 40 Existing Service Amps Volts Overhead 0 Undgrd 0 o. New Service Amps Volts Overhead 0 Undgrd 0 e Number of Feeders and Ampacity .� , Location and Nature of Proposed Electrical Work: Second floor addition, kitchen remodel, update recept e ' lighting. om letion ofthe followingtable maybe i I ctor ofWires. Completion ' No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of k Transformersy 4otal , A No.of Luminaire Outlets No.of Hot Tubs Generators / VA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lig tin 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 Initiatine 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/Alertine 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 Siens 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 polio) 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 atoe6t 6,4rocy)__ciwo t(16.122,( ...i,-,,,ad 6a raw 4,,,A.0 st&-/oAe , ,,,---, AAP-Ny10/ � - ,(6 (4R `� L ,,nc� "o r ,./46, e/c 4 1n/ r�2 �)v RECEIVED MAR 2 8 202 '� l.o a&4 Maedarhudatid Official Use Only .5 �ILDING DEPgRT N-1 Z2- 1 ./ tf '7 _ _ s,ar of o/ n Permit No. ....�A;� w � f�iro Serviced ;I I'i Occupancy and Fee Checked �, 4 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) v� ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfonned in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 U (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: U City or Town of: YARM O UTH To the Inspector of Wires: By this application the undersigned gives notice of his or her inkention to perform the electrical work described below. .. Location(Street&Number) Et Aka ea, c t-- .4 Owner or Tenant P`-e_7l €.be-Al- Telephone No. Ni Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building d i,.1,e.,,11,rrn Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters , 5 New Service Amps / Volts Overhead V ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity V i Location and Nature qf Proposed Electrical Work: Cur\ O '' �r r1,a � I 6 i\uc.i S ti� St,J t e S �:r '� Ftv t ad l I �fi;n v Completion of thefollowingtable m be waived by tffe/ns ectapiof Wires. .+eu ilk No.of Recessed Luminaires No.of Ceil:Sus No.o 'Total .,1 p.(Paddle)Fans Transformers KVA 'Z' No.of Luminaire Outlets No.of Hot Tubs Generators KVA ^t.,. No.of Luminaires Swimming Pool Above ❑ In- ❑-No.of Emergency Lighting g_rnd. g_rnd. Battery Units ;` No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners 'No.ofletection and t No.of Ranges Total Initiating Devices g No.of Mr Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Numb"""'er Tons KW 'No.of Self-Contained Totals: ......�' ,Detection/Alerting_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 Devices or Equivalent Heaters KW No.of No,of Data Wiring: Signs Ballasts 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: 3O d 3 a,.. (When required by municipal policy.) Work to Start:3 I'LS 22- 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 ins ranee 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 of perjury,that the information on this application is true and complete. FIRM NAME: 5% ;eN.� b 1,C�(Cc LIC.NO.:Z 1‘10 /A Licensee: �O.J i „t n — Signature it,, (44-1-7- LIC.NO.:1323A. S3 (If applicable,enter"ex Amp 'in the enst number lir .) Bus.Tel.No.' S6 FS 34y C\3'‘ Address: -7C) %P 5kop C: �h,u Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61, ecurity work require 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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No, PERMIT FEE:$