The URL can be used to link to this page

Home My WebLink AboutBLDE-23-004169 Commonwealth of Official Use Only ; IIN Massachusetts Permit No. BLDE-23-004169 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:1/27/2023 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) 61 ELDRIDGE RD Owner or Tenant MOYNIHAN JOHN F II Telephone No. Owner's Address MOYNIHAN ERIN K, 122 GREATON RD, WEST ROXBURY, MA 02132 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 for 2nd floor addition. 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 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 ofperjury,that the information on this application is true and complete. FIRM NAME: DAVID W SPRINGER Licensee: David W Springer Signature LIC.NO.: 21 170 (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: $75.00 0 62_ 617S1 73 <0041.11-7K2.---S (clt L 'fi (2;3e R E C E v E 1 Comny,nwea[tl�.of/' aaeachueafle Official Use Only i1i,°...,,,l‘A N 26 2023 c c7 • Permit No. -[S,lar---.__n�} S -. •11 ''y Occupancy and Fee Checked aiwBOAR�F�P E PREVENTION REGULATIONS [Rev. 1/07 (leave blank) G APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK -4- 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: }l Z4 I Z S J City or Town of: 3 YARMOUTH To the Inspector of Wires: Si By this application the undersigned gives notice of his or her intention to perform the electrical work described below. JLocation(Street&Number) (01 kt r\. L) Owner or Tenant .12 \ •- t1'� ),kdl Telephone No. 7 7'-\ .3s 3 i; 5 Z. C� l Owner's Address `, NIs this permit in conjunction with a building permit? Yes - No El (Check Appropriate Box) Purpose of Building Utility Authorization No. 1,j Existing Service ID ' Amps i jam/ Z'-(OVolts Overhead❑ Undgrd n No.of Meters New Service 1 D 0 Amps i W/ 74.0 Volts Overhead❑ Undgrd Er No.of Meters I Number of Feeders and Ampadty Z 160 Location and Nature of Proposed Electrical Work: nc`; (` �. plu ent\crSOft, ; VI �) Completion of the following table m be waived by the In vector of Wires. t!, No.of Recessed Luminaires No.of Cell:Sas No.off Total op.(Paddle)Fans Transformers KVA -.1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA tf` No.of Luminaires Swimming pool Above ❑ In- ❑ No.of Emergency Lighting grnd. jrnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones ~7 No.of Switches No.of Gas Burners ,No.of Detection and — Initiating Devices 1•! No.of Ranges No.of Air Cond. l onsl 11Na of Alerting Devices TNo.of Waste Disposers Heat Pump Number Tons ,KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municipal p Local❑ Connection ❑ °filer 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: . Gw (When required by municipal policy.) Work to Start: 2 116 Z.. 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 covers is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Q BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties o perjury,that the information on this application is true and complete. FIRM NAME: 5 , .nq�f tie C f f�� LIC.NO.: e.\\�0 Licensee: 00.v,2j C''r";Z "r Signature1......vir LIC.NO.: 13Z3C\9 (If applicable,enter••exem in the lices&e tuber line.) Bus.Tel.No. St�X ..C 4 O 3 Address: —7 p ,3 hd ``l` *Per M.G.L.c. 147,s.57-61,security workr quires De linen of Public Safety"S"License: Alt.Li Tel.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:$