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Home My WebLink AboutBLDE-23-004170 _ Commonwealth of Official Use Only R- 'LPermit No. BLDE-23-004170 . „#,, Massachusetts ` 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. 1 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 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: 1st floor rewire due to fire. 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 0 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 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 Sins 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 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: $75.00 aLt pt i(30/mo t sl-ici7,3 a_ &ull//7"I Go •i� ." '' �,t a °a 7 �a��+ r Official Use Only N:lit!!;JA N 2 6 2023 Pcrmit No, v -4(7o IIo , - I L Di WIMPREVENTION REGULATIONS Occupancy and Fee Checked Rev. 1/07J leave blank _ s A PERMIT TO PERFORM ELECTRICAL rr W All work to be performed in accordance with the Massachusetts Electrical Code(NEC),527C OR K `) (PLEASE PRINT IN INK OR TYPE ALL INFORMATION \ City or Town of: 5 Date: ,, Z 4�Z ` YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice?flits-o3r her inten ion to perform the electrical work described below. Location(Street&Number) , E d r, O ,..r ^\ Owner or Tenant I Owner's Address �' \U 1 `( Telephone No. 7`� j 3 ( CZ- , (.J Is this permit in conjunction with a building permit? yes Purpose of Building_, �A N° El (Check Appropriate Box) Utility Authorization No. 0 Existing Service IQ& Amps c)/ 2kOVolts Overhead • New rvice 0 Undgrd� No.of Meters �_ •G --�"—' U� Amps 1 Zt� 1 �C�Volts Overhead c.• Number of Feeders and Ampadty , ❑ Undgrd[� No.of Meters �_ (� �l'� to /vV_ Location land Nature of Proposed Electrical Work: Com,letion o the ollowin_•table m,U. No.of Recessed Luminaires be waived b the In ,ector o Wires. U. No.of Ceil.-Susp.(Paddle)Fans °•o ota 1 n 0 U rr-1+ No.of Luminaire Outlets Transformers KVA �04.r Q1,,„ No.of Hot Tubs Generators KVA i `� 1t:' No.of Luminaires 'ove n- 'o.o mergency g mg en G lt7Su c'(; Swimming Pool ,rnd. ❑ ;" No.of Receptacle Outlets d. ❑ Batte Units v C 1 ghfi �y No.of Oil Burners FIRE ALARMS No.of Zones J No.of Switches No.of Gas Burners `o.o etec on an i,,r No.of Ranges Initiatin: Devices No.of Mr Cond. ota Tons No.of Alerting Devices eat 'ump .`um er ous ' �� Totals: o e - ants ne No.of Waste Disposers No.of Dishwashers Detetection/Alertin Devices Space/Area Heating KW Local❑ `un c pa No.of Dryers Heating Appliances ecu Connection ❑ �� `o.o "a er KW ty ystems: Heaters KW o.o .o o Sins Ballasts No.of Devices or E'uivalent Data Wiring: No.Hydromassage Bathtubs No.of Motors a ecommNo.of u ca Devi or ces uivalent Total HPring: OTHER: No.of Devices or E.uivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 30 a Work to Start: —+---�`-=_ (When required by municipal policy.) Z3 Z3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including undersigned certifies that such covers a is in force,and has exhibited proof of same to the permit issuing office. `completed operation"coverage or its substantial equivalent. The CHECK ONE: INSURANCE BOND I certtfy,under the pains and penalties� fP o e� OTHER ❑ (Specify:) ry,Ilia!the Injortnatton on this application is true and complete. FIRM NAME: r-a -,r It'C-k-r'. C Licensee: ,�� r LIC.NO.: Z(� d /� Address:(If lble,enter" rem t to the 'erase nuns er line.) signature 4J'i3hl , LIC.NO.: 32.3 g cc "Per M.G.L.c. 147,s.57-6 ,security work re i s Department Bus.Tel.No. p' L'? OWNER'S INSURANCE WglypR; Pnent of Public Safety1.A NA Alt.Tel.No.: OWNSrequired by law.IN Bymysignature I am aware that the Licensee does not have the liability insurance overage n`` Owner/Agent gnature below,I hereby waive this requirement. I am the(check one Signature I owner • owner's a_ent. Telephone No. PERMIT FEE:$