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Home My WebLink AboutBLDE-23-004714 Y . Commonwealth of Official Use Only �. Massachusetts Permit No. BLDE-23-004714 BOARD OF FIRE PREVENTION REGULATIONS Occupancy p cy 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:2/24/2023 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 escri ed below. Location(Street&Number) 67 ELDRIDGE RD75.1 �� Owner or Tenant JAY PARRAZZO ` Telephone No. Owner's Address 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: 2nd floor addition. 1st floor lighting&replace bath lights. 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 40 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches 15 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 2 Total 3 No.of Alerting Devices Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Municipal Local 0 A ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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(If applicable,enter"exempt"in the license number line.) Tel. NO.: 21170 Address: 70 Bishops Ter, Hyannis MA 026012106 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. I PERMIT FEE: $75.00 I REVE ® ' Commonwealth of Massachusetts facial use nl / F'��-`_IriL--7--------- -_fir;3 Permit No.: c2� -1--t ( l 4 r _ Department of FireServices Occupancy and Fee Checked: BUILDI ;__ .5 r A D OF FIRE PREVENTION REGU Rev. 1/2023 y CATIONS [ l —APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 City or Town of: ' <3 YARMOUTH Date: =i7r3 1z3 To the Inspector of Wires:By this application,th unde signed gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): GP-1 16, -;� Owner or Tenant: �� Unit No.: .) 'i-A.z Email: Owner's Address: _ fone No.:TN 353 C,V S Z Is this permit in conjunctipn with a building permit?(Check appropriate box)Yes a No❑Permit No.: Purpose of Building: d t ;e indk. Utility Authorization No.: Existing Service: ARips / Volts Overhead❑ Underground g ❑ No. of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: Description of Proposed Electrical Installation: tJPS1trS auc;'t',v, l 4.eS , Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: LAD No.of Switches: t c Generator KW Rating: Type:. No.Luminaires: No.of Recessed Luminaires: Z,3 No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices: Swimming Pool:In-Grnd.❑ Above-Grnd.0 Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: No.Air Conditioners: Video System El No.of Devices: Z Total Tons: 3 Telecom System 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: SecuritySystem El No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 0 Level 2❑ Level 3 0 Rating: OTHER: ., Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: -2 CX'YJ,w Date Work to Start: Z�2U�Z3 (When required by municipal policy) Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: 5(J;I'n vs C t c,� 61e A-1 0 or C-1 ❑LIC.No.: Master/Systems Licensee: 5P('1'n C It c 4-f, c. LIC.No.: Z\\,6 (c Journeyman Licensee: (A../,d C I h er LIC.No.: \3 Z 3`A g Security System Business requires a Division of Occupational Licensure"S"LIC. } S-LIC.No.: Address: 6 i ypS� S .(' } c,,0 t 5 Email: 4j (.'j 'Z IZ.I.ZC C cmMCC.lS t k; Telephone No.: X) „ (,_� 0 l 3 1 I certift,under the ains and penalties of perjury,that the information on this application is true and complete. Licensee: ' Print Name: INSURANCE COVERA : Unl ss waived by the owner,no permit for the performance of electrical work may issue unless the provides proof of liability 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 of❑ office. licensee CHECK ONE: INSURANCE 0 BOND g OWNER'S INSURANCE WAIVER. I am aware that the❑Licensee does not have theliability required by law.By my signature below,I hereby waive this requirement.I am the:(Check oe)Owner 0 Owner's normally Owner/Agent: ❑ Owner's agent 0 Signature: Tel.No.: Email.: