The URL can be used to link to this page

Home My WebLink AboutBLDE-23-002455 Commonwealth of Official Use Only 1, , € Massachusetts Permit No. BLDE-23-002455 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:11/3/2022 • 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) 411 ROUTE 28 Owner or Tenant LAER REALTY Telephone No. Owner's Address 411 ROUTE 28,WEST YARMOUTH, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead RI 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: Check service to restore power. (LOCK BOX CODE 0726) 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- ElNo.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. Tonal No.of Alerting Devices 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 Signs 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $80.00 MOC-r G w/ ti Pt TO .5.14csd4-• --0 �� / s9 / 4431 RECEIVED 1 v 0 2022 Commonwealth _i BUILDING DE ARj4NT Commonwealth ar_ o/tt/meac�imeW Official Use Only / Il ^>::Y;"=:^ '� c7 n Permit No...i<-.j , �"T.7S _„ _ al..,, ,i epariment`.�i e Serviced `� ',l l � Occupancy and Fee Checked ' BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07) (lave blank) 4— APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK tJ All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 Z '(PLEASE PRINT IN INK OR TY„'E ALL INFORMATION) Date: II Pi zZ City or Town of: w ° YARMOUTH Torlre Inspector ofWires: ,y this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Li 1\ Jr ?_.S3 _ Owner or Tenant L}6p 3 8 N� Owner's Address '` Telephone No,774 3S- 6 SZ Is this permit In conjunction with a building permit? Yes ❑ No Purpose of Building J L Check Appropriate Box) • Utility Authorization No. N xistlng Service Amps I ZO/211,0 Volta Overhead rd❑JUnd¢ ❑ No.of Meters Z c jilew Service Amps / Volts Overhead❑ Undgrd Number of Feeders and Ampeclty O .n g ❑ No,of Meters • Location and Nature of Proposed Electrical Work: nd c,e_ RCS t-d ce {t,cK box o%zia ' Completion of the followingtable m be waived by the Inspector of Wires. W No.of Recessed Luminaires No.of CeB:Sus. No.orf 1 oral p(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs - Geoerators KVA d' No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting - ¢rnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.of Zones No.of SwitchesNo.of Gas Burners No.of Detection and I~' No.of Rao es total Initiating Devices g No.of Alr Cond. No.of Alerting Devices HeatNumber lousns1KW No.of Waste Disposers Pump!Number__..J..._......_......._......... No.of Self-Contained Tom: Detection/Alerting,Devices No.of Dishwashers Space/Area Heating KW Locel Municipal No.of Dryers Connection other ry Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KWNo.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No,Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin OTHER: No.of Devices or Equivalent _�C�. 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: \. ZLZ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE 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 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 ins andty') penalties perjury,that the information on this application is true and complete. FIRM NAME: 3Dc, E.laGt-CtZ Licensee: paVV i'• �rs r'noo r \t` LIC.NO.: Z\ O !applicable, t /n rite!y.�,' Signature LIC.NO.: 1 3 Z.3e 0 (f pv �L�r �sa�f ^-r-- )�rr1nA) Address: (6 6 r31vr.Q3 _�1-C2r�-MIFF.) tZ Bus,Tel.No,: T 34y O 1 Sal 'Per M.G.L.c.147,s.57-d 1,securitytofAlt.TeL No.: afety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: am aware that heme Licen Licensee does Public not hove 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 a•ant. Owner/Agent Signature Telephone No. PERMIT FEE:$ Y(, G lC I3lo7 2z)( I o S ? �� ` R:k _ ti