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Home My WebLink AboutBLDE-23-002454 tx ' Commonwealth of Official Use Only E' 1 Massachusetts Permit No. BLDE-23-002454 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 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: BAthroom renovations(LOCK BOX CODE 0726) Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 1 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 3 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiating 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/Alerting 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 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 ❑ (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: $100.00 C°Ca I / yCil_7#:ie-• 1"l J L o iC rliz R1EC : IVED fZee,cP CNOV 1 3:e�,y 'N T .om monwaaU:o/4 7aeaacnaall e Official Us e O . Permit No, ( 321parimini o/}int Serviced DING II--!• '--_-f of ' II " BOARD OF FIRE PREVENTION REGULATIONS [ROevcc.uIp/0an7y and Fee Checked (leave blank) -- I APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ce 1 All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) I Date: 11�3�ZZ City or Town of: w YARMOUTH To the Inspector of Wires: . 8� by this application the undersigned gives notice of his or her intention to perform the electrical work described below. V Location(Street&Number)L{\1 ;1- IJ ' Owner or Tenant I_A (i.. cecvl TelephoneNo.1-141 rSS-.3(a$S-Z NOwner's Address Is this permit In conjunction with a building permit? Yes No � ❑ (Check Appropriate Box) N Purpose of Building J{ c 3 c -- Utility Authorization No. Existing Service Amps / Volts Overhead❑ C Undgrd ❑ No.of Meters _ New Service Amps / Volts Overhead❑ 4 Und grd ❑ No.of Meters Number of Feeders and Ampacity kr)I Location and Nature of Proposed Electrical Work: Q(k lw,„. terk,i rkk co A Co,..„le 100 7C 07 Zfo vv Completion of the followfnglable may be waived by the/nspector of Wires. Uk No.of Recessed Luminaires i No.of Cell Smp.(Paddle)Fans No.of •Dotal Transformers KVA �; No.of Luminaire Outlets No.of Hot Tubs Generators KVA •t No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grad. grad. [1] Battery Units `,..:' No.of Receptacle Outlets 3 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches j No.of Gas Burners No.of Detection and i No.of Ranges total initiating Devices g No.attar Cond. Tons No.of Alerting Devices No.of Waste Disposers Hest Pump Number Tons. -KW No.of Self-Contained — Totals:I_ -"" �_-'- _ - Detection/Alertln Devices No.of Dishwashers Space/Area Heating KW Local❑Municipaon l No.of Dryers Heating Appliances KW Security Systems ❑Systems:* ' 'No.of Water No.of No.of Devices or Equivalent Heaters ' N°•°f Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiris OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3,000.., (When required by municipal policy,) Work to Start: \\12,)Z.Z 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 Insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov ge is in force,and has exhibited proof of same to the permit issuing office.CHECK ONE: INSURANCE BOND 0 OTHER 0(Specify:) I eerdfy,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: 5pc h ex- E[e cA ct C Licensee: sit. LIC.NO.: Z1170 A Can Signature LIC.NO.:1323rt Q (If applicable.enter" the llc a number line.) Address: Zb ‘S)vJD$ ttf, `}+,-', A n,7 Bus.Tel.No.:�K •4 t)13c\ 'Per M.G.L.c.147,s.57-61,security work requires Depsrunent of Public Safety"S"License: LiAlt. c.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have 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_•ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ /(; ICI( i ✓C'7