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Home My WebLink AboutBLDE-23-003537 • Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003537 a-' 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:12/29/2022 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) 156 SWAN LAKE RD Owner or Tenant CIFELLI GEORGE W Telephone No. Owner's Address CIFELLI ANN, 156 SWAN LAKE RD,WEST YARMOUTH, MA 02673 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 ❑ Undgrd ❑ 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: Wire 18kW generator Completion of the following table may he 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 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 ❑ 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: 12/28/2022 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: $75.00 -r i2L Jcd 12,134.- � J1r� 23e ; RECEIVED I2_, J -'( F-vr (, (re_/(r)C [ DEC 282022 /�BIL.DING 1,I=, A. . 1. Commonwealth of//laedac�tWitd Official Use Only I ',v + .."' ccAA ��'// �i Permit No. EZ3 3 37 r-- 1Jeparlmenl al31re..'"mice" I' s r Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.t/07] (leave blank) -(= APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK dAll work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 v (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I Z-)Z 12 Z City or Town of: W YARMOUTH To the Inspector of Wires: O By this application the undersigned gives notice of bis or her intention to perform the electrical work described below. Location(Street&Number) I SG Wcat\ l KC \_a\ c i Owner or Tenant -5oh n [if-CI\i Telephone No.7 gl 'Zy z Z 3 Z_ i Owner's Address 1 Is this permit in conjunction with a building permit? Yes E No "'(Check Appropriate Box) Purpose of Building t�'e..\\,rs5 Utility Authorization No. Existing Service ZUOAmps (2v/ Zl�6Volts Overhead❑ Uudgrd❑" No.of Meters New Service Amps / Volts Overhead Und rd ❑ g ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: .l? K(,,) q- k C Completion of`t the followingtable nun,be waived by the Inspec of Wires. lit No.of Recessed Luminaires No.of Ceil.-Sasp.(Paddle)Fans No.of totaltor Transformers KVA 'i No.of Luminaire Outlets No.of Hot Tubs Generators KVA a.. No.of Luminaires Swlmmiu pool Above In- No.of Emergency Lighting B irnd. 0 Rend. Battery Units �t No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones = No.of Switches No.of Gas Burners No.of Detection and _ Initiating Devices l:) No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No of Waste Disposers Heat Pump Number Tons KTotals: . _W 'No.of Self-Contained -"`. Detection/Alertiu Devices No.of Dishwashers S ace/Area HeatingKW Municipal F "cal Connection El Omer No.of Dryers Heating Appliances IKW Security Systems:* No.of No.of Water No.of No.of Data Wiring: es or Equivalent Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromaaaage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: — I Attach additional detail if desired,or as required by the Inspector of Wirer. Estimated Value of Electrical Work: GOO (When required by municipal policy) Work to Start: l Z,/L$ "Z Z Inspections to be requested in accordance with MEC Rule I0,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' surance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coy e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER 0(Specify:) I certify,under the pains and penalties of pedury,that the information on this application is true and complete. FIRM NAME: SpC;f q-f- Elect(1L S\\ J / n LIC.NO.:Z1\1v fj Licensee: Dow C O Sp<,� Signature C Of,-1V/ (If applicable,enter"esmgpt"in Irk lie a number ti e./ Tel. NO.:\3 Z U [i Address: —(0 015110 55 \� ,� rs-5 Bus.Tel.No. coy 3(off Ol3y *Per M.G.L.c.147,s.57-61,security work requires arhnent of Public SafetyAlt.LicTe No.: "S"License: Lic.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)El owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 7s� GiC373-----