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Home My WebLink AboutBLDE-23-002600 tam, Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002600 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/071 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:11/10/2022 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) 5 DUNDEE DR Owner or Tenant LORIANNE QUINN Telephone No. Owner's Address 5 DUNDEE LN,YARMOUTH PORT,MA 02675-1518 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: Update devices in kitchen 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 gird. 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 jnitiatine 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/Aleriine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters 5iens No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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:) 1 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:$50.00 1114 1 RECEIVED -- _, NOV G 9 2022 I C01410 " fi&o/r1/aesachuoette Official Use Only z''`. DING DEPARTM T f al., — nt o`}irr Permit No, �' L) "� v`�_ _ serviced Ti�°i Occupancy and Fee Checked '• ,, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) �' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK J j 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 \f, I Z Z Date: v City or Town of: YARMOUTH c'i- y this application the undersigned gives notice �tion to perform the el To the ects cal work ector of des ribed below. weation(Street&Number) 5 U matt Owner or Tenant t u t 1N(\ U Owner's Address t Is this permit in conjunc on with a building permit? Yes ❑ No r/ . L7 (Check Appropriate Box) Purpose of Building 00- ' inc. Utility Authorization No. Existing Service Amps / Volts Overhead❑ Und rd tit g ❑ No.of Meters ,G Jew Service Amps / Volts Overhead❑ U Und grd ❑ No.of Meters Number of Feeders and Ampadty `i Location and Nature of Proposed Electrical Work: �r ,,a-c' 1 ,kj� t ' , u-t 1 ,� �, \t-c_ ��n 5 Sw��c�eS] a�� P� �In U1 fO Completion of the followin table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Sus . o.of Total p (Paddle)Fans Transformers KVA ,t No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires • Swimming Pool Above ❑ In- No.of Emergency Lighting - grad. grnd. � Battery Units FIRE ALARMS No.of Receptacle Outlets No.of Oil Burners 1 ?, INo.of Zones No.of Switches No.of Gas Burners No.of Detection and II' No.of Ranges Initiating Devices No.of Alr Cond. Total - Tons No.of Alerting Devices 'Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Tom' Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ un a pa No.of Dryers Connection 0 ��' ty Heating Appliances KW ecn ty yetems: Na.o a Water Kw o 0 0 o No.of Devices or uivalent Heaters S ns Ballasts Data Wiring: No.Hydromassa a Bathtubs No.of Devices or uivalent g No.of Motors Total HP a ecommun ca ons r g pig: No.of Devices or E uivalent �� Attach additional detail i ed,or as required by the Inspector of Wires. Estimated Value of lectrical Work: S Worlt to Start: (When required by municipalcipal policy.) Z L Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO GE: Unless waived by the owner,no provides proof of liabili permit for the performance of electrical work may issue unless tbe licenseety insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE L7 BOND 0 OTHER I certify,under the pains andpenaldas o0 (Specify:) FIRM NAME: jPe�u�'r that the information n this ppttcatton is true and complete. Licensee: �� f ; LIC.NO.: ? }` X=c)-1� Ilfapplicable,enter• Signature LIC.NO.: ,3Z3 "in the!k a number t e.) Address: �p f S , S �1 Bus.Tel.No.: SC 'Per M.G.L.c. 147,s.57-61 ecuritywork Alt.Tel.No.: `y`t 31 OWNER'S INSURANCE WAIVE : I am requires ph Licensee does artment of Public not havehe I ability insurance cover' required by law. Bymysignatureafety"S"License: Lic.No. Owner/Agent below,I hereby waive this requirement. I am the(check one Se°°rmully Signature owner • owner's a:ent. Telephone No. PERMIT FEE:S