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Home My WebLink AboutBLDE-23-004532 Official Use Only Commonwealth of Permit No. BLDE-23-004532 � � Massachusetts �'�`'E Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev.1/07 APPLICA TION FOR PERMIT TO PERFORM ELECTRICIAOL WORK All work to be performed in accordance with the Massachusetts Electrical 2/14/2023 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) To the Inspector of Wires: City or Town of: YARMOUTH By this application the undersigned give CANTERBURY RD intention to pc orm the a ectnca work described below. Location(Street do Number) 5 CA Telephone No. Owner or Tenant NUGENT BERNARD E JR ro riate Box) Owner's Address 56 CANTERBURY RD,YARMOUTH PORT, MA 026675-�15 No ❑ (Check App p Is this permit in conjunction with a building permit? Yes Utility Authorization No. Purposeg Servicef Building Volts Overhead ❑ Undgrd 0 ��, , ters- AmpsUndgrd ❑ No. like tf, Existing Volts Overhead 0 g , ,; AL New Service _ Amps Number of Feeders and Ampacity , ��' _ �, ,r Location and Nature of Proposed Electrical Work: Kitchen remodel p may •�� — rctor of Wires. Completion of the followingtable No.of iv , F/;� . No.of Ceil:Susp.(Paddle)Fans im Transformers it A No.of Recessed Luminaires of Hot Tubs Generators No.of Luminaire Outlets No. No.of Emergency Lighting Swimming Pool Arnd e ❑ I rnd. ❑ Batter nit No.of Luminaires FIRE ALARMS No.of Zones No.of Oil Burners No.of Receptacle Outlets 10Det ection No.of and 5 No.of Gas Burners f •vice No.of Switches Total No.of Alerting Devices 1 No.of Air Cond. Tons No.of W ste Number No.of Self-Contained Heat Pump Detection AI•rtin• Devices No.of Waste Disposers Totals: No.of Dishwashers Local ❑ Municipal 0 Other: KW i onne tion 1 Space/Area Heating KW Security Systems:* Heating Appliances sec Devicesor E uival•nt No.of Dryers No.of Ballasts Data Wiring: KW No.of Dat of rvice or E uivalent No.of Water Sign Telecommunications Wiring: H•aters No.of Motors Total HP Ni.of Devicesor E ui al•nt No.Hydromassage Bathtubs OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Inspection to be requested in accordance with Rule 10,and upon completion. Work to start: f ical work may issue e INSURANCE COV ERAGE:Unless waived by the owner,no permit for the performancetial e uo electrlent.The undersigned cent unless the sucht se coverage es proof of liability insurance including"completed operation"coverage or its substa q is in force,and has exhibited proof of same to the permit issuing office. OTHER ❑ (Specify:) CHECK ONE:INSURANCE 0 BOND 0 ltcatiif is true and complete. I certify,under the pains and penalties of perjury,that the information on this app FIRM NAME: DAVID W SPRINGER Licensee: David W Springer LIC.NO.: 21170 Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:70 Bishops Ter, Hyannis MA 026012106 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: ance OWNER'S INSURAN CE WAIVER:I am aware that the License does not have❑the oliiability in owner'c coverage en normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) PERMIT FEE: $50.00 Owner/Agent Telephone No. Signature (44 217;1%23 RECEIVED '-+ C. .ruveata o`Maeeac/iaaalfa Official Use Only ,. • e- 1 7 2023 c7 �7 Permit No. = ,•.� ; �slvarfmsnt o�-}iis Serviced ,""I'I D1OiF1Fl"E PREVENTION REGULATIONS Occupancy and Fee Checked 4v c' [Rev. 1/071 (leave blank) ',.,4„ --- - ------ - APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: \11-/ 2 3 City or Town of: YARMOUTH To the Inspe for of Wires: By this application the undersigned gives notice of his or her inters ioC�n to perform the electrical work described below. Location(Street&Number) S g Ca +e b.j c t,� IN Owner or Tenant �je,rtl i c i�, J Telephone No. N 1 Owner's Address 1_4 Is this permit in conjun tion with a building permit? Yes ❑ No [ (Check Appropriate Box) N Purpose of Building d Urea�.'J Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd El No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: 6pa ct{-� p\"o3y ! -, ' kej /, 1�a nee S ,� Sc \��I'l1 1 1 y!�'' ‘Nfel Completion of thefollowin&table m be waived by the Inv ector of Wires. Total t1i No.of Recessed Luminaires No.of Cell:Snap.(Paddle)Fans Trano. s KVA „i Transformers KVA C1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA r;\ . A No.of Luminaires SwimmingAbove In- No.of Emergency Lighting Pool grnd. ❑ grnd. ❑ Battery Units 1! No.of Receptacle Outlets 10 No.of 011 Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners -No.of Detection and Initiating Devices I l? No.of Ranges 1 No.Of Air Cond. Tons( No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons KW No.of Self-Contained Totals:_ """'"'' . Detection/Alerting Devices MunicNo.of Dishwashers \ Space/Area Heating KW Local 0 Connection ar ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: ' Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Cet U CO, y (When required by municipal policy.) Work to Start: I f t$f z.5 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 cove 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 perjury,that the information on this application is true and complete. FIRM NAME: f,r\ a ca.. LIC.NO.: 13ZS`\ 8 Licensee: \ Av r Signature LIC.NO.: 2.1� 7 d Pc (If applicable,enter"e mpt"1'n the eve number line.) t Bus.Tel.No.: Sa 3' 36-y 0 t `i Address: 1( 'LAQS f. LLnr\t 5 Alt.TeL No.: *Per M.G.L.c. 147,s.57-61, ecurity work requ' s Department of Public Safety"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)[]owner ❑owner's agent. Owner/Agent I Signature Telephone No. I PERMIT FEE:$ . 1 a