The URL can be used to link to this page

Home My WebLink AboutBLDE-22-003427 Commonwealth of Official Use Only _flOkok— Massachusetts Permit No. BLDE-22-003427 till:;§ 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:12/16/2021 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) 99 ROUTE 28 Owner or Tenant Hampton Inn Telephone No. Owner's Address 99 Route 28,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 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: R/R vanity lights following installation of new wall paper. I Completion of the following table may be it 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 10 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 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 ❑ Municipal Connection 0 Other: 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:) y 10, Y I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Kenneth A Spencer Licensee: Kenneth A Spencer Signature LIC.NO.: 29409 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:29 ROOSEVELT ST,TAUNTON MA 027804840 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: $130.00 J(7I - 502- 3 3,0'( 3 os- 3 * 3,1 -4 0,i- 3.07 3-to 5/31 x2.., C%iG/.Ac) RECEP/ ED ' DEC 15 2021 mama a�o`tr/y� aeeaciumehe Official Use Only "--1 M NG DEPARTE �n Permit No. P?{---3 LA amens c in erdced BOARD OF FIRE PREVENTION REGULATIONS Occupancy.1/07] and Fee Checked [Rev C� (leave blank) 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: /Z-/g-'0�/ City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigngl ves Mice of his or her*anion to .1 electrical work described below, Location(Street&Number) % R 2,9 I M 021g7 Owner or Tenant p�[^ In� for(id 7� Iy J� `'.,�I'lej T' d Lin I Telephone No., LO 7' I{V i Owner's Address Is this permit in conjunction with a building ng permit? Yes ❑ No (Check Appropriate Box) Purpose of Building j(' Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd¢ ❑ No.of Meters _ New Service Amps / Volts Overhead❑ Undgrd Number of Feeders and Ampacity ¢ El No.of Meters Location and Nature of Proposed Electrical Work: Lie. �Q,`ti E-,ia-,T//Lr'r Ua.V/rly /,,, ,7'T,I' v Completion of drefollawinklable maybe waived by the Inspector of Wires. Ul No.of Recessed Luminaires No.of Cell.Snap.(Paddle)Fans °•° Total sN Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA 't' No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting glad. grnd. 0 Battery Units ' No.of Receptacle Outlets No.of OB Burners FIRE ALARMS 'No.of Zones No.of Switches No.of Gas Burners "No.of Detection and 1~' No.or Ran Total es Initiating Devices 8 No.of Mr Cond. Tons No.of Alerting Devices No.of Waste DisposersHeat Pump I Number_)Tons I K W No.of Self-Contained Totals: I 1 �� DeteMion/Alertln�Devices No.of Dishwashers Space/Area Heating KW Local Municicpal No.of Dryers Heating Appliances KW Security Systems: Othct No.of Water No.of No.of Devices or Equivalent No.of Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Rt.() (When required by municipal policy.) Work to Start: '-/'/-Z/ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no pen nit 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 thYepaIns and pe/ hies of perjury,that the Informatioon on this application is true and complete. FIRM NAME:/'/14 Pr2..o 7(.o- r��c"C 1r/ LIC.NO.: ----G Licensee: �,P"r Signature (Ifapplica e.enter" rpt"I the license number line.) LIC.NO.: �j'%Ft.* Address: imp 9t e,,,p(r S't. j�cw'C/ /T/ 02�go Bus.Tel.No.: SOA-S'7 _7666 •Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License:Alt.L eel.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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No, I PERMIT FEE:$ /30 Q 0 I