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Home My WebLink AboutBLDE-23-001031 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001031 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:8/26/2022 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) 1 MERGANSER LN Owner or Tenant PETAR RALINOVSKI Telephone No. Owner's Address 1 MERGANSER LN, 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 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement panel&new HVAC. 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 grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 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 ❑ 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 0 (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: $50.00 Ki IQ f 4017 v ( w. w L/nV) CAL Ocz) 1 4l Z v t -- RECEIVED [ '2' 751021 14 Commonwealth of rt/addachadeida Ydi LB (�I rvG ut 61L1aidod kr_Y�»-a �-i � Permit No. _ ✓c) Partm.nt O ire�JarViCed t�23 lG'�1 Occupancy and Fee Checked 1— s BOARD OF FIRE PREVENTION REGULATIONS Rev.1/07] (leave blank) �J APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK .. All 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: S 12 S I Z 2_ City or Town of: . YARMOUTH To the Inspector of Wires: cid By this application the undersigned gives notice of his or her intention to perform the electrical work described below. �' Location(Street&Number) 1 May,c 4/vse,C \n Owner or Tenant ?e-k-c..0 . 0.,\\0-v 5 , Telephone No.--I—I`% %1 O S-10/ N • Owner's Address ---4'I Is this permit In conjunction with a building permit? Yes El No NI, Purpose of Building d:..tt..1\;/\ Check Appropriate Box) Utility Authorization No. dh Existing Service I oC Amps \"7v/Z,Lto Volts Overhead Und rd CI• g El No.of Meters —1 New Service IOU Amps 120/'No Volts Overhead f 7- Undgrd l.a g ❑ No.of Meters 0c4. Number of Feeders and Ampacity 'Z (Uri ik V.1; Location and Nature of Proposed Electrical Work: L.p Lk4 Iu. n3t / ?a 1�V R C to;c �� Completion of the following table may be waived by the Inspector of[tires. '`! No.of Recessed Luminaires No.of Cell:Sns No.of iota! p.(Paddle)Fans Transformers KVA '-.t No.of Luminalre Outlets No.of Hot Tubs Generators KVA IC, ,! No.of Luminaires Swimming Pool Above ❑ in- No.01 Emergency Lighting Qrnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.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 No.of Waste Disposers Heat Pump Number 1KWNo.of Self-Contained Totals:I .. .._(Tons.. .........._.... _-_-�� Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑Monnectiounicipa n 0 Otber C No.of Dryers Heating Appliances KW Security Systems:" No.of Water No.of No.of Devices or Equivalent Heaters KWNo.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: t� Attach additional detail if desired,or as required by the Inspector of{tires. Estimated Value of Electrical Work: `I660,.,. (When required by municipal policy.) Work to Start: S]2'-1 I2 — 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 covee is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE Ilir BOND ❑ OTHER El (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: yt�c'n,q,,i[! C�2c.i c,C LIC.NO.: E\\7d A Licensee: \0.v\� Jp f,tit-e-,/ Signature f 13 Z 3' 6 (if applicable,enter'•es rapt'•to the/ice�y+'e_number line) LIC.NO.: Address: 16 16 tSh,)PS TrC. �AnA\) .Tel.No.:• 3�bC\ d\3`� •Per M.G.L.c.147,s.57-61,security work requires eparsinent of Public Safety"S"License: Alt.LicTe'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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$