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Home My WebLink AboutBLDE-18-007332 Commonwealth of Official Use Only ��'a'�. � tr Massachusetts Permit No. BLDE-18-007332 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.l/07j 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:6/27/201 8 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of hts or her intention to perform the el tuftal work de/�bed beeloow.' Location(Street&Number) 34 LOOKOUT RD 1 Al Li 4°V Owner or Tenant . shmetR Telephone No. Owner's Address ,34 LOOKOUT RD,YARMOUTH PORT,MA 02675-1014 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 ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel bathrooms&install under counter lights. 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 0 In- o 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. Tool No.of Alerting Devices 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:' No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Sims 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 tfdesired,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: RICHARD W CRAWFORD Licensee: Richard W Crawford Signature LIC.NO.: 13923 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:84 CRANBERRY LN,S YARMOUTH MA 026641005 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,secunty 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 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 [964/ 0W'&' a r Qie/01>e d Commonwealth o`ma4rac`ta10(.(,t Official Use Only 7c7 cc�� C�77 Permit No. lrl— 1Jeparfinent o` iro)mews! HS Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: 27 June 2018 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) 34 Lookout Road, Yarmouth Port Owner or Tenant Kevin & Mary Ryan Telephone No. 216-401-4079 Owner's Address same Is this permit in conjunction with a building permit? Yes ❑ No ® (Check Appropriate Box) Purpose of Building Residence Utility Authorization No. Existing Service 100 Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Master Bath, Guest Bath, new fan/light new fixtures, add receptacles master bath, remove sconce lights den, remove under cabinet lights kitchen Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Cei4Sus .(Paddle)Fans No.ns KVA P Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency Lighting g grad. 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. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: _ Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other P gCyyonnection No.of Dryers Heating Appliances V Security Systems:* or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent ons Wiring: No.Hydromassage Bathtubs No.of Motors Total HP Tel 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: 6/26/18 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) Main Street America !certify,under the pains and penalties of perjury,that the information on this application is • e a d completes FIRM NAME: Crawford ElectricLIC.NO.: 131423ALicensee: Richard Crawford Signature LIC.NO.: 73888E (If applicable,enter-exempt"in the license number line.) Bus.Tel.No.• 508-737-0194 Address: 84 Cranberry Lane, South Yarmouth, MA 02664 Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety`5"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)0 owner ❑owner's agent. Owner/Agent I PERMIT FEE: $ Signature Telephone No.