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HomeMy WebLinkAboutBLDE-19-003328 Commonwealth of offioialuaeonly alEN Massachusetts Permit No. BLDE-19-003328 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:11/30/2018 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 cicctricarwork described below. Location(Street&Number) 343 ROUTE 28 UNIT 100 Owner or Tenant HYNES JOHN J JR TR Telephone No. Owner's Address THE 343 HOLDING TRUST,822 ROUTE 28,SOUTH YARMOUTH,MA 02664 Is this permit in conjunction with a building permit? Yes ❑ 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: Replace exterior fixtures with LED's. 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 ird. gmd. 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 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 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 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: 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,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 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:$80.00 4,1•ZajSt. f271f4e e. . i Wire - A / hw Official Use Only PmaMIfWBR P R!!Rc Btis Permit No, Qq-33Z e .epartmant o/aro.an4cna I� BOARD OF FIRE PREVENTION REGULATIONS [Rev. ( Fee l Checked 1/071 Occupancy/0 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(Mac).527 CMR 1100 (PLEASE PRINT IN INK ORTYPE ALL INFORMATION) Date: 30 November2018 City or Town of; Yarmouth To the Inspector of Wires: By this application the undersigned avec native afhis or her intention to perform the electrical work described below, Location(Street&Number) 343 Route 28 West Yarmouth Owner or Tenant Yarmouth Resnrt Telephone No, Owner's Address Is this permit in conjunction with a building permit? Yes 0 No ® (Check Appropriate Box) Purpose of Building Moteisnndm Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No,of Meters New SeIcg Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work; replace outdoor liahtina with LED around leave) outside rnnm entries and roar nnrc Completion ofthe followin table may be waived by the Inspector of Wire% No.of Recessed Luminaires No.of Gell.-Susp.(Paddle)Fans o' K of VA Transformers KVA No.of Luminaire Outlets 33 No,of Hot Tubs Generators KVA Na.of Luminaires SwimmingPool Above In- NO.'orEmergencyLighting grnd, grnd, ® _Battery Units No.of Receptacle Outlets No,of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners Na.onAe en oand D Initiating and No.of Ranges No,of Air Gond, Tei No,of Alerting Devices Disposers Na.of Waste Ais HeatTump TpWier Toni—.:KW No,of Self ntained- P Totals; Detection/Alerting_Devices No.of Dishwashers Space/Area HeatingKW Local® Mnnivipsl 0 fie, P connection No.of Dryers Heating Appliances KW Security Systems:" No.of Water No.of —No.of Data t vlees or Equivalent Signs Ballasts Wiring; Heaters No,of Devices or Equivalent No,Hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: No.of Devices or Equivalent - OTHER: Attach additional detail if desired,or as required by the inspecmr of Wires, Estimated Value of Electrical Work; (When required by municipal policy.) Work to Stan: 11/29/1 R 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 M BOND ® OTHER 0 (Specify;) Main Street America I cif*,under the pains and penalties ofperJary,that the information on this application is tr an anspiete, FIRM NAME: Crawford Electric �7 i� 7 IC,NO.: 1 AQ93e Licensee: Richard Crawford Signatoic 0 — l LW,NO.: 2. ung aF (Ii applicable,enter "exempt"in the license number line) / Bus.Tel,No,;508-737-0144 Address: 84 Cranberry I ane. South Yarmouth. MA 02664 Alt.Tel,No,; "Per M.O.L.a. 147,s,37-b-b1,security work requires Department of Public Safety"S"License; Lie,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 ( PERMIT FEE:$ Signature __- Telephone No,