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
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Permit No,
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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,