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HomeMy WebLinkAboutBLDE-19-003745 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-003745 1.8 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:12/20/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertomi the electrical work described belo �H/ Location(Street&Number) 248 CAMP ST UNIT G6 j 17 - �F�`vQQ /3 Owner or Tenant PANCIOCCO WILLIAM C Telephone No. Owner's Address MARILYN GIBSON-PANCIOCCO, 16 TALBOT RD E,CANTON,MA 02021-1633 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: Replacement water heater. (UNIT G-6) 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 Arnd. Rrnd. 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 1 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:$50.00 ciALY 1/3 (1 776strie-mit 4-14-s Gov- f)sc zo say Ptilm 3rnrc CAME,4 — a natonweal L o`rrlassacLa .1t ?gig Use Anl I"= Permit No, t>ib. ' ,tht Permit (PIN srvlcss o&' 1 -r 1`��� ' Occupancy and Fee Checked ,J " S/ rte- ` BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] .-..0. (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI work to be performed in accordance with the Massachusetts Electrical Code(MEC),537 CMR 12,00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dale: 20 Deeemh [2_19 City or Town of; Yarmouth To the Inspector of Wires; By this application the undersigned gives noticaffiTs or her intention to perform the electrical work described below, Location(Street&Number) 4A�'amp Street Condo Unit G6 West Yarmouth Owner or Tenant Bill Panda co Telephone No, Owner's Address Is this permit in conjunction with a building permit? Yes 0 No ® (Check Appropriate Box) Purpose of Building Resid-rice Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work; WATER HEATER REPLACEMENT (rewire) Com,letion o the ottoman! table ma be waived h the Ins,actor a Wires. No._No.of Recessed Luminaires No,of Cell,-Susp.(Paddle)Fans Transformers of VA � KVA r—�td No.of Luminaire Outlets No.of Hot Tuba Generators KVA tias. Swimming Pool Abive ® ln- NoOr Emergency i NNa,of Luminairesf„ grind. Lgrnd, Battery Units o No.of Receptacle Outlets No,of Oil Burners FIRE ALARMS INa.of Zones — 1.1.1 , o 0 No,of Switches No,of Gas Burners Na,Ini at ingon vi an (�! l� Initiating Devices w i.) ' No,of Ranges No.of Mr Cond. Tons No.of Alerting Devices Heat Pump (Number Fns--KW,.,m No.of Self-CanTained No.of Waste Disposers Totals: ,Detection/AlertingDevices _ __ ._. ... ..... No,of Dishwashers Space/Area Heating KW Laal 0 Moannpin 0 Other No.of Dryers Heating Appliances KW Security S-stems:*No,of Devices or Equivalent No.of Water KW No,or No,of— Data Wiring: • Heaters Signs Ballasts No.of Devices or Equivalent No,Hydromassage Bathtubs Na,of Motors Total HP Telecommunications Devices Wiring; OTHER; Attach additional detail if desired,oras required by the Inspector of Wires, Estimated Value of Electrical Work; (When required by municipal policy) Work to Start: 12/19/18 Inspections to be requested in accordance with MEC Rule I0,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 ® (Specify;) Main Street America I cert(lp,under the pains and penalties of perjury,that the information on this application la true and complete. FIRM NAME; Crawford Electric MC.Nat-12923A— Licensee; O,; 1 923Licensee: Rich.rd Crawfprd Signature LIC.NO,; 2,88F (Uappticahle,enter"exempt"in the license number line) Bus,Tel,No,i508-737-0194 Address: 84 ranberry La e. outh Yarmouth. MA 12664 Alt,Tel.No,; *Per M.O.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)®owner ®owner's agent, Owner/Agent ( PERMIT FEE: $ Signature Telephone Na,