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Home My WebLink AboutBlde-20-002699 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-002699 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•11/8/2019 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) 28 FLICKER LN Owner or Tenant TROMBLY CHRISTINE Telephone No. Owner's Address 28 FLICKER LANE,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 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 FPE distribution panel. 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 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 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 Siens 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: Glenn W Crafts Licensee: Glenn W Crafts Signature LIC.NO.: 10020 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:72 COUNTRY CIR,SOUTH DENNIS MA 026602920 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 /� aa,/ / Official Use Only _-_ C,ommoncuealth o��aa�achu�etf.� '7�/(r(,il� �' = / c� c7 Permit No. �0 1_ Tepartment o/.}ire Services _= Occupancy and Fee Checked -f-�— 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(M ),52 CMR 12.00 \9"\ '`, it E PRINT IN INK OR TYPE LL INFORMATI N) Date: // y � N Cityor Town of: ` ,� t//` To the Insp cto of/Wires: \: this application the undersigned gives nonce f ht or her nt ion to perform the elc 1 work described below. ►ocation(Street&Number) y' ( A./ c, ,(am \y)C O er or Tenant CA Ai S 1 h A 1\11.,Li Telephone No. 7,1CJ/ 0l g/ ‘ Owner's Address 5/}--On J / Is this permit in conjunction with a buildin/ permit? Yes —o ❑ (Check Appropriate Box) Purpose of Building A`e-�l q► -Qiy( c, `CQ Utility Authorization No. Existing Service /(c2 Amps // % a`VATolts Overhead ----Undgrd❑ No.of Meters ti\i New Service / 00 Amps / /5/ OVolts Overhead Q--- Undgrd ❑ No.of Meters Number of Feeders and Ampacity /� C� Location and Nature of Proposed Electrical Work: `e1 I,A-�G-Cp{� /� /" l A-in-vp 16-4-114). 1-u 1 7-A -V fit_ Completion of the following table ay be wa" ed by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. Initiatinnggon Dete and n Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices al No.of Dishwashers Space/Area Heating KW Local ❑ C Monnecuniciption 0 Other No.of Dryers Heating Appliances KW 'Security Systems:* ry No.of Devices or Equivalent No.of Water KW No.of No.of Data Win ,,. Heaters Signs Ballasts No.of e efao 'E It rt,,, Telecomml�n tlt►►�u5`. 11ri gg,. _... No.Hydromassage Bathtubs No.of Motors Total HP No.of ev�t o ui alent ., OTHER: leg;i ti '?(; 3 Attach additional detail if desired, or as requlred by the Inspector . Estimated Value of lec cal Work: 0 Q (When required by municipal policy.) , , 1 �� Work to Start: / Insp6ctions to be requested in accordance with MEC Rule 10,"arid upon completion INSURANCE C G : 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 covers is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,under the pa' a enaltyes f perju that the information on this application is true and complete.. FIRM NAME: L- i e C, i1 ) C LIC.No.:/ 00 Q — Licensee: G A._ Signature LIC.NO.4, ,6yh (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 3 4y 01\ Address: Alt.Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"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 No.