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Home My WebLink AboutBLDE-21-007525 01"411 Commonwealth of Ofscial Use only 5 Massachusetts Permit No. BLDE-21-007 52 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:6/27/2021 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) 73 SILVER LEAF LN Owner or Tenant BRADBURY DAVID W Telephone No. Owner's Address BRADBURY PATRICIA, 5 DEVONSHIRE DR, CANTON, MA 02021 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)n,I 6-64 Purpose of Building Utility Authorization No. 6027944 e Vt/{ Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters �i � New Service 100 Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Temporary service 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 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: Christopher A Crispin Licensee: Christopher A Crispin Signature LIC.NO.: 52768 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 156 RED BROOK RD, PLYMOUTH MA 023605700 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 RECEIVED JUN , 4 2021 II4DIyIGDEPAR-17 Commonwaa[tho/Maddachudaffd Official Use Only cc�� Permit No. _y:R: �lJaloartnunl`oi,}c']irs�arvlcad �� *' ''1'I� BOARD OF FIRE PREVENTION REGULATIONS Occupancy y and Fee Checked N.._ '•, „ [Rev. (leave blank) - APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK .s 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: (C:,'` 3 t — •) I 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) ' ' , f V', ' j „ -/- j.r� ; --r- Owner or Tenant Telephone No. V Owner's Address J Is this permit in conjunction with a building permit? Yes a: No 0 (Check Appropriate Box)_ t j Purpose of Building '(`P 5 r c-1 e r 1 ,-, ', Utility Authorization No. (C:J (,) —7 Li c- Existing Service Amps / Volts Overhead p ❑ Undgrd No.of Meters New Service , _ Amps %-L U/ Volts Overhead❑- Undgrd ❑ No.of Meters Number of Feeders and Ampacity ULocation and Nature of Proposed Electrical Work: r'�,;,1 ,?t7 _ � i �- ✓ t t t vCompletion of the following table maybe waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tr an VA K % Transformers KVA 'Z No.of Luminaire Outlets No.of Hot Tubs Generators KVA r� '4: No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grnd. ❑ Battery Units �t 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 Tot 1 1! No.of Ranges No.of Air Cond. Tons 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 al❑ Municipal ❑ � Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , 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: (, J (When required by municipal policy.) '7 Work to Start: T. - - . P 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 0 BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the Information on this application is true and complete. FIRM NAME: LIC.NO.: Licensee: ( r h i t 5 (l'' ( ? i ^ Signature ice_ LIC.NO.: — 7 L. (If applicable,a ter"exempt"in the lie e number line.) Bus.Tel.No.: Address: /�(" -- ?' +r) ^'= I-'l -r ;-, a , (1^. 'A(k Alt.Tel.No.: L, ; "' .4 `( `7 C.`( 3 *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 I Signature Telephone No. I PERMIT FEE:$