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Home My WebLink AboutBLDE-22-004940 Commonwealth of Official Use Only E * Massachusetts Permit No. BLDE-22-0049400 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:3/8/2022 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. ��.i 11 ( ^ 9 6 Location(Street&Number) 8 LILY POND DR I/l/ — � �f Owner or Tenant Barbara Alexander Te ephone No. Owner's Address 8 LILY POND DR,SOUTH YARMOUTH, MA 02664-2033 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: Kitchen&laundry remodel Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 4 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 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. ,TI,00nal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertinn 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 Ballasts Data Wiring: Heaters Sinus 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 my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature , Telephone No. I I PERMIT FEE: $75.00 t '0.-: (i'072,2- r. Q.64-- Lit? 1 ,z C u L t o phi (6 • Commonwealth of Massachusetts' Official Use Only • " V �T '' Department of Fires Services Permit No. Cs2z-`k.9 o NBOARD OF FIRE PREVENTION REGULATIONS ( and Pee ank) ed !'V (°R:79,07 cleave blank) \ Mali :'7 �� P ' LIGATION FOR PERMIT TO PERFORM ` R ORM ELECTRICAL WORK L _l'IG,c--)ART M ENT Al]work to be performed in accordance with the Massachusetts Electrical Code(MEC;,527 CMR 12.00 BU--611- -r:: -PRINT IN INK OR TYPE ALL INF ORMAT10N) Date: 3—: '- Z O Z Z- ;,�,� �� City or Town of:. /C.r VINCVLf To the Inspector of Wires: By this application the undersigned gives ec:ic' f his or her intention to perfotnt the electrical work described below: Location(Street&Number) g L..-i k 1 \ G'v\ck'71)\,^i+✓.Q - 1 -- Owner Owner or Tenant c' v hr�.r b \•e�.Gv,n(ilQ ‘r __ Telephone No. S 1(Q-'`Ig/8' Owner's•Address '' L I t'' c)C7 r 1 4 S' -t c A}vtA0 V Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building t \'wv\',k _V v\t r,►. Utility CCJJ Authorization No. i? Existing Services I Cr) Ams l 1 C f 23(I Volts Overhead[J Undgrd❑ No.of Meters New Service Amps 1 Volts. Overhead d �` Undgrd❑ No.of Meters Number of Feeders and Ampacity 1/ i Location and Nahire of Proposed jElectrical///W��ork; 'I�^k k . v� 1�O'W\d JQ\ — ,n,�C\�' Ai Completion of thewing sable may be wattled by the Inspector of Wires. No.of Recessed Luminaires L/ 'No.of Ceil.-Susp.(Paddle)Fans No.of T,A Transformers No.of Luminaire Outlets No.of Hot Tabs Gener. tors KVA • No.of Luminaires S-�ittsn:$r.g Pool Above In- o"�Ra of a- e ercy ?Odor ' grnd. grnd. 1 Batter, ,ioi No.of Receptacle Outlets Ep N-,•:i:Oil Burners 12k-LEA E1AIr-1? No.of Zones No.of Switches 'Z- _:t Cas Burners No.o t`Detention ani No.of Rangesv � R�rt nevi: No.of Air Coad. Total o, 9,�ernrtg 3evices 'Ions No.of Waste Disposers Heat PumpNumber Tons . .KW No.of S -Contained Totals: ( -�---" .l Detection/Alerting Devices No.of Dishwashers % Space/Area Heating KW Local 0MOnnetRRlnaidpp�alOn ED Other No.of Dryers- L.----' Heating Appliances • KW Security �ste •* —1 Nd.of ikwi��or ggtdvalent • • No.of Water KW - No.of ..No.of Data Heaters • - Signs Ballasts Noo f Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin : No.of Devices or Equivalent OTHER: Attached additional detail if desired,or as required by the Inspector of Wires. Estimated Value f EIectrical Work V (When required by municipal policy.) Work to Start .5 --/-2 Z 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,o iuding"completed operation"c,--•c at;e DI . sup t8TV12t1 equivalent.The . undersigned certifies that such cove ge is in s ..tnd has�.rilibited proof of same tc thr ,;c_nit s:1,:,,,, :thee. CHECK ONE: INSURANCE LJ' BOND t:::' .•,. } .1 certify,under the pains and penalties of ' (SPg(uy • FIRM NA11?E L P n {fat the ;m•rnatwn�°r is aftptce�z'i q ., r Licensee: G l t°v v\ 1-k (If licablrwter' Signature. • a� ..I(, NO.: apP empt" the licepse dumber .e / L, `: Address: 5 , }• c v� 'Clek0/ Com , l• ' / i �a .-jbl No: �} L/-r(AfZ- *Security System.Contractor License required for this work;if applicable,enter the licen AT1: eI:`11To OWNER'S INSURANCE s. te:._ SURANCE WAIVER:I ani aware that the Licensee does not have the.lia$Mtknnsurance coverage normally required by law.By my signature below,hereby waive this requireI am the(check one) Q owner Downer's agent .Owner/Agent requirement. Signature TelephoneNe. I PERMIT FEE:$ I