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Home My WebLink AboutBLDE-21-007591 t / , Commonwealth of Official Use Only i�1 }I Permit No. BLDE-21-007591 ; Massachusetts 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:6/29/2021 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 Tele.hone I,, Owner's Address BRADBURY PATRICIA, 5 DEVONSHIRE DR, CANTON, MA 020 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box Purpose of Building Utile, Authorization No. Existing Service Amps Volts Overhead 0 . • • rd 0 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: New residence 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/Alertine 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: $180.00 -9 ca'o„k„a�9-� g( R quiti,- -eEi itcup-oil 4)5alatit ur2-5(7i ag i . --- \Afl-t- a/z)1.7-1.-/- ,- ) ci C2u., ,er__ - q*2,27 (e( int tst/l p 4, )elc. spm Rove (----- °C:).-6 ( , Commonwealth ol///addachudeiid Official Use On '' •�-''� c�r� {� Permit No. - �:' ' 2eparfineni ofcc77 ire Serviced I I`f Occupancy and Fee Checked 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(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: G --<4. , k 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) "7 3 5 i l V 2 . ( P" (2 I GI^e.... Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No 0 (Check Appropriate Box) - Purpose of Building e S t att' ,-' . (vt I Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ ,No.of Meters New Service v`O O Amps /old / y v Volts Overhead❑ Undgrd No.of Meters ' Number of Feeders and Ampadty i Location and Nature of Proposed Electrical Work: /Q kc.) ,) V_ ( .) i 1 j,.) 0a :.C4 Completion of thefollowingtable may be waived by the/►erector of Wires. L5_ No.of Recessed Luminaires No.of Ceil.-Snsp.(Paddle)Fans No.of Total Transformers KVA a.. No.of Luminaire Outlets No.of Hot Tubs Generators KVO► 't No.of Luminaires Pool swimmingAbove In- No.of Emergency Lighting grad ❑ grnd. ❑ Battery Units v No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones T No.of Switches No.of Gas Burners "No.of Detection and S Initiating Devices I L' No.of Ranges No.of Mr Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons _ KW No.of Self-Contained Totals: Detection/AlertingDevices No.of Dishwashers Space/Area Heating KW Local 0 Co nnectnicipion 0 Other Co 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 s No.Hydromassage Bathtubs No.of Motors Total HP • Teleco No.of Devicof ates i eso or Wiring: Equivalent _ OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: I�5L)O 0 (When required by municipal policy.) Work to Start: (,7 -a 1 -7( 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 cov is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 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: LIC.NO.: Licensee: C hC-l.5 Cc ,sf„ Signature (..-----\. LIC.NO.: c 7 c,cr---?' (If applicable,enter"exempt"in the licenser tuber line.) i ` e q k .:i Bus.TeL Nop( 7 .1 I I(.. (1 3 Address: t Ss' ..}•C'p e r L) t `� v J ;'t^ t v Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department bf 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 U owner's a:ent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 49 CO3 RECEIVED JUN 2 9 2021 BUILDING DEPARTMENT By