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Home My WebLink AboutBLDE-22-006275 a Commonwealth of Official Use Only , Massachusetts Permit No. BLDE-22-006275 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:5/2/2022 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. Location(Street&Number) 111 WHARF LN Owner or Tenant Mike Sherman Telephone No. Owner's Address 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: Wiring for new bathroom&relocate laundry. 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- o No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 2 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 7 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 1 Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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:259 GREAT WESTERN RD, SOUTH DENNIS MA 026603792 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. PERMIT FEE:$75.00 . � _ ~ ..`~ 4 ^ ` � . ` � ^` `- ' . . ` - . .� , . RECEIVED --- ------ . Commonwealtn ,-.f Massachusetts 1 cw-ial Use Only r APR 29,,,i --- --___,LI,, i Per-3k No. e2,.-Z -(c)-2--7c itz---_-_-1017-a; •i, Department of Fires Services BUILDING DEP;-*-7-7-11 .: - BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked B y . (Rev.9/05) (leave blank) - -.-- __ --). APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK , .iik_ c1--S All work to be performed in accordance with the Massachneetts Electrical Code(MEC),527 CMR 12.00 (PLEASE.PRINT IN INK OR TYPE ALL INFORMATION) Date: V1‘,-.1), City or Town of: ,VacTAA-0 t-, .-Ki\ 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) I I ( kNAND,Cc. 1 CLAAG7 0 4312-- <// •• .1 Owner or Tenant fiViLe.., ‘A.10,t--t4401/4.1. Telephone No. 57••9-- r-/,-..) ,v'' IN) Owner's'Address It ! 1)...Vcci-c-Lt;td.^Q,1 k•-kunkAo alVi:94-+" INA k • (Da(cri- ______ Is this permit in conjunction with a building permit? Yes [E--- No E (Check Appropriate Box) ill\ Purpose of Building ( '-i-L34-A.A--\:,&,-1.70 v--kk"LAV Milt-Authorization N.1. ,_.- Existing Services-ZOO Amps 41,1,z1.--730 Vohs Overhead El Undgrd 0 No.of Meters • New Service Amps ' ,... Volts Overhead Ej Undgrd El No.of Meters Number of Feeders and Ampadty • _ i ,, K Lo and Nature of Proposed Electrical Work; ,..,„,,n „.....A_, ipewz-ovv, , kp, Completion of the fallowing table may be waived by the Inspector of Wires. U Total No.of Recessed Luminaires No.of Ceil,-Susp.(Paddle)Fans No.of Transformers No.of Luminaire Outlets ci No.of Hot Tabs Generators KVA No.of Luminaires swimming Pool Above 1-1 grnd. i-J In- r-t iittaafr7EltheiraeocY Lighting grnd. 1-.1 No.of Receptacle Outlets -Z..... No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches '-4- No.of Gas Burners No.of Detectiand Inidatingon Devices . _ No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers '' Heat Pwnp 1.1 ...in*r pints K.W....... No.of Self-Contained • - Detection/Alertiug Devices ..._........ No.of Dishwashers Space/Area Heating KW Local F.:111=isroln 0 Other No.of Dryers i Heating Appliances KVV Secrtrcii.%grcness•or pluivalent ' • No.of Wa/erfoir. tr No.of Data Wiring:. beaters Si7s Ballasts No.of Devices or Equivalent — Telecommunications Wiring: No.Hyclromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attached additional detail if desired,or as required by the inspector of Rims. Estimated Value of Electrical Work: CO (When required by municipal policy.) Work to Start 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 CI BOND 0 °THERE:: (Specify) I ceriify,under the pains and penalties ofperjury,that the infonna".41, on this app • ation is true and comple - FIRMNAME: G.C--ae..1:24-v, .c.-- --,---eI • I Illor IC.NO.tath:27, _ Licensee: Gte.A.AA.N.CA Signaturej?4,1111WAYI, LIC. NO.: - .,.. (If applicable,enter"exempt"in the license number ' c.) _., ,...._ _ ;us.Tel.No.: 39(4-114AZ Address: 7-561 (.2%, 91-4)r-td1/4._ 15, of..../f4A.A.AtAk4 ae.(An 1/1 Alt.Tel.No.: .., 0 "'Security System Contractor License required for this work;if applicable,enter the licen number here: OWNER'S INSURANCE WAIVER:I sin aware that the Licensee does not have the liability insurance coverage normally required by law.By my signature below,hereby waive this requirement.I am the(check one) ED owner [Downer's agent .Owner/Agent Signature S. Telephone isle. ' 5 IPERMIT FEE:$ "*.,c C3 I . . •