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Home My WebLink AboutBLDE-21-002196 �\. Commonwealth of Official Use Only 'I'` !Iii 'ti l Massachusetts Permit No. BLDE-21-002196 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:10/22/2020 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) 11 NORTH COVE LANDING Owner or Tenant RODGERS JOSEPHINE W(LIFE EST) Telephone No. �' / Owner's Address RODGERS KENNETH W(LIFE EST), 136 MARINER LN, BAY SHORE, NY 11706 i &/ Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec Appro s ' Purpose of Building Utility Authorization No. 2' mod`, Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Me ' New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel, rewire&install U/G service.(3 inspections) Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 30 No.of Ceil:Susp.(Paddle)Fans 3 No.of Total Transformers KVA No.of Luminaire Outlets 20 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 110 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 50 No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 8 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:) 97 j) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. �` FIRM NAME: Richard W Crawford Licensee: Richard W Crawford Signature LIC.NO.: 13923 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:84 CRANBERRY LN, S YARMOUTH MA 026641005 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. I PERMIT FEE:$150.00 I Zeal '4 20 inf..._ ec;L*Stc ell(8/2-, e .- , (D 4 OC4NbUIr G( , Ci�n r ettf#®1 Ki4Nehr�e� Offei�l�?�@ Only ; Permit No. �t �ck l47 _ -..— - Zeparimori e ire SerNieeg I BOARD OF FIRE PREVENTION REGULATIONS OV: 1/07]Occupan sad Pee the) cked ', -,:-.,,--0 Rev i/A�] (laav�mink) = -- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK - All work to he porformod in aveerdatiee with tho MaRbaehnsetts EIeetri@al(ode ong,L217CMS 12.00 PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Unto: 22 November 2020 City or Town of: YARMOUTH o the IaasR@clor f WIrW: y this application the undersigned gives notice of his of her intention to perform the ele@tri@al work described below: Location(Street&Number) 11 North Cove I anding _ Owner or Tenant Kenneth Rodgers T@lephon@ No, 914-409-2706 Owner's Address 136 Mariner Ln., Bay Shore NY Is this permit hi conjunction with s building permit? Yes n No Z (Check Appropriate Boa) Purpose of Building Residence `_ Utility Authorization No, 2416225 , g Existing Service 200 Amps / Volts Overhead ® Undgrd n No,of Meters nn.,e Now Service 200 Amps 120/240 Volts Overhead 0 Lndgrd D No,of Meters one Number of Feeders sod Ampacity Location sod Nature of Proposed Electrical Work; rP.modPl rewire` install underground servir.e Completion of the following table ntoy he Waived by the Iwenter-of Wiry . -NoNo,of Recessed Luminaires 30 No,ofCoIl,=pulp,(Paddle)Fans 3 Tr or Total Transformers IIVA No,of Luminaire Outlets 20 No,of Hot Tubs Generators KVA No,of Luminaires bwimmin Fool Abovo in= No,of Emergency Lighting g prod, ® prod, D n Jnito No,of Rec@ptacl@ Outlets 110 No,of Oil Burners FIRE ALARMS No,of Zones No,of switch@s 50 No,of pas burners 1 No,of Detection and --� Initiating Devices _ 8 No,of Ranges 1 No,of Air Cond, Tons No,of Alerting D@vic@s No,of Waste Disposers Heat Pump Number Tons Kw 'No,of beif.tontalned — __ Totals; ®@t@@tI®n/AI@rtitl ®eVioob No,of Dishwashers Space/Area Heating KW Local 0 un c pa El Other 'inflection No,of Dryers Heating Appliances KW 'Security stoma: No,of water No,or NO,of No,of Devices or Equivalent Heaters Signs Data Wiring; pigns Ballasts No,of Devices or Equivalent No,Ilydromassage Bathtubs No,of Motors Total HP Telecommunications Wiring; No,of Devices or Equivalent OTHER; Attwh gdditionnl tiered if dexired, or ex r aired hX the In4peetgr of Wire. Estimated Value of Ele@trieal Work: (When required by municipal policy) Work to Start; 10/26/20 Inspections to ho requested in a@@ofdane@ with MEC Rule 10,and upon completion: INSURANCE COVERAGE; Unless waived by the owner,no permit for the performance of ele@tri@al work may issue unless the licensee provides proof of liability insurance in@ludinp`°oompleted operation"@ovorap@ or its substantial equivalent: Tho undersigned @erttfles that such @®verso@ is in force,and has exhibited proof of same to the permit issuing of#iee: CHECK ONE: INSURANCE ® BOND ® OTHER ® (Specify) Main Street America I eerie,under the palm and penalties o`peyua',that the inf artraation on Mk application IN t r;and complete, FIRM NAME: Crawford Electric LIO,NO,; 13923A Licensee: Richard Crawford SIgnatu LIC,NO,; 91R$3:1F at applicable,enter- "exempt"in the/keno nttmher lineal us,Tel,No,: 508-737-0194 Address; 84 Cranberry an ,South Yarmouth, MA 02664 Alt,Tel,No,;_ *Per M,Q,L,@, 147,s, S9-61,security work requires Department of Public Safety kk5"U@enso: Lir, No, OWNER'S INSURANCE WAIVER; I am aware that tho Licensee doew not hove tho liability insurance coverage normally required by law: By my signature below, I hereby waive this requirement: I am the(chock one)El owner 0 owner's agent, Owner/Agent Signature - Telephone No, I PERMIT PEP $ /6 0 .Oz)