The URL can be used to link to this page

Home My WebLink AboutBLDE-23-002361 of__. :-:., ev it* Commonwealth of Official Use Only f �, Massachusetts Permit No. BLDE-23-002361 C'9 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:11/1/2022 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) 18 AUSTRALIAN AVE Owner or Tenant LISA XIARHOS Telephone No. Owner's Address 18 AUSTRALIAN DR,YARMOUTH PORT, MA 02675-2107 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 remodel per attached. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 1 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 7 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 No.of Gas Burners No.of Detection and Initiating Devices No.of RangesNo.of Air Cond. Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* ry No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: y l; 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. PERMIT FEE: $50.00 qior «friv,/ei 61,61,44 LIN) onwealth of Mcwac4t dells Official Use Only it»m 0 Permit No. �7' ��( "' t., ��([�� '2).par1ment o/Jire .Services �-+ irTB�A19'C3 OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ' �•,;,.a� [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 TYPEJ ALL INFORMATION) Date: .CD'�7(� —Z- City or Town of: I/4-Ki 0 0 IT IA ( at) 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 1404-0'O' \O%\A AL&D 1 L( ,CQ, 0-k-Qk b'+ ( Owner or Tenant [ (- 0, (I CAA—IA()5 CX,\ T lephone No. Owner's Address lS PtA)S W Olv\ PIAA -7 YCAAVVtot i�t?oc ��Cq� Is this permit in conjunction wit building permit? �"f('' Yes CI No El (Check Appropriate Box) Purpose of BuildingS �Q J C j(A'l.tl(r\9J Utility Authorization No. v Existing Service � Amps l/57 Z3nVolts Overhead❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd El No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: -tT MN I—C11n 1/11` Q J iC�S t'i j&u.,.Q,1, .) VAiC o ..v.2 c c t t(C c—o ,' 6 - / J),I 6,1 o Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 1 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 ❑ ln- ❑ No.of Emergency Lighting gild. gmd. Battery Units No.of Receptacle Outlets V No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches I No.of Gas Burners No.of Detection and n_ Initiating Devices Tota No.of es /VLjGlnt,t .Q 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 Local ❑ Municipal Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: ///_��,�y,,aa��_ Attach additional detail if desired,or as required by the Inspector of Wires. / 6 Estimated Value of Electrical Work& c (When required by municipal policy.) Work to Start: 9 Z —72,_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 coover e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 01Pr BOND ❑ OTHER ❑ (Specify:) I certify,under the ainss and enalties of perjury,that the information on this application is true and complete. • FIRM NA E: l -, e \C _ LIC.NO.: (OO?-0 fr Licensee:(--A.a.n 11(4-a1 x Signature LIC.NO.:Z.1_af�_t{ (If applicable,enter"exempt"in the license number line. Bus.Tel.No.:3 QI tf—eta 7 Address:Z- 4 ( vizalki g4 ` pp� Lj ,uAAAS (Altai' (3 2COO Alt.Tel.No.: *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) El owner El owner's agent. Owner/Agent Clnn A}n YP I PFRA,IIT FFF• tt