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Home My WebLink AboutBLDE-23-003931 F Vti Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003931 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:1/18/2023 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perfom)the electrical work described below. Location(Street&Number) 21 BOB-0-LINK LN Owner or Tenant CONTOS HARRIS Telephone No. Owner's Address 21 BOB 0 LINK LN,WEST YARMOUTH, MA 02673 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 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 16 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 12 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 No.of Gas Burners 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 Totals: .Detection/Alerting Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal ❑ 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 Signs 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. PERMIT FEE: $75.00 l e,t)-tom 'L3 (23 RECEIVED F Official Use Only • JAN 18_-�: _ Commonwealth of Massachusetts � ' Wiig _' Department of Fires Services Permit No. BU I LDi NG U T Occu and Fee Checked By: _ __ ��_a_.. BOARD OF FIRE PREVENTION REGULATIONS pan c • (Rev.9/03) (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: l— i 9 "7 3 City or Town of: 4(x„`vv\o U 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&N1umber) #Z _` �j o 1 i to Lec N,�-E r Owner or Tenant 1'ttky^ t S }ben c-d`4/Aty CO- ,\k(.5 5 Telephone No. • Owner's Address ( ' C` A O V v'ktL. COA/•.0 1 S,L(W�imdtA'/\V1\ACZ(09 2,1 Is this pert sit in conuuction with a building permit? '.es [/ No ❑ (Check Appropriate Box) Purptm .kt ruk(sjg_li— 1AIA 4+lak,0,47((.%''(-1, Utility Authorization No. ../R,xistini;', Se vt.-',?C0 Amps 11 C/Z-5 Volts- Overhead Undgrd ❑ No. of Meters New Ser.cqg Amps / Volts Overhead❑ Undgrd ❑ No. of Meters Number of F&eders and Ampacity " Location and Nature of Proposed Electrical Work: )Ct tt—ULO 1L . 1lv\e A • 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 Lmnihaire Outlets No. of Hot Tabs Generators KVA No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting grnd. d grnd. ❑ Battery Units No.of Receptacle Outlets 1 Z No.of Oil Burners FIRE ALARMS No.of Zones V No.of Switches / „ No.of Gas Burners No.of Detection and (�/ initiating Devices No.of Ranges ( No. ofMr Cond. PI�� No, of Alerting Devices lbns No.of W asts Dispo3er s Beat Pump l Numl�r Tons KW No.ofSelf-Contain Totals: a-.-.__._.._............_..._.._. Detection/Alerting Devices No.of Dishwashers ( Space/Area Heating KW Local❑Municipal Other Connection No.of Dryers Heating Appliances KW Security S stems:* No.of Devices or)equivalent • No.of Water Kyle No,of No.of 'Data Wiring: Heaters Signs Ballasts No.ofDe Devices or Equivalent No.HpdrorrtslssageBithtubs No. of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attached additional detail If desired,or as required by the inspector of Wires. Estimated Value of Electrical Work:, 3 SOC (When required by municipal policy.) Work to Start: I— I Or—Z-_3) 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 ❑ BOND❑ OTHER❑ (Specify:) I certify, under the gins and penalties of perjury,that the information on this application is true and complete_ . FIRM-NAME: .C F \QCr' L ,:n-.0 Licensee: C 1£vly . C dr2'T5 signatureLIC. NO. i 91. '-i (If applicable,enter"exempt"in the license number line.) M Bus.Tel.No.: /1 t`/ /(.01 Z' Address: 2S�') CC r'e Ct ti..I e.Ste d-v..T'ZGe=GQ. o. C Av\i 5 I '14 02.(l'eC) AIL Tel.No.: *Security System Contractor License required for this work;if applicable,enter the license number here: OWNER'S INSURANCE WAIVER:I am aware'hat the Licensee does not have the liability insurance coverage normally eOwnd o enty w By my signature below,Itereby waive this requiroment.I am the(check one) ❑owner Downer's agent • Signature Telephone No. 'PERMIT FEE:$ 7. — I