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HomeMy WebLinkAboutBLDE-23-004183 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-004183 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:1/27/2023 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) 3 HARBOR RD Owner or Tenant NELSON CHARLES J Telephone No. Owner's Address NELSON BEVERLY S, 22 NORTHERN AVE, BEVERLY, MA 01915 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: Remodel kitchen. 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 8 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p 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 Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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: 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 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 V.. ,,tgei (. 3Q( i &:(tJL/ il3k3k ! ® mvea o46o1 Official Use Only t—* �t-ft` `2 7 2023 �] Permit N�3 4(0 -t"=_ =r i Teamed of gips.Service4 �- Occupancy and Fee Checked �� BOARD0F*FIFE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) R APPLICATIONyFOR 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: January 27, 2023 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) 3 HARBOR RD. WEST YARMOUTH Owner or Tenant C H A R L E S NELSON Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes at No ❑ (Check Appropriate Box) Purpose of Building RESIDENCE Utility Authorization No. Existing Service 1 00 Amps 120/24Diolts Overhead ❑ Undgrd ❑ No.of Meters 1 New Service Amps / Volts Overhead ❑ Undgrd ❑ 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. NoNo.of Recessed Luminaires No.of Ceil.-Susp. Transformers KVA No.of Luminaire Outlets 5 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 8 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and 2 Initiating Devices Tot No.of Ranges GAS 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 KW No.of No.of Data Wiring: E0 Heaters Signs Ballasts No.of Devices or Equivalent 0 Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent cn E OTHER: .© Attach additional detail if desired, or as required by the Inspector of Wires. 0 Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 1/26/23 Inspections to be requested in accordance with MEC Rule 10,and upon completion. 2 INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless Qthe licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The v undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE a BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application,is true and complete. FIRM NAME: Crawford Electric ' • LIc.NO.:1 3923A Licensee: Richard Crawford Signature /'� , LIC.NO.:23888 (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: 508-737-0194 Address: 84 Cranberry Lane, South Yarmouth MA. 02664 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $