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Home My WebLink AboutBLDE-23-001077 of r Commonwealth of Official Use Only 4:: ,- -- Massachusetts Permit No. BLDE-23-001077 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:8/29/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perfor tli e electrical work des ribedbe�low. Location(Street&Number) 53 WILLIAMS RD I " ` I Y n v t U Owner or Tenant P Owner's Address r r [T TCDL.I^"1IF nnl14&G Telephone No. CT� C ems-+g-1C f"2r!]'�reazlI IQTi Pia=r.r.lsd7E_ 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: Relocate washer/dryer receptacles in basement. 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 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 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:259 GREAT WESTERN RD, SOUTH DENNIS MA 026603792 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 I ar "' ic/7f/aieac�iu�elh -Officiial Use Only t�4 ` AUG 2 9 202225 ar men/ o/-}ire Services Permit No, 23 v>" Olt BOARD QF,F4 F REVENTION REGULATIONS Occupancy and Fee Checked (Rev,1/07] (leave blank) A 't--FILICATION FOR PERMIT TO PERFORM ELECTRICAL WORK „ All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 12.00 City or Town of: L� �Yyl p� P , �M A —'��Z o ��-_. To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work descri Location(Street&Number) 1.la i 11 r�. c 4 bed below. Owner or Tenant - -14-�_�"-_ Owner's Address 5 +.t i r Telephone No. � rtS ry _��f N. Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 "Undgrd ❑ No. of Meters ew ervice Amps / Volts Overhead ❑ Undgrd 0 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 0CGi r• r eo t C ompletion of the following table may be waved 13.the Inspector of Wires. No. of Recessed Luminaires No.of Ceil.-Susn, ;Paddle)Fans _-__� No. of Total No. of Luminaire Outlets N Transformers__ _ KVA o,of Hot Tul.s • No.of Luminaires - Generators KvA Swimming rLo'• Amd°e 0 In- ❑- No.of Er_iergency Lighting No, of Receptacle Outlets q'd' No. of Oil Burners FIRE ALARMS No. of f Zones No. of Switches No. of Gas Burners No.of Detection and No. of Ranges No, of Air Cond, Total Initiatin Devices No.of Alerting Devices Heat Pump NumberT-Toa ns s KW No. of Self-Contained No. of Waste Disposers No.of Dishwashers Detection/Alertin Devices Space/Area Heating KW Local 0 Municipal No. of Dryers Connection 0 Other ! Heating Appliances KW Security Systems:* No. of Water No, of Devices or E uivalent No.of No. of Data Wirin e ee Heater KW Si ns Balla st No,Hydromassage Bathtubs o e_ No, of Motors Total Hcommunications iring: OTHER: No.of Devices r Fouivale t • Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: . Work to Start: -Z (When required by municipal policy.) ' Z Inspections to be requested in accordance with MEC Rule 10,and upon cam leJo (�_ the licensee provides proof of liability insurance including''completed or its substantial equivalent.The operation"coveragep n INSURANCE COVERAGE: Unless waived by the no;n >no permit for the performance of electrical work may issue unless undersigned certifies that such cov age is in force,and has exhibited proof of same to the permit issuin CHECK ONE: INSURANCE gi I certify, under the pains and penalties of BOND 0 OTHER ID (Specify:) g office. FIRM NAME: ,L. p that the information on this placation is tr e and co lets: i Licensee: Signature LIC,NO.: 1 VO (If applicable, enter"exempt"In the license number line.) LIC.NO.: _ r Address: 2.5-C f *Per M.G.L. c. 147,s.57-61, security work requires Department of Public us Tel.No.: t1 -((C Alt. Tel.. OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have theliability required by law. Byy ' License: Lic.No. my signature below,I hereby waive this requirement. I am the(check Owner/Agent insurance coverage normally c;,,,,,r,,,.A one) ❑owner ❑owner's agent.