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Home My WebLink AboutBLDE-23-001565 a. \\u� Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-001565 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:9/26/2022 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) 21 YEOMAN DR Owner or Tenant MICHAEL DENNEHY Telephone No. Owner's Address 21 YEOMAN DR,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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: Renovate existing bath room&replace washer/dryer. 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 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 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 0 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:259 GREAT WESTERN RD, SOUTH DENNIS MA 026603792 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 (2 ?L'-Gd teK12-1 (`Z 73 irk 5. Commonwealth o/ ///aisacku.4elts Official Use Onl .e_ — -_ Permit No. 1.�� S �_ 2eparfinent o1...ire ServicsJ Occupancy and Fee Checked e 11 FJARD OF FIRE PREVENTION REGULATIONS •.1.eo [Rev. 1107] (leave blank) ciP APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK M 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: S2,0"• at 12-6 a - City or Town of: el , -. . 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) Z t €°WO'iik—b v`v kAsL . . • • Owner or Tenant [ v `��A �e-be �1‘- . Telephone No.�� ^g� v� Owner's Address ``- Z' H "00 AA `t i Wf'.St-"k&rt 1►1W'. U OAft Q tic 3 .3 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building _ Utility Authorization No. Existing Service 10 0 Amps I l5/z.) Volts Overhead [Fii7-Undgrd ❑ No. of Meters New Service Amps / Volts O aerhead 0 Undgrd 0 No. of Meters Number of Feeders and A'iipacity 41.44.01/:\ • Location and Nature of Pro osed Electrical Work: IN, ,„,_._ � ''h A:76 ce__FAACI Vale_ I' Ctn 6k4t 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 • irnd. Ind. Unitk No. of Receptacle Outlets 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. Tons Total No. of Alerting Devices • —_ No. of Waste Disp&sers Heat Pump .Number. ._ Tons____ I(W__ No. of Self-Contained" Totals: _I. _. _ Detection/Alerting Devices No. of Dishwashers , , Space/Area Heating KW Local ❑ Municipal 0 Other Connection No. of Dryers Heating Appliances KW lecurity Systems:* No. of Devices or Equivalent No. of Water No. of No. of Data Wiring Heaters KW Signs _ u allasts 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 f Electrical Work: " C- (When required by municipal policy.) Work to Start: 4-70'ZZInspections to be requested in accordance with MEC Rule 10, and upon completion. P P 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 cove ge is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify, under the pains and penalties of perjury, that the information on his application is true and complete. • FIRM NAME: eT___C. i_e_C.i-le C ! i s t LIC. NO.: /0(2 Licensee:Cale„AAA_CA40,--- Signature _ Al.. -A AAA �. .. , IL: LIC. NO.:7 [q( 1�Z-- (If applicable, enter "exemp' 'in :he license nur•'. -line.) / Bus. TeI. No.: J. —l0 Address: 7£ .lGr� �..p...,.S&1? l 0 1fit 1--� - G Mt r(DO Alt. Tel. No.: *Per M.G.L. c. 147 r S7-6' , security work requires Department cf P'Iblic Safety "S" License: Lic. No. OWNER'S 1N::l ,r ^'., WAIVER: I am aware that the License.. does not have the liability insurance coverage normally required oy :aw h in! signature bel,'w ' hereby waive this requ-r:meat. I am the (check one) 0 owner 0 owner's agent. Owner/Agent f Ci ern ot 1 ro I PFRIVIT PPP. T I 1 _-__ .- - - -- --- - .- _ _ -