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HomeMy WebLinkAboutBLDE-23-000520 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-000520 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/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 PR/NT IN INK OR TYPE ALL INFORMATION) Date:8/2/2022 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) 11 AUNT EDITHS RD Owner or Tenant HATHAWAY STEPHEN CHARLES Telephone No. Owner's Address HATHAWAY LESLIE ZEOLI, 178 LEXINGTON DR, ITHACA, NY 14850-1719 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: Out building for sauna. 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 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 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: RICHARD W CRAWFOR D 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 - Flx, r_.41 G6YYJUti e(I/�// v' )2- -- C /41X---- C,ommon.wea/h o/Mamaclzu3e Official Use On! !'_ _�G c� c� Permit No. `-�23 '-' 2e arlment o/.}ire Servicee 0 E ='== ' Occupancy and Fee Checked i— BOARD OF FIRE PREVENTION REGULATIONS p ]y (leave blank) Rev. 1/07 N ' PPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK W 1 O J I All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 CD IL( L ASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 01 AUGUST 2022 W d I City or Town of: YARMOUTH To the Inspector of Wires: 1 lEi t i s application the undersigned gives notice of his or her intention to perform the electrical work described below. LL LP,h 'on(Street&Number) 11 AUNT EDITH'S ROAD Owner or Tenant STEVE HATHAWAT Telephone No. 603-339-7698 Owner's Address Is this permit in conjunction with a building permit? Yes ® No n (Check Appropriate Box) Purpose of Building OUT BUILDING, SANUA Utility Authorization No. Existing Service 200 Amps / Volts Overhead ❑ Undgrd n No.of Meters New Service Amps / Volts Overhead❑ Undgrd n No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: INSTALL SUB PANEL, WIRE SHED FOR LIGHTING AND SAUNA UNIT (60A SUB PANEL VIA UNDERGROUND) Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other P Connection No.of Dryers Heating AppliancessAu N in,Kw6 Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of E Data Wiring: 0 Heaters KW 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: aAttach additional detail if desired,or as required by the Inspector of Wires. 12 O Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 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 v the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The asundersigned 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 pains and penalties of perjury,that the information on this91{plication is tr a and complete. FIRM NAME: Crawford Electric 1 LIC.NO.:13923A Licensee: Richard Crawford Signature yiZeir/.c.,- ,--s--/J LIC.NO.:23888 (If applicable,enter"exem t"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 PERMIT FEE: $ Signature Telephone No.