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Home My WebLink AboutBLDE-19-001869 , Commonwealth of Official Use Only 1S Massachusetts Permit No. BLDE-19-001869 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/071 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 ININK OR TYPE ALL INFORMATION) Date:10/1/2018 City or Town of: YARMOUTH To the! •tutor of Wires: By this application the undersigned gives notice of his or ner intention to pertorm t electrical work describ f1'low. Location(Street&Number) 35 WHISTLER LN r.4 ///02= Owner or Tenant Telephone No. Owner's Address LENC,FRISCILLA , 4- ' ` a , r a■ a•- , :.753 Is this permit In conjunction with a building permit? Yes ❑ 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 ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Receptacle for fireplace blower. 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 CIIn- ❑ 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 Initiative 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 ❑ 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: Heaters Stens Ballasts 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 ❑ 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: Kevin A Cronin Licensee: Kevin A Cronin Signature LIC.NO.: 11275 (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:238 SHERI LN,S WEYMOUTH MA 021901254 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 signature below,l hereby waive this requirement.I am the(check one) 0 owner ❑ owner's agent. Owner/Agent Signature '// - ( Telephone No. PERMIT FEE:$50.00 10 bite !moi c %f8 / Cernmoawns&o/ccniassesc lis Official/ UseseOnly /� 'm Apartment of.Yin Jrrvicra ,- Permit No. C'7 —lea 7 1;�_ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked) . 1/07] (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical��C) 7 1100 (PLEASE PRINT IN INK OR TYPE ALL INFORMATIONDate: 1// 5 City or Town of: YARMOUTH To the Inspec or of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. • Location(Street&Number) '?..,t;' tiJ /a/ S rl(_w L Al Owner'or Tenant 77M6p1 fl-S ea S r Telephone No.-5'(j`^�,2 7 Owner's Address k) W Hl STC (-n I Ai jneAct'vni f/1T MA Is this permit in conjunction with a building permit? Yes No (� (Check Appropriate Box) Purpose of Building Ps//7e^/Vccr Utility Authorization No. Existing Service3t l/ Amps h / 0)')O Volts Overhead 0 Undgrd 3 No.of Meters / New Service Amps / Volts Overhead 0 Undgrd rd ❑ No.of Meters Number of Feeders and Ampacity — • Location and Nature of Proposed Electrical Wort in I nI G^, tt tf co lc t t c--ss p//rept t?G.C^ / t71n.1 Ct/1c a lY/j,,f- /ac-/ Completion of the followinpztable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cert-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool AbIn- No.oYlrmergency Lighting - Crnove d. crud. 0 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 o No.of Ranges No.of Air Cond. Toona No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number 'Tons IKW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Local 0 Municipal Connection 0 Other No.of Dryers Heating Appliances MW Security Systems:" No.of Water No.of No.of Devices or Equivalent Heaters No.of Data Wiring Signs Ballasts No.of Devices or E uivalent 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 Vale of frlecicat Worki J`300 .0) (When required by municipal policy.) Work to Start G //n/ 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 0 OTHER 0 (Specify:) I cern)",under the pains and penalties of pelury,that the information on this application Er true and complete. FIRM NAME: AES//t,•) p . cat/foj LIC.NO.: //s..r4 Licensee: 41/,11/4" p tOeM/A ) Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.��e.i : 2A(61 S S Address. 7 L 1 r. r-C CN SO. vk1IIno N17f"A Oa&G j `Per M.G.L.c. 147,s.57-61,securitywork requirese� cty en Alt Tel.No.: — OWNER'S INSURANCE WAIVER: I am aware that thaeLicenseee does not have the liability insurance coverage normally c.No. 'a required bylaw. Bymysignature qm below,I hereby waive this requirement lam the(check one)0 owner ❑owner's agent t Owner/Agent Signature Telephone No. . ( PERMIT FEE: S J