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Home My WebLink AboutBLDE-19-002627 d ar Commonwealth of OffrcialUse Only afE± Massachusetts Permit No. BLDE-19-002627 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked rRev.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:10/31/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice at his or her intention to pun the electrical dlslribed below. Location(Street&Number) 55 ROUTE 6A /E_1/ 1l Ar ,('('f/_Ifcr Owner or Tenant SNOW STEPHEN L e ep one No. Owner's Address SNOW ELIZABETH DORN, 55 MAIN ST,YARMOUTH PORT, MA 02675-1620 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 ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Receptacle for fireplace. 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 ove ❑ in- ❑ No.of Emergency Lighting grnd.Abgrnd. 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 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertint Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Watery No.of No.of Data Wiring: Heaters _ Signs 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 0 BOND 0 OTHER 0 (Specify:) L 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 (If applicable,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,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 Obt a 4s/ e .. amino. minorunalth.of Massachusetts se`IIIS apartment°n se v�t Permit No. Official` `-' g..7 x1i Occupancy and Fee Checked • BOARD OF FIRE PREVENTION REGULATIONS ev. 1/071 • (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC).52 12.00 C1v1R (PLEASE PRINT IN INK OR TYPE ALLINFORMATIOl9 Date: 1 / // �/ City or Town of: YARMOUTH To the Inspector of Wires: . By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. • 4 . Location(Street&Number) . eat n. CD Q Owner'orTenant A ( RC-- .2fl Q. ,ery Telephone No. 303 �`�s3j) Owner's Address cc Rctt Ce A ,,i'AY/mrir76t rear Is this permit in conjunction with a building permit? Yes 0 No (Check Appropriate Box) ' Purpose of Building /2. C I Ct Crce Utility Authorization No. Existing Service /(!i/ Amps /7. (,d tt(Volts Overhead 0 Und grd lir No.of Meters _ New Service _ Amps I Volts Overhead❑ Undgrd gr ❑ No.of Meters Number of Feeders and Ampacity --- • Location and Nature of Proposed Electrical Worlc /31/ /lert. Ou /LtitT(1/cnC — fir—inti�C � Completion of the followintiable 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 Aboved. In_ No.of Emergency Lighting - ernornd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners • FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and • • Initiatingpevices No.of Ranges No.of Air Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals:1 Detection/Alerting Devices No.of Dishwashers SpacelArea Heating KW' Loal Municipal Connection ? No.of Dryers Hating Appliances KW ,Security Systems:* — No.of Water No.of Devices or Equivalent No.of No.of Heaters KW Signs Ballasts Data Wiring: No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional derail if desired or as required by the Inspector of Wires. Estimated Value of$lectriSat Work: 3 rt (When required by anuric' aloli Work to Start 1)I 3///Se InspectionsRule cy') to be requested in accordance with MEC R10,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 c�overs�a is in force,and has exhibited proof of same to the permit issuing office. 0 CHECK ONE: INSURANCE - BOND ❑ OTHER 0 (Specify:) I cern)",under the paps and penalties of perjury,that the information on this application it true and complete. FIRM NAME: l�tl//N A, Cath( t✓ LIC.NO.: c 7TH Licensee: n4c..iis; coo /� Signaturto1 '4 LIC.NO.: (If applicable,erste "exempt"in the license number line) Bus.Tel.No.: ,F 7 Address: L/FPs L.Al Lr o. ed �,6y J Per M.G.L.c. 47,s.57-61,security work re fres Department of Public Safety' S"License: Alt Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally irequired by law. By my signature below,I hereby waive this requirement. I am the(check one)D owner 0 owner's agent Owner/Agent Signature Telephone No. ( PERMIT FEE: $