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Home My WebLink AboutE-19-7233 Commonwealth of Official Use Only LV, Massachusetts Permit No. BLDE-19-007233 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:6/25/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 5 NIMBLE HILL DR Owner or Tenant MEYMARIS PAUL M TR Telephone No. Owner's Address MEYMARIS RLTY TRUST, 5 NIMBLE HILL DRIVE,YARMOUTH PORT, MA 02675-2190 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Receptacle for gas fire place 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 ❑ 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 Initiatine 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/Alertine 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 Siens 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:) 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 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:7 Liefs Lane, S Yarmouth MA 02664 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 A Comnsonrosatth off Ma.machu�aits ,_ • Official Use Onl ,_-=Ai1 = apartment o{ Serviced Permit No. �� !�Z�j7j- - - BOARD OF FIRE PREVENTION REGULATIONS Occupancyv. I/07 and Fee Checked ,[Rev. 1/07] (leave blank) APPLICATION FOR-PERMIT TO PERFORM ELECTRICAL WORK - All work to be performed in accordance with the Massachusetts Electrical Code .00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: (lCo 27 CMR 9 Cityor ��"�� Town of: YARMOUTH To the Inspector of Wires: By this application the r,nidersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) ;' psj) m Roc- / /L L D#,/ Owner or Tenant C /1jj4. m S Telephone No. 0 yj Owner's Address N1 ht6 t L hvi LL rr2,4 vG Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate PP Priate Box) Purpose of Building l2C--S/tr-f—L Utility Authorization No. Existing Service Amps / Volts Overhead Q Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd gr ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: r V`I ►4 - --r-Z / L Completion of the following table may be waived by the Inspector of Wrres. No.of Recessed Luminaires No.of Cer1-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- 0 'No.of]r;mergency Lighting :rnd.. arnd. Battery Omits No.of Receptacle Outlets ` No.of Oil Burners FIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number J J Tons I KW No.of Self-Contained Totals: f Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW nicipal - I'0� Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Data Wiring Signs Ballasts _ No.of Devices or Equivalent a Bathtubs No.of Motors Total HP g Telecommunications Wiring: No.Hydromassa No.of Devices or Equivalent OTHER: _ 3 Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of E ctri 1 Work 06 (When required by municipal policy.) ' Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERA E: 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 ❑ (Specify:) I certi35', under the piT.and penalties of perjury,that the information on this application is true and complete. FIRM NAME: - �-1///1,-) /9- , U 7CN`d} LIC.NO.: A Licensee: fly / i / 4t1 Signature " (If applicable,enter"ec t"in the license number Line.) ' ;`'� �2 s� LIC.NO.: Address: 1-I t Lk) v� CA.66G Bus.t Tel.No.: �� 1, 't ,� 'Per M.G.L. C. 147,s.57-61,security work requires ri !! Alt TeL No.: qu eparttrrrnt 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 a eat r Owner/Agent Signature I-11 - Telephone No. PERMIT FEE: $