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Home My WebLink AboutE-19-5217 of r. '� ,Commonwealth of Official Use Only _ .4e11\` Massachusetts Permit No. BLDE-19-005217 x. ....„,..• 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:3/14/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perto the lectrical work ribed below. Location(Street&Number) 7 LIEFS LN � `Nt-t(V M(„IJ Owner or Tenant Telephone No. Owner's Address OD9NAIEll lictrkE D, 7 LEIFS LANE, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Ch Purpose of Building Utility Authorization No y ' Existing Service Amps Volts Overhead 0 Undgrd 0 ' •i.o e'ers New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&wiring for family room addition. Completion of the following table may be waived by th Inspector of Wires. No.of Recessed Luminaires 8 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 8 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 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 Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW 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:) 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: $75.00 ce.Q-0-6474 SI; ill e-1--- ei-L01--- I tit, q _.- ! 1 ��jj \ Comrnonwea of fl a acIsussl#s • Official Use Only = /mI .2eparfinanf o f.1•iro J Permit Nit..1 t fi arviced T! _• IS BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Y" � `^ [Rev. 1/07] (leave blank) 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: 3 / City or Town of: YAR1VIOUTH To the Inspector o Wz es: By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) � I— j �- S ( E-- Owner or Tenant ��jV C�� 0 —" —1 z Telephone No.: / �� 9 �` �s � Owner's Address 7 (. � L� �N � �j, j � I�Lb4 �1d�CvG� > N i< Is this permit in conjunction with a building permit? yes ❑� No ❑ (Check Appropriate Box) .e r L i Purpose of Building 0 G j a-,�,e- Utility Authorization No. 11 y 0 Existing Service /� Amps /'.)/c t_i Volts Overhead ❑P Undgrd Q 1 z gird❑ No.of Meters . ',p I New Service Amps / Volts Overhead _ ❑ Undgrd❑ No.of Meters umber of Feeders and Ampacity C m� cation and Nature of Proposed Electrical Work: jf l4 1' o wykJpO, `sv ftA tp frrei-i^' 0 - 71,e=Ght'1< P,,,1E / 47✓p lb Re--)14/ fi••'c�tx-) 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 cic No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool Above ❑ In- ❑ "No.of l mergency Lighting :rnd. gm& Battery Units No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No. of Air Cond. Total Tons No.of Alerting Devices V No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices J No.of Dishwashers Space/Area HeatingKW' Municipal L0�❑Connection No.of Dryers ' Heating Appliances , Security Systems:* No.of Water No.of Devices or Equivalent Heaters �— KW— No. Signs of Ballasts Data Wiring: No.of Devices or Equivalent V No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - OTHER: No.of Devices or Equivalent l it Ey ci NGt / / a;G U /U pz- Attach additional detail if desired or as required by the Inspector of Wires. -.. Estimated Value of El ctric 1 Work: 3CO (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. Vc' 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 V undersigned certifies that such cove 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 pal and penalties of perjury,that the information on this application is true and complete FIRM NAME: Licensee: Xi LIC.NO.: p� f�t `ev iI /) CVO-14 t A Signatu LIC.NO.: (If applicable,enter "ere t"in the license number line.) Address LtE o "�)� Bus.Tel.No.: ., "Per M.G.L. c. 147,s.57-61,securitywork requires /j�Clilh oKDtiy Aft.Tel.No.: , Dep ent of Public Safety"S"License: Lic.No. ..,z— OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage norm S required by law. By my signature below,I hereby waive this requirement. I am the(check one 0 owner ❑owner's a ent. Owner/Agent Signature . Telephone No. PERMIT FEE: $