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Home My WebLink AboutBlde-20-002714 �. Commonwealth of Official Use Only ` E`rill Massachusetts Permit No. BLDE-20-002714 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:11/12/2019 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) 47 POMPANO RD t'f^ 25 e 2'7c"p Owner or Tenant LAROUCO MARIA elephone No. Owner's Address 47 POMPANO RD,YARMOUTH PORT, MA 02675 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: Receptacle for 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 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 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: $50.00 iA c ( It3f (q t \ C Con rnoruvea4J of 2 lassac�ft3 Official Use Only -- (LA --'�i.- c� n Permit No. gr+= = apartment o/,firs Services - BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked {Rev. l/07) (leave blank) APPLICATION FOR=PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Ji/ !d- //f 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) `f'7 pciriPp NO 12 Q Owner or Tenant ,fi)//7/4 L Pia 0 et CO Telephone No. ire 0151 e-d Owner's Address 474 7 Po P/9Az) /Z ) YAIMeaVIp/gr Is this permit in conjunction with a building permit? Yes 0 No (Check Appropriate Box) Purpose of Building S/,-.4,,c_c Utility Authorization No. Existing Service `, Amps /i.e.— / 040 Volts Overhead Q Undgrd 0"..--- No.of Meters I New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Al t ti/L e/_e6 i%Zt c fri - c;,n.c otlx u/c.rek 6u riE-r 7c ' 4Liat Crib" 1i/1 /2,6,- 8Loaie-72 Completion of the following table may be waived by the Inspector of Wirer. No.of Recessed Luminaires No.of CeiL-Snsp.(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 l✓mergency Lighting • arnd. grttd. Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS 1No.of Zones 1 No.of Switches No.of Gas Burners 'No.of Detection and J Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons KW 'No.of Self-Contained Totals:I 1 1 Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection ❑ other No.of Dryers Heating Appliances , Security Systems:* '1 No.of WaterNo.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: 11 Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of El tric Work: 3 (When required by municipal policy.) N. Work to Start: /l 41// Inspections to be requested in accordance with MEC Rule 10,and upon com l t ion. 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 coves a is in force,and has exhibited proof of same to the permit issuing office. 141 CHECK ONE: INSURANCE IV 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: 'ec l h C.wit i LIC.NO.; d 1 Licensee: kpUlh C1,,ti t n Signature (If applicable,enter"exempt"in the license number line.) LIC.NO.: Address 7 L[ t:Z=S (,nJ S d°yt:ti Bus.Tel.No.: S- j *Per M.G.L.c. 147,s.57-61,securitywork requiresG�� Alt.Tel.No.: Department of Public Safety"S"License: Lic. No. ---------- ,-:-c 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 ent. Owner/Agent Signature Telephone No. PERMIT FEE: $