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Home My WebLink AboutBlde-20-002717 kik`k'e) Commonwealth of Official Use Only tL Massachusetts Permit No. BLDE-20-002717 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 has or her intention to perform the electrical work described below. Location(Street&Number) 243 OLD MAIN ST Owner or Tenant MCNAMARA KEVIN M Telephone No. Owner's Address MCNAMARA MARGARET R, 243 OLD MAIN STREET,SOUTH YARMOUTH, MA 02664 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 ❑ 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 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 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 perjuty,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 Coma:onto=th of M� assaciu�sffs Official Use Only r j / ".0 Jtpar[n�snE o�}u+s,7a vies ' Permit No. 27( Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (lam 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: // //mot l/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) c2l.J3 6"CQ A4/N AT Owner or Tenant 1kt7/%N M c N Q_,,06)-4 Telephone No.779 'tick diXf Owner's Address vZ V/3 aCb /4.9//t/S'T S at n I ri_meit r Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building a S / c 9 Utility Authorization No. Existing Service Amps (i)L t./( Volts Overhead❑. Undgrd Er No.of Meters J New Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 71)//VG/'l. t 171'1(I . 0/t4- UCb g j 7, - LJ tt Tt E I P GIy dss A-'//tc'4 p j Zot,t ra, Completion of theJollowing.table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA - No.of Luminaires Swimming Pool At1 ❑ mod. ❑ Battery U c9 Lighting - No.of Receptacle Outlets No.Of Oil Burners 1 )FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges No.of Air Cond. T� No.of Alerting Devices -Z No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained " Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' I, 0 Municipal Connection ❑ Other N. No.of Dryers Heating Appliances KW Secnrit of D e or E No.of Water No.of 4�'alent Heaters No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent 4/ No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No of Devices or Equivalent OTHER: V Attach ndditional detail if desired or as required by the Inspector of Wires. Estimated Value of ectri al Work' I CO (When required by municipal policy.) N Work to Start: /V/3 y Inspections to be requested in accordance with MEC Rule 10,and upon completion. JINSURANCE COVERAGE: Unless waived bythe 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 U undersigned certifies that such ecnt5age is in force,and has exhibited of same to the proof permit issuing office. 111 CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete V FIRM NAME: *1 //A) COt,N//j LIC.NO.: //a 7J X Licensee: R62 i%. R 01414 nJ Signature C� ��/ LIC.NO.: (If applicable,enter"ei�pf in the license number line.) Bus.Tel.No.:, 7lf C X . Address: / '-/E�_. C..IV 4 a y/ m cid-0 in-A- /J U} Alt.Tel.No.: ,J *Per M.G.L.c. 147,s_57-61,security work requires Department 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- S required by law. By my signature below,I hereby waive this requirement I am the(check one)❑owner owner's agent. Owner/Agent ❑ B Signature Telephone No. I PERMIT FEE: $ 1 j