HomeMy WebLinkAboutBLDE-22-003096 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-22-003096
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:11/30/2021
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) 37 CAPT NOYES RD
Owner or Tenant MCNALLY WILLIAM J TRS Telephone No.
Owner's Address MCNALLY RAYANNE TRS,37 CAPT NOYES RD, 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 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install 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
Initiative Devices
No.of Ranges No.of Air Cond. Tot l No.of Alerting Devices
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 0 Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Siens 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, South 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 my
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
` \ Commonuea_t//, of C/'/astac/rre.ielii 1 Vi•a....41 v..,rttly 1
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,a, �. BOARD OF FIRE €'R II"�1Ti( 1VREGULATIONS e 2_.€,074 Ira 331 _1
R 2 AP ':'LICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
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All work to be performed in accordance with the Massachusetts Electrical Co (MEC), 27 CAR 12.00
'Lr _ ter`/_`'_�f't ;'x,': 'x) TYPr=1I.L I `FOR.i- rir'1,-: Daft;,j j /l _
E TownCity or Town / , a/y1 i i t 7) _To Lrtc'Inspector of Wire. :
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r . l.. By thi -ap. ication the undersigned gives notice of his or her intention to perform the electrical work described below.
C A ies i24.
..________./L}y.ncatt�j^l'treet&Number � �[, � NVI/s /J 5-0
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O ri'er o Tenant _.__.._._._/_G G'11_�? <- Ac__K.__4f// __._-.._..__.— --. cl'e Rio e. o._✓O1( 2 /V _ .L/S
7 �J r R ci
Owners Address ___ �c•�JT'/N !" o j '�(�S
Is this permit in conjunction with a buildinUg_permit? Yes ❑ No I_]' (Check Appropriate Box)
Purpose of Building _.__.._a ,/ de., -- -.-------_.._._.__ Utility Authorization No.____--.___ _ _____- _____
Existing Service / (,U Amps ( i'i) ) _Cl olt'; Overhead' Undgrd` No.of Meters /
New Service Amps I Volts Overhead 0 Undgrd J No.of Meters
Number of Feeders and Ampacity
Location and Nawt c of Pro r-e=,d E :,-triw ; Work: _C_ 1aLc/4 4., ___o N c__ CI(7 e-f 7 %-C.42-
__( - F-i1Z-e-1 4: a Lam- c/t- -_.-- _ .
Completion of the following table may be waived by the Inspector of li'ires.
No.of Recessed Luminaires INo.of Ceil.-Susp.(Paddle)Fans INo.of Total
!Transformers KVA - .
• No.of L r 9 iFtin e t.33i'sl r No.of
Hu Tux"r.--- ---------- ,s,3e itTatei-, KV A
• INo_of Luminaires Switturino Pool Abc'v 7 tn' +�'e3,of Fintyrgenz.y Lighting
i' gmd old,--, Battery Units
0 No.of Receptacle Outlets I No.of Oil Burners FIRE ALARMS No.of Zones
1 No.of chi- o '4OO �f Detec,tion and
• .-- — — — — }— Total Mi€latin L�ric.:;
►No.of Ranges j No.of Air Cond. Tons
No.of Alerting Devices
r- - - -_� �� i Heat Pump' Number I Tons i I V ;No.of Self-Contained ------1
No.of Waste Disposers I Totals:I t I Detection/Alerting Devices
muNo_of Dishwashers ,Space/Area Heating KW Local ?i Municipal ❑ Other
p Cor Connection
V Nay of arveriHeating ppii t1'f.-- 1x V,4 r No-.of Devices ICt a or i Cttii4'$t rrT i
-- —- ..-..__.-.__ -. __
• No.of Water 1No. of - No.of Data Wiring: 1
i Heaters KW Signs Ballasts I No.of Devices or Equivalent
LNO.H dromassa a Bathtubs 1No.of Motors Total HP Telecommunications ring: j
Y S !� No.of Devices or Equivalent
O-f HER:
t i Attach udrlitimial(Lena!it le iced„orris required by the 1ncpcctor o,Wires.
Estimated Value of -lee ` al Work: / (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSUK ANCE COVER ACE: Fibs' .1f ` }l.,i th);i "fr , f .. . : - .. ...._. ,,,,-(-,FT: . !l:s..
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r �' ..n, .xtswF s"? .,i�..?.1'- . 1 ....�0 x t ._ _ . si 1 - t r "
undersigned certifies that such coy rage is in force,and has exhibited proof of iaoi':to the pe init issuing office_
CHECK ONE: INSURANCE . BOND ❑ OTHER ❑ (Specify:)
1 certify,under Revinnikeef lf, '.,; ., ,I...,that the information on this application is tare and complete.
FIR_71,1 NAME:CIE: - a ime____________ -- _ __ t_Ir. 3.: i t'= A_
Liceait.e-_South—Yarmouth,MA _._ s�i gnaw!c ; f' ...,: .4 Cr-,.i -- ,AC.NO.:
(II applic,hle,erifel' e.c -Fri 1tc014. i t line.) Bus.Tel No /
Address: _- Alt.Tel.No.: _______
*Per M.G.L.c. 147,s 57-61,security work requires Department of Public Safety "S"License: Lic.No.
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sr T.,::1 ; geoi.
4)wlter/agent ! PERMIT FEE:
Signature Telephone No. I J