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Home My WebLink AboutBLDE-22-002851 \ 0 Commonwealth of Official Use Only a l "4 1A1 Massachusetts Permit No. BLDE-22-002851 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:11/17/2021 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) 114 SULLIVAN RD Owner or Tenant Kathleen Farley Telephone No. Owner's Address 114 SULLIVAN ROAD,WEST YARMOUTH, MA 02673 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. Ton l No.of Alerting Devices 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 ❑ Other: Copnectign 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 Signs 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 6)4( of 1,/74 R-2c 4 -RD r si ,c�C-I-- wee k E ® C.ornrnouu,ra f/h of ,/rleti.In hfeld/t ..,,,`�� 1 R F .J.iepar'irnenl of .ire --.) rt'ich., i a _ ,;n i t e _:e N �4 L� L3 f I t �` FIRE PREVENTION REGULATIONSi F` .,tt } ;:z, ;Ai: _! ION �y PERMIT ry y BUILDINt jkI NT FOR PERMIT TO PERFORM ELECTRICAL WORK By /� _3 All work to be performed in accordance with*t the Massachusetts Electrical Code(MEP),527{'gil 12,00 / i.-t r_ t�RLV,ry J TVA'OR TYPE'AL 1 �_i�f.+j}73.i`t._'�f i ,}e3, Date: // /ISTi City or Town of: 1)1 CLe li71 _.To 14c Inspector of Wires: By this application the undersigned Ives notice of his or/her intention to perform the electrical work described below. • Location(Street&Number) // / K L i./ !/ Ai J2cli Oss riser Of Tenant _s. 7`�--ct- l Q-C11-. I e 4rt 4cgac No. 4 p� �.Y. >3' Owner's Address ________a_ 8 f"cu,,•C// S t Zu _. 6/ cc) Is this permit in conjunction witth�a building permit? Yes ❑ N ] (Check Appropriate Box) Purpose of Building wi__-__-�j'` c/r 12..'� Utility Authorization No. Existing Se I;.c a-eAmps _, Volts: (-/ eta.:id _i."1- U iiiiir:r'.II Net.of Meters New Service Amps / Volts Overhead❑ Undgrd J No.of Meters Number of Feeders and Ampacity ' -/° Location and "ti<{tCr3c'fi(l'Tr)i :,s#:4i E ,,ar ;1 Wa)rz ------ATIWCA.--1,:i...-` �— -/--_ effr�.. O L- W 1,eff C1__kSL tom J' 02 C 'J _ ram/ _..PLr2 ce le Lac)t/1. Completion of the following table pray be waived by the Inspector of Wires. of Total 1No.of Recessed LuminairesINo.of Ceil.-Susp.(Paddle)Fans _1.° formers KVAr-__--__-__. • s,r of LutnifiairC Outlet, i'. of Flt:a'Funs:> i''Je t-rats:S les-V 'i _ h f No.of Emergency Lighting 0 3 Ro.of Luminaires swimming Pool ` rn1 � i Battery Units Og No.of Receptacle Outlets I INo.of Oil Burners I FIRE ALARMS No.of Zones a- [ E of Detection and lNo.of Ranges No.of Air Cond. 'No of Alerting Devices rd ___ _ __ Torts rJ - _ —_ __-. Heat Pilm irinil3er ' Tons i Kam' ro.ofSelfCoiltaitied 1 wNTo.of Waste Disposers Totalsf ) etection/Alerting Devices m No.of Dishwashers Space/Area Heating KW . 'Local n Municipal Connection ❑ Other cs 'Sc o fs�:- Cri rlc;sing Apptiiin e. 1 5, D�No.of vices o, Equivalent----- j • iN ii.of‘Wit:.1 -I' o.of No.o 11)ata Wiring: Heaters KW Signs Ballads J . N .of Devices or Equivalent [No.Hydromassage Bathtubs �No.of Motors Total HP ITele m f Devices or Equivalent OTHER: Attach additional de ai!ifdesi;.:d,or Ira required by the Irt,pertr;r of Wires. Estimated Value of -lee 'cal Work: v-co (When required by municipal policy.) Work to Start: / a Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE.C -ITP_ACT: 3 7!il s s,:-ii ,Il l:iv L pie oiu i -aP iermit t4 f, :`i .r ''it - f, _iric:ft a{}},._.n ,,l� i.s.I.. sissies hi t i i - '-, i'%. ji.,g ,.s. 2 tt t4, c }} 5 i .}.-._ ..af`:1_i 9t ti :q }} u . r t;.': ,.,.. ,.. . .,� _. �,. �...:E i Y e]._,_i.(t.—.., k.._.. 4_._c... _s�.ya! .+.i,}r,.. .- , ... . undersigned certifies ihat such coy sage i;in force,and has exhibited proof id'sanie to thl pei'toit issuing office. CHECK ONE: INSURANCE ►' BOND ❑ OTHER D (Specify:) I certify,under NteVWyAteedwi(j':. .,; r,';:rt,that the information on this application is true and complete. TIM i NAME: T Wistaria_ - -- - lie.Nis.: I 1� '7 C A Lie n.c.�_. Varmoulhp t 4g —_ rot Tnatw y e.......-,.�. 1 4.1�_).' LAC. O.: ./_.____�j_ (if applicable,ir..ell •sM"5 .v ifcYrT.f r luxe.) Bus.Tel.No.: p%/ S1+... �'S:(7 Address: Alt.Tel.No.: _____ *Per M.G.L.c. 147,s 57-61,security work requires Department of Public Safety "S"License: Lic.No. 01, 7\*TR'4'T\ST'R t,Na!:'8 '.l I,T. i :` . .,Fr,_,That€i9. Z . _ 1 t,''',f„ ii:,' er, : i-irii`%ll`,' require:a b y .d.i._ By ro:. .,r,_x._3a"ti belt,".-. m ii.e:-e-tiy ..,_.S>c fi,_., . + f s._.1a°. .. ;.fi 5... ..,.a e..,f= - ,-S #is..a` .._ iNK,w7 agent. Owner/Agent PERMIT FEE: t '' Signature 'Telephone No. I