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Home My WebLink AboutBlde-22-003588 Commonwealth of Official Use Only ii�� &le Massachusetts Permit No. BLDE-22-003588 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:12/28/2021 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) 25 LUCERNE DR Owner or Tenant VANLENNEP WILLIAM B Telephone No. Owner's Address VANLENNEP SUSAN, P 0 BOX 211, PEPPERELL, MA 01463 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. 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 Initiatine 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 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 0 b 1 6,I#Z Commonwealth o/Massachusetts Official Use Only 11, * . 6cry� �— Permit No. tZZ— 3�?l i� c p Jiepar/menl o/lire -Cervices i '''' : :•ARD OF FIRE PREVENTION REGULATIONS o�tpancyand i=eechecked 4 [Rev.1/07] (leave blank) R �.. _ - * • •ATION FOR PERMIT TO PERFORM ELECTRICAL WORK DEC{S8 ty Al]work to be performed in accordance with the Massachusetts Electrical Code), 27 CMR 12.00 LE J{ P' IN INK OR TYPE ALL INFORMATION" Date: /4/0)�l' Id) _ _ 1 r Town of: BUILDING DEPART _ t YAIZi27 Gu 77/ _To the Inspector of Wires: °y — - •• ••'•••• •:,I I the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) c- L C E.4 N 1)12. Owner or Tenant Ta y,) al Co Ntv E L.L Telephone No. 7' 6 73 7? Owner's Address a C— Ll"C&l N OR A la 1n C,t 731 JET. /h I'- r,t)Cp'7 T Is this permit in conjunction with a building permit? Yes 0 No [" (Check Appropriate Box) Purpose of Buildings► Utility Authorization No. N 4 Existing Service / &.. Amps /2a- /at-IC)Volts Overhead-ET Undgrd❑ No.of Meters / New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity A-'/"9 Location and Nature of Proposed Electrical Work: Al N G/ E L t c.ri2 ten c.. &M-, oz.", &.)o,Z b 6 U. rz&i I= c ,'L G -s i i, pLo-cr Completion of the following table may be waived by the Inspector of Wires. No.of tal No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans 'Transformers KVA 0• No.of Luminaire Outlets No.of Hot Tubs Generators KVA V Above in- No.of Emergency Lighting No.of Luminaires Swimming Pool ❑ gma❑ Battery Units 0 of No.of Receptacle Outlets I No.of Oil Burners {FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. To No.of Alerting Devices • No.of Waste Disposers ri Heat Pump Number Tons KW No.of Self-Contained 1- Totals: Detection/Alerting Devices w No.of Dishwashers Space/Area Heating KW Municipal Local ❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent • No.of Water No.of No.of Data Wiring: Heaters KW 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 o Electrical Work: 7`LN (When required by municipal policy.) Work to Start: d Inspections 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 '4 BOND,❑ OTHER ❑ (Specify:) I certify,under KevkinAtellemy is •,• , .,that the information on this application is true and complete. FIRM NAME: 7 Liefs Lane LIC.NO.: I la 71-- A Licensee: 0(dh Yarmouth.MA 02664 Signature _ ..66 ' LIC.NO.: (If applicahle,t r ellW "Tti DM Mr1g' r line.) Bus.Tel.No.:7 V Vol S'7 p Address: Alt.Tel.No.: *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 required by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑ owner ❑ owner's agent. Owner/Agent Cirtn4fiira mota.,t,,....,.T,. I PERMIT FEE:S I