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Home My WebLink AboutBLDR-22-004410 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-004410 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:2/8/2022 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) 51 COUNTRY CLUB DR Owner or Tenant Kenneth Boyd Telephone No. Owner's Address 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- 0 No.of Emergency Lighting rnd. 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. TTotal 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 Sinus 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 9.1161.27 1. ('ommaswealih of MassachcUeu Official Use my _ 2-Z rL-111( p 1f] s cc'-^/�� (( Permit No. A �; 2cpaltaz nt at _fire �crtei 3 ' BOARD OF FIRE PREVENTION REGULATIONS ev.110713 a�I1�Clerked n:, -, [Rev.ll07J (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he perforrnesl in accordance with the Massachusetts Electrical Cotk(MIEC),527 CMR 12f)0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION). Date: . i a - City or Town of: yi)-/3_ fri C u rti _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 Si Number) S/ ( c-t,( P ; /Z L ti 13 i), / P'c Owner or Tenant ASP h A(' 1-3-7 6 ay d Telephone No77 y SS • /73 Owner's Address 5 / <cut A,;ry C 6 6►1 L),2,I' Is this permit in conjunction with a building permit? Yes ❑ No f3 (Check Appropriate Box) Purpose of Building nr.5 t ,/,,,,_ Utility Authorization No. Existing Service , L Amps /2 -/-VI' Volts Overhead 0 Undgrd a No.of Meters / New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity N/c) Location and Nature of Proposed Electrical Work: 41/N Gt z L( E_C-ti1/(p : (: L c- Lb u%c l.r C L,t I L-1 F 0i Z c----11- F///t= PC./e c C 43 L v w`le— Completion of the following table may be waived by the Inspector of Wires. 1No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans 'No.of Total Transformers KVA gNo.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above U_. g;Ad Q Batteryf Units Lighting 0 O0 tNo.of Receptacle Outlets 1 No.of Oil Burners FIRE' ALARMS !No.of Zones i p 1 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 No.of Waste Disposers rs Heat Pump Number I Tons j KW No.of Self-Contained f• Totals: 1 ! Detection/Alerting Devices in No.of Dishwashers !Space/Area HeatingKW 'Local ❑ Municipal Connection L: um,..1 9 No.of Dryers Heating Appliances KW Security S No.o Si y Devices or Equivalent stemse No.of Water Na.of No.of Data Wiring: Heaters KW 1 Signs Ballasts i No.of Devices or Equivalent I No.Hydrontassage 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: yU[i (When required by municipal policy.) Work to Start: ,) /"c)/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 coy-rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 't BOND ❑ OTHER ❑ (Specify:) I certify,under Keskomisthye A:,that the information on this application is true and complete. FIRM NAME: 7 Lieu lane / LIC.NO.: 11 43 7,5 A Licensee: `South Yarmouth..MA 02664 Signature .....f 6,5aw '-,• LIC.NO.: (If applicable i fet14W titL*fuinglit r line.) Bus.Tel.No.:—V Sid -6--C7� 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 hare 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 c:...,at,.eo m_'---s__--- .._ 1 PPRMIT PPR• R I