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Home My WebLink AboutUntitled 0. Commonwealth of Official Use Only • / !01 Massachusetts Permit No. BLDE-23-000828 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:8/16/2022 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) 58 MIRIAH DR Owner or Tenant PRIOR CAROL R TR Telephone No. Owner's Address CAROL R PRIOR TRUST, 36 PRIOR RD,NOBLEBORO, ME 04555 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 $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. Total 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 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 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 ,L. s11,-vim R E C Hat E D C..../A 0/74..L..,.R4 Official Use Only � -0t32e3 AUK;. �A_�, .7;, Serves 6 _'_I,-/?' Occupancy and Fee Checked L— -,/ 0 •RD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) BUILDING r'=t ='`'TMENT By TION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: .f �/�G.1-- City or Town of: y4 i2m tat TH 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) �t t / r/G 4 .Q r. Owner or Tenant C c rc,L Pr;ccTelephone No3S.� �-.� Owner's Address a la 7i (.J. I/CAI 40 101—Sr ,Z)4 Are//c4d I L- 3 t133 Is this permit in coal ' with building per®N1 Yes El No Ft' (Check Appropriate Box) Purpose of Building � a/ct i-(2, Utili Authorization No._ Existing Service j l() Amps /�)4M1 Volts Overhead[ Undgrd[4No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity i / ` Location and Nature of Proposed Electrical Work: m/xi 1 L ELi i2 k/z. c,A.4.- p -t p plc.Lt P a- 6-i c F/1,4. pt r _pL .tA) Completion of the following table may be waived by the Inspector of Wires. of Total No.of Recessed Luminaires No.of Ceil.�.(Paddle)Fans No. nsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above ❑ In- ❑ No.of Emergency Lighting g grad. grad. Battery Units No.of Receptacle Outlets f No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Toons No.of Alerting Devices No.of Waste Disposers Heat Pump Number'Tons KW No.of Self-Contained T Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW `Local 0 M n°ncenlin ❑ Other Heating AppliancesSecurity Sy * No.of DryersKW No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No of Devices or rivaled drom Bathtubs No.of Motors Total HP T . ons No. �- Hy No.of Devices or Equivalent OTHER: Attach additional detail if desireit or as required by the Inspector of Wires. Estimated Value of lecf l Work: (When required by municipal policy.) Work to Start: f//G/not.. 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 cov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Specify:) I certift,under the pains and penalties of perjury,that the information on this application is true and comp FIRM NAME: LIC.NO.: J/a`7 r/9- Licensee: Kevin A Cronin-Electrician Signature �, - LIC.NO.: a /7� C 7.Li=fs Lanep Of applicable.enters ,a , a en r� a ne.) Bus.Tel.No.: /ki d S S 7! Address: .11 gypp. P.7 �1-8 7� " Alt.TeL No.: *Per M.G.L.c. I ,s. -bt; w 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 I PERMIT FEE:$ Signature Telephone No.