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Home My WebLink AboutBLDE-23-000829 Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-23-000829 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) 233 WEST GREAT WESTERN I Owner or Tenant RICHTER PAMELA A Telephone No. Owner's Address 233 WEST GREAT WESTERN RD,YARMOUTH PORT, MA 02675 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 ❑ 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. 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 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 Eauivalent 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 CowwaRwanal o`//Iarsrib Official Use Only R E C �'''• c� -3 J�S2 e[ .1.6ne.i n Permit No. • _>ins Occupancy and Fee Checked .: AUG l� �4' :OARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) BUILDING DE •° 1 I ATION FOR PERMIT TO PERFORM ELECTRICAL WORK By ____- 1 work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: e/s �al.,/ City or Town of: 4 ?/�j G y 77 To the Inspector of Wires: By this application the undersigned - es notice of or her intention to perform the electrical work described below. Location(Street&Number) 3-3 toEs ) Cle>-�3i 11, S XP/1) S, Owner or Tenant oir/,L 1)- 12 i c�/ A[ , Telephone No.(9� Owner's Address -› b k�1 r J pj 0J i2 ivl corgi Is this permit in conjunctinwith a bu•lding permit? Yes ❑ No Check Appropriate Box) Purpose of Building S 1 siii„,“, Utility Authorization No. Existing Service (c Amps/2- / Ap/olts Overhead❑ Undgrd❑ o.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity f Location and Nature of Proposed Electrical Work: R/iJ op y-Lt. ��?e tt L G i--E &Lb to c k RLC l= p7& 04.1 Ti-ET it---az-cieis Fi/ ,10 cavii,,L, Completion of the following table may be waived by the Inspector of Wires. otal No.of Recessed Luminaires No.of Cell.-Sasp.(Paddle)Fads T of T Tr Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.or Emergency Lighting g grnd. grnd. Battery Units No.of Receptade Outlets l No.of Oil Burnerss FIRE ALARMS No.of Zones No.of Switches r No.of Gas Burners No.of Detection and Initiating Devices No.ofNo.of Air Cond. Total No.of Alerting Devices Ranges Tons No.of Waste Heat Pump Number Tons KW 'No.of Self-Contained Totals:_ - Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ M n a ❑ Other No.of Dryers Heating Appliances KW Se Nr Systems:* f Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Ballasts No.of Devices or Eimivaleat tio Wiring: No.Hydromassage Bathtubs No.of Motors Total HP Td No of Deviunic icess or Equivalent OTHER: C Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of E ' . Work: 6i-) (When required by municipal policy.) Work to Start M T�2 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 covTg.e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE a BOND ❑ OTHER ❑ (Specify:) 1 certifr,Bader AVapailnAdikepimanksotOpisfory,that the information on this application is true and complete. FIRM NAME: 7 Liefs Lane LIC.NO.V/ra 7 Sl' Licensee: South Yarmouth , MA 02664 Sigma' LIC.NO.:t} / L Lic:11275A. P.781 812w667�. �° �� (If applicable•enter'exempt m the license n tine) Bus.TeL No.- Address: Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"Sr"License: Lie.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 Signature Telephone No. I PERMIT FEE:$