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Home My WebLink AboutBLDE-21-007263 fv" Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-007263 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:6/15/2021 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) 359 ROUTE 6A Owner or Tenant Stephen Bourdeau Telephone No. Owner's Address 359 ROUTE 6A,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 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 two exsterior receptacle&remove one range 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 2 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 Tons 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters 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 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:238 SHERI LN, S WEYMOUTH MA 021901254 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 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 °09‘ Z� Commonwealth I//7 Official Use Only"] C,nmmonweall� o//�/a3saclitue� �� f �f � b t' - ---` fi c� c7 Permit No. - C C� 3 A � c 2e tinenl o Dire &rvicei 's Fee Checked "'- BOARD OF FIRE PREVENTION REGULATIONS 4. , [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC,52712.00 (PLEASE PRINT IN INK OR TYPE ALL INFORM /ATIONS Date: 6 //51/I/ City or Town of: ,Y A 2 in G Li TJX _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) 3s-ii /71 x}/ N 51- Owner TOwner or Tenant c TC/hV'h 3 e=44 e GI c{ r Telephone No. 16k G.,1 $, Owner's Address G8 SV /1/G r� /Z�, N ec d knr/ MMA 60 U f 2 Is this permit in conjunction with a building permit? Yes ❑ No [l_;_t— (Check Appropriate Box) Purpose of Building 5/ Utility Authorization No. Existing Service cplec, Amps / 1o, / ')y Volts Overhead❑ Undgrd R''' No.of Meters I New Service —Amps- -f--- , .y� •- U I i . . • t Meters Number of Feeders and Ampacity A) 1 Location and Nature of Proposed Electrical Work: im/N t L CZet t h L 77.4-0 G GD W c 4 °i.TO CUL- 0 1,erc Cr.) eri,CX/Qc cur v / 'r J c ire,,,e ,A-C./t-.0 P I et { b C1.4 itii 7t /7Ais‘e4.f. 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 gNo.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting C grad- grad. Battery Units 9 No.of Receptacle Outlets t, E No.of Oil BurnersFIRE ALARMS I No.of Zones R of Detection and No.of Switches No.of Gas Burners No.Initiating Devices r 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 i- Totals: Detection/Alerting Devices J No.of Dishwashers Space/Area Heating KW 'Local ❑ Municipal ❑ Other Connection 9 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 of lect 'cat Work: l6(1 (When required by municipal policy.) Work to Start: t / �}/ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: 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 `i BOND.❑ OTHER 0 (Specify:) I certify,under e •,.; ,,-,,.,that the information on this application is true and complete. FIRM NAME: 7 Uiefs Lane � LIC.NO.: 1 13 'ZS- A Licensee: iSoUth YarmOpUth.MA 02664 Signature .......f, Q5a-,�w- LIC.NO.: (If applicable�iTfel-IVA t"iii 701Alkfiglitr line.) Bus.Tel.No.:'77/ Vol S'S rf 9 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 0 owner's agent. Owner/Agent o. .._ ... , __ I DDDa flT DDD. 0 Note to Ken Elliot From Kevin A Cronin 6/14/21 The customer at 359 Main St Yarmouthport will be on the cape from June 18 ,2021 thru July 9t 2021. The job is completed and ready for Inspection anytime you're in the vicinity . Thanks, Kevin Cr?nin