The URL can be used to link to this page

Home My WebLink AboutBLDE-22-004286 \/1 Commonwealth of Official Use Only L. :Pe Massachusetts Permit No. BLDE-22-004286 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:2/2/2022 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) 377 NORTH DENNIS RD Owner or Tenant BLAKE MARK J Telephone No. Owner's Address BLAKE CHRISTINE G, 377 N DENNIS RD,YARMOUTH PORT,MA 02675-2139 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 gNo.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- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS I 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 Ton No.of Waste Disposers Heat Pump I Number I Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent 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: OTHER: No.of Devices or Equivalent 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, I er �,u that the information on this application is true and complete. FIRM NAME: KEVIN A CRONIN Licensee: Kevin A Cronin Signature LIC(If applicable,enter"exempt"in the license number line.) Tel. NO.: 11275 Address:7 Liefs Lane, South Yarmouth MA 02664 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. I PERMIT FEE:$50.00 I o;s 1 /SZAig- RE C " D Commonwealth oia trlaaiacl uJell� Official Use Only 1111 ..r ... �; �" Apartment' el ire Permit No. �ZZ —Li Z6(4) FEBcowei ► 4y B IARD OF FIRE PREVENTION REGULATIONS O" j and F_eChecked BUfLDii�G DEN` ' 1i T [Rev.1/07) (leave blank) B - =!_= .•f '_TION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performer}in accordance Ritb the Xlassacbusetfs Electrical Cod:t/3/ . 2.00 (PLEASE PRINT IN INK OR TYPE INFORAL4T IOiV) Date: / e- )- City or Town of: f P MGtl .7 _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) 3 77 NCAiTI-) /)1=6)1Vis /2C,0 Owner or Tenant di 14-g) _. B L4-,IC L, Telephone No SUS;'CI 3 Co57-U Owner's Address 3 `7 ? u O2ri-/ fAE N1,•IS 12-4-0 Is this permit in conjunction with a building permit? Yes El No !tom Purpose of Building V`p S i 44.--cJ (Check Appropriate Box) Utility Authorization No. _ Existing Service /l Amps /Lei/ dt(J1lolts Overhead 0----Undgrd 0 No.of Meters I New Service Amps / Volts Overhead❑ Undgrd g 0 No.of Meters Number of Feeders and Ampacity f_i IA Location and Nature of Proposed Electrical Work: hi I AiU( El t 421 CAL , C'IV c C,LA GU c)l2/G Gi t Tc L T Pm acZ 62 -9 F//26 Pc I1-c,= ,&" ' E.It, Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-S °No.of Total gip•(€'addle)Fans No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool A dYe ❑ In- Q No.of Emergency Lighting 8 No.of Receptacle �" gmd. Battery Units F Outlets No.of Oil Burners 'TIRE ALARMS 'No.of Zones p 'No,of Switches No.of Gas Burners No.of Detection and No.of Ranges Total Initiating Devices ZS No.of Air Cond. Tons �No.of Alerting Devices rg No.of Waste Disposers Heat pump` Number Tons 1 KW No.of Self-Contained Totals:I Detection/Alertmg Devices No.of Dishwashers Space/Area Heating KW l Local Municipal Other No.of Dryers Heating Appliances KW in Security Systems:* nnectton R No.of Water No.of Devices or Equivalent Heaters KW No.Signs No.of of Data Wiring.: No.Hydromaeat a Bathtubs g Ballasts I No.of Devices or Equivalent g No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required Estimated Value of 1 Electrical Work: C�(l 4 by the Inspector of Wires.Work to Start: (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: Unless waived by the owner,no issue unless the licensee provides proof of liability insurance including"completed operatiot for the n"rcoverage or itance of electrical s bstantiaol equik valent.The • undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE INSURANCE 7 BOND 0 OTHER Q (Specify:) I certify,under gA «, o•,_ °,that the iitJoraiatjo,t on this application II,true e and complete. FIRM NAME: 7 Licensee: 3olt111 ]l �, a4 �?� Signature LIC.NO. / (I./'applicable,er e��M"e titClti a��e r line.) LIC.NO.; Address: Bus.Tel.No.:7/Vol SS 7i *Per M.G.L.c. 147,s 57-61.security work requires Department of Public Safety "S"License: Lic.Alt.Tel.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 n owner's agent. Owner/Agent ern n4,..,. ,--Ci I PER MITFFF.R