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Home My WebLink AboutBLDE-22-005650 _ % cA (( Commonwealth of Official Use Only f Permit No. BLDE-22-005650 E Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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:4/4/2022 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) 80 CAPT LOTHROP RD Owner or Tenant Claaire M. Driscoll Telephone No. Owner's Address 80 CAPT LOTHROP RD, SOUTH YARMOUTH, MA 02664 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: Minor electrical one old work outlet for gas fireplace 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 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/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 Eauivalent No.of Water ICW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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 CO LE( it (-.22, (E..... DLom�reonwea e. of Ma63ac/a1e ! Vlllc iut Ube Limy Rte:_, _ : :,, E t �l7 Permit No. -, z -SKS0 . 1:,-. /' Apartment Ol JLIe &ri ce1 �y,,,,,,,,.,,,,,, s _ !! T.�' "/ Occupancy nc1 and Fee Checked rt• {• BOARD OF FIRE PREVENTION REGULATIONS �L�I"� _ L" ATION FOR PERMIT TO PERFORM ELECTRICAL WORK By - All work to be performed in accordance with the Massachusetts Electrical C527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: '7 . �'- City or Town of: A 2mt✓t I N _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) 0 C C41 ' L T /I Y op C (.�/ V /)9 Ptt � call 7 k) Owner or Tenant Telephone No. Owner's Address i 0 CQ 7T r . L,,,-1.-?, „e,,,, 12ci Is this permit in conjunction with a buildin permit? Yes 0 No (Check Appropriate Box) Purpose of Building S / c' Utility Authorization No. AAA Existing Service /Q?/Amps /29-0'11/Volts Overhead[1( Undgrd❑ No.of Meters New Service Amps I Volts " Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity /1/ 19. Location and Nature of Proposed Electrical Work: tyl/p 04 C C CI-VI IC l4'CCf G 0 Worz k at 71 L`! Gi93 Fa-e-07t e" g Lc,*kV 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 : Transfornefs KVA 2 No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool 0 ❑ B° ofyU ency Lighting nfits No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones 1- 1No.of Detection and 8 No.of Switches No.of Gas Burners Initiating Devices Total I No.of Ranges No.of Air Cond. No.of Alerting Devices Tons aHeat Pump Number_._Tons__ KW No.of Self-Contained of No.of Waste Disposers Totals: Detection/Alerting Devices v =m on No.of Dishwashers Space/Area Heating KW Local 0 Connearon 0 Other v No.of Dryers Heating Appliances KW Systemc Set N�of Devices or Equivalent 14 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 WuYn- g: No.of Devices or Equivalent OTHER Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of "cal Work: C (When required by municipal policy.) Work to Start: 4 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 r;e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ►'il BOND 0 OTHER 0 (Specify:) I certify,under mom „ ,- • " •a; , r,that the information on this application is true and complete. FIRM NAME 7 U6ts LaneLIC.NO.: I i d 7S' A Licensee: tt8o Y� o- "" 1001�1.MA 02864 Signature _ ~' UC.NO.: (If applicable YPfiM'"a 1414.8' r line.) Bus.Tel.No.:781 a-/t4 .S-S'7/ 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) D owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$