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Home My WebLink AboutBLDE-22-004799 or Commonwealth of Official Use Only ,- 1,C111% Massachusetts Permit No. BLDE-22-004799 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:2/28/2022 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) 109 NOTTINGHAM DR Owner or Tenant Steven Graziano Telephone No. Owner's Address 109 NOTTINGHAM DRIVE, 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: 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 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 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 Sites 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: $50.00 M‘ Cc)t /t((') Commonweard of MassadirtinIts ....„ Official.z, Use Only - 1 „fri ‘ ,Apen4ieui .1:7,1. Sttoir,s f ; G 1 k 1 Cktlipallry and Fee Checked R E C E -Ns, _.,t: BOARD OF FIRE PREVENTION REt3ULATIONS [Rev.1/071 (leave blank) 1 AP. --- --- AVON FOR PERMff TO PERFORM ELECTRICAL WORK FEB 28 2022 [ AB nark to be pertioloed in wee razb the,1,1 ,-aebocetts Eleatical CltdefIlff:;.57 C1112 12k0 (P P' NT IN INK OR TYPE INFORMATION) Date: / .. (3- ,3 (.9--3— LEI BUILDING utPARTIVIENT I ity or Town of: 472 MC kt 171 _To the Inspector of Wires: :y is application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) i 4-' r7 \i0-77:i7ouk..--#737-0 Dr/VI owner or Tenant „S'72: V - 1 67- 124 7 l 14 IVOTelephone NOY" 'I:1 5 -1- aCti • 4' - Owner's Address / ° ? Al c'71-/A-1---1im-4 j /21 It )//?7-z,,,,,,te jp;47t- Is this permit in conjunction with a building permit? Yes 0 No 174--- (Check Appropriate Box) Purpose of Building '22C S i cl-f-rt e•-• Utility Authorization No. Existing Service .7)-0s2--/ Amps (1e-- /),(4, Volts Overhead(3"----Undgrd 0 No.of Meters New Service Amps I Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Any:icily N/Ct Location and Nature of Proposed Electrical Work: A 1 W cia_ F&E.-- 4472i C 41-4 . Ci-D ki u41 t2,%_ri-i,,',-62- r-r-r-- 6-74s /- /81-.7 01./1-4t.= R Completion cle ihe following table may be waived by the Inspector-of Wires. ',No.of Total No.of Recessed Luminahes •No.of CeiL-Strsp.(Paddle)Fans ;Transformers KVA g No.of Luminaire Outlets No.of Hot Tubs Generators KVA kl No.of LuminairesSwimming Pool Above r-i n- 1-1 No.of Emergency Lighting grnd. L-1 ractt-L Baum Units 8 I .., No.of Receptacle Outlets 1 ;No.of Oil Buntas t ' IN°.of Zones FIRE ALARMS i No.of Switches No.of Gas Burners 'No.of Detection and Initiating Devices Total No.of Ranges No.of Air Cond. No.of Alerting Devices TOB$ g Noof Waste DiHeat Ptunpa Number I Tons KW No.of Self-Contained sposers K - Totals:I I Detectionalertin Devices u in No.of Dishwashers !SpacerArea Heating KW ;Local 0 34"filcIP•at 0 Other Si Oannection 9 No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of No.(1Dees or Equivalent Data W 11 •- Heaters KW I Signs Ballasts 1 No.oft vices or Epivalent No.Hydromassage Bathtubs i No.of Motors Total Hp ;Teleo3mmunications Wittig: 4 No.of Devices or Equivalem OTHER: Attach additional detail Of desired,or as required by the Inspector of Wires. Estimated Value of -cal Work: 1746,0 (When required by municipal policy.) Work to Stan: 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 •le is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE • BOND 0 OTHER 0 (Specify:) I certify,ntider litssiftegisegr,t".. , -,-- .that the inionswioo on this apirli(anon rs o coe owd complete_ FIRM NAME: •7 Lids LIM LIC.NO.: tiaz-v A Licensee: 80111)Yaimoulb.MA 02684 Signature ....... ..e............;..(640,......—; LIC.NO.: (If applicable,VWX1144 linlattlfitit,line.) Bus.Tel.No.:7EI Vol SC? Address: Ah.Tel.No.: Per M.G.L.e. 147,s 57-61.security work requires Department of Public Safety"S"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. lain the(check one) 0 owner 0 owner's agent- Owner/Agent Ili T,Th 3/PT 1,7,71, d. CI._ ..