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Home My WebLink AboutBLDE-22-002723 ,. Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-002723 fL` BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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•11/10/2021 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) 64 CRANBERRY LN Owner or Tenant ARRIGO TED Telephone No. Owner's Address ARRIGO LYNNE,64 CRANBERRY LN, SOUTH YARMOUTH, MA 02664-1005 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: Replacement boiler. 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 grn . grnd. Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 No.of Gas Burners 1 No.of Detection and Initiatine 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Sians 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: GARY L GORDON Licensee: Gary L Gordon Signature LIC.NO.: 15290 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:37 BILLINGSGATE DR, DENNIS MA 026382234 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 RECEIVE ® ^.., er NOV 0 9 2021e, • ‘ "td.ol Ilfamacluuselia Official Use only 4 Z "Ji DING DtPARTNi T Permit No. C..) C�'—� Occupancy and Fee Checked ',_. V BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) i `N. APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI work to be performed in acconlsmce with the Massachusetts Electrical Code(M ,527 R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: //17 City or Town of: YARMOUTH To the Imp tor of Wires: By this application the undersigned gives notice of his or her' tion to perform the electrical work described below. `I Location(Street&Number) 6 V G 12'i d./ �f (�� tn Owner or Tenant ,e( f L] 9 a Telephone No. / 60 _ l Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) VI Purpose of Building Utility Authorization No. QmpVO Existing Service/06 AO Volts Overhead Undgrd 0 No.of Meters New Service Amps / Volts Overhead 0 Undgrd p No.of Meters 0Number of Feedeand Ampadiy V t`v 24,_ r rsgo / Location and Nature of Proposed Ele -/dt:7/ ctrical Work: m t s . 51440,4, 6r_. i, '4i) :21 . pletion of thefollowin&table n be waived by the Inspector of Wires. lit No.of Recessed Luminaires Na of Cell.-Soap.(Paddle)Fans No.of Total �! Transformers KVA Na of Luminaire Outlets No.of Hot Tubs Generators KVA Na of Luminaires Swhmmht pool Above In- No.of Emergency Lighting g to'nd. ❑ rrnd. ❑ Battery Units No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS No.of Zones Na of Switches No.of Gas Burners No.In Detection Devkes t U No.of Ranges No.of Air Cond. Total Na of Alerting Devices No.of Waste Disposers Heat Pump Number Tons _KW No.of Self-Contained Totals:_ — Detection/Alertin Devices (y' No.of Dishwashers Space/Area Heating KW Local 0 Manict Conneefion 0 °ther Na 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.ofDevices or Equivalent ‘14CZ No.Hydromassage BathtubsNo.of Motors Total HP Telecommunications Whing: VI No.of Devices or Equivalent OTHER: Cf:") s,,,,.,..:::/ Attach additional detail if desired,oras required by the Inspector of Wires. Estimated Value of E 'cal Work: ! :")' (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE GE: 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. "1 CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) t^ �. I certify,under the pains and penalties oforjury,that thy inf?rf salon on this application is true and complete. ��r v , 3' ' FIRM NAME: 'A-/bit 1p ei ' T C '� LIC.NO.:/7� .4:01-7° Licensee: .--..e-1/2-0'4r✓ SignatureC.NO.:".. ? ,6/'/f (If applicable.enter"- . "in the lice:seIt .) r Bus.Tel.No.; _—o Address:. /'i!.' �.g ffttno m e. exAc/J / Alt.TeL No.: v o •Per M.G.L.c. 147,S.5741,Ssecurity work requires Department o[Public Safety"S"License: Lic.No. 619,,,,,,jec,7,/ 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 )one requirement. I am the Owner/Agent (check ❑owner ❑owner s agent. Signature Telephone No. 1 PERMIT FEE:$ I