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Home My WebLink AboutBLDE-22-005648 Commonwealth of Official Use Only ri..rti Massachusetts Permit No. BLDE-22-005648 11 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: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) 108 CRANBERRY LN Owner or Tenant Chris Basta Telephone No. 2038038423 Owner's Address 108 CRANBERRY LN,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 ❑ 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: Installation of one old work receptacle 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: No.of Total Susp.(Paddle)Fans 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. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Space/Area HeatingKW Local ❑ Municipal No.of Dishwashers P Connection ❑ Other: HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required Estimated Value of Electrical Work: (When by municipal policy.) y' 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 ❑ (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 LIC.NO.: 11275 Licensee: Kevin A Cronin Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.:o. Address:7 Liefs Lane, South Yarmouth MA 02664 *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 ❑ owner's agent. Owner/Agent (PERMIT FEE: $50.00 I Signature Telephone No. 6,l,f�' vl Ca snonweaftit of %F'/ai,adW.se Vuicuu vac vmy i,; E D Pewit No. - a -- 66Ili' y . 5epa,�Kenl o/3 Sind. =�, t , R l OF FIRE PREVENTION REGULATIONS OccupancYana e c > a �� [Rev.lX><TTl (leave wank) BUILD : a i ' . ' ON FOR PERMIT TO PERFORM ELECTRICAL WORK ty------ work to be performed in accordance with the Massachusetts Electrical Code ),527)CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /3/1 2-- City or Town of 714i2,i flit T _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) l 64 C ke'h here 11 L h Owner or Tenant C11 pis &S 14 / Telephone No 3—8'3—?Y) Owner's Address /CA C ken l0.0-rs es y Lfr . `Se Y. Is this permit in conjuncti with a building permit? Yes 0 No [IP"'' (Check Appropriate Box) Purpose of Building " t 1,^2.- Utility Authorization No. A--/G4' Existing Service Amps /��/ '/Volts Overhead❑ Undgrd D--v No.of Meters New Service Amps / Volts - Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity !`' /P- Location and Nature of Proposed Electrical Work: 0 ARF. G I-I j LQ oak j2 c 27 G uTLC=7- f U 6-7 ,-I G Pt e ,1 C-0ctI L 12- 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 Trancforrrnegs KVA E No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Li Above ❑ In- ❑ No.of Emergency Lighting tom- grad-1-1 Battery Units o 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 CO T 4 No.of Ranges No.of Air Cond. Tons No_of Alerting Devices Heat Pump. I tabbed_. Tory KW No.of Self-Contained No.of Waste Disposers P _ Totals: ,Detection/Alerting Devices WNo.of Dishwashers Space/Area Heatytg KW Local 0 Mum 0 Other tir DryersHeating Appliances KW Syst No.of of Devices or Equivalent Id No.of Water No.of No.of Data VT : Heaters KW Signs Ballasts No.of it vices 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 Work: d (When required by municipal policy.) Work to Start: t 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 .:e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ►'4 BOND 0 OTHER 0 (Specify:) I certify,under Repkilkeffireff °z, !„; it,that the information on this application is true and complete. FIRM NAME: 7 Uefs Lane LIC.NO.: I Jo 7,g A Licensee: South Venom*,.MA 02864 Signature `? .t,,.:�r ,0,-„A,..-.` LIC.NO.:(If applicable ei' "1)r t litIM"Nalikr line.) Bus.Tel.No.:7E/&!d- cc' ? 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 WAPVER: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 require' ment. I am the(check one) ❑ owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$