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Home My WebLink AboutBLDE-23-001714 . 4A Commonwealth of Official Use Only I. "j\ ,' Massachusetts Permit No. BLDE-23-001714 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:9/29/2022 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) 60 FOUR SEASONS DR Owner or Tenant ALAN SEFERIAN Telephone No. Owner's Address 60 FOUR SEASONS DR, 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: 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 g bond.ve ❑ Irnd. ❑ No.of Emergency Lighting r 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 Initiative Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump Number Tons 1 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 Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: Siens 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 S eci fy:) I certify,under the pains andpenalties o ( p f perjury,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 c.a t �RECEIVED _ iM oiniksdadmietti c ;a1 Use Only ;; Se SrSEr 2 9 2022 .v Permit No. - 1'� (( .-:t t7,7't _ Occupancy and Fee Checked ti✓ ILDIQiOAR '=1RTE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) BY. -- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C) 5, 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9/ /),/a City or Town of: Y,4/Z y(..( .T /- To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work descrThed below. Location(Street&Number) () POW c- Gel. DE Owner or Tenant L IOW � OF t A-N Telephone No. Owner's Address G ��7'".S"/J -3�°lj 6firR < C,zs4:^_is -Di S.ypiz- i‘q Is this permit in conjunction with a building permit? Yes El No Purpose of Building tit��CC 5 I 3� � (Check A Box) Utility Authorization No. /) Existing Service /W Amps /2/(ly(o Volts Overhead ler Undgrd❑ No.of Meters / New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity WM Location and Nature of Proposed Electrical Work: GNi= o LD w we xeL PTXIc C G Z -7 F� Gps Pi RC apetaCE _B co ( ui t< — Completion of thefollowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceti.—Sump.(Paddle)Fans No.of TotalTransformers KYA No.of Luminaire Outlets No.of Hot Tubs Generators KVA 0 No.of Luminaires S Pool Above In- No.of Emergency Lighting C £ Swimming grnd. ❑ grad. 0 Battery Units ,u V No.of Receptacle Outlets l No.of Oil Burners FIRE ALARMS JNo.of Zones 'i ,Y No.of Switches No.of Gas Burners No.of Detection and O Initiating Devices Tti No.of Ranges No.of Air Cond. I eai ons No.of Alerting Devices C Na of Waste Heath I Number I Tons I KW tNo.of Self-Contained Y No.of Dishwashers DeviLi ces Space/Area Heating KW Local unic4m1 Connection 0 Other No.of Dryers Heating Appliances KW Security S No.of Water No.of Na of or Equivalent Heaters Imo' Signs Ballasts Data Wiring: No.of Devices or .iiirt' alent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications No.of Devices or Equivalent OTHER: Estimated Value of Ele trical Work: Attach additional detail if desirea or as required by the Inspector of Wires. �6'0 . (When required by municipal policy.) Work to Start 3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liabili msurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certifr,aader the pains and p o FIRM NAME: glary,thatthe informationon this application is true and� Kevin A Cronin-Electrician LIC.NO.:pc, Licensee: 7 Liefs Lane �,y (If applicable,enter". Z� Y �1i'�'P 7 ` t i�+- 't - '� S�a� C.NO.: �//v ti Address: .11 -• Bus.TeL No.: S ?f *Per M.G.L.c. 147,s.57-61,security work requiresofety Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that Department does c not have the liabilityr : ran Aio_ required by law. By my signature below,I hereby waive this insurance coverage normally Owner/Agent requirement I am the(check one ❑owner ❑owner's :,f Signature Telephone No. PERMIT FEE:$