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Home My WebLink AboutBLDE-22-006712 s Commonwealth of official Use Only i:..-;,�' Massachusetts Permit No. BLDE-22-006712 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:5/20/2022 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) 2 ALISON LN Owner or Tenant Elaine Dickinson Owner's Address Telephone No. Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Purpose of Building Appropriate Box) Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 gNo.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 I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 Other: 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: Signs No.of Devics or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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 ofperjury,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 E C E 0 V E-- . � oi///�/y� o�c� Official Use Only „+ _ MAY 19 2022 „s 5 . Permit No. �z—(P�( ?� ' �ry� Occupancy and Fee Checked ...e UILD196" O1 E PREVENTION REGULATIONS [Rev. 1/07] (leave blank) A f'LICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: t/ ` id.)-_ City or Town of: )/A-/2 in C, u 17.1 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 i S c y L ju Owner or Tenant C L,.}/ A 0/ C A, ti 5 c Telephone No. Owner's Address ,_ d z./ c,. (_ ,a; NA) /v Is this permit in conjunction with a building permit? Yes ElNo I (Check Appropriate Box) Purpose of Building 2a, ,(-L Utility Authorization No. Existing Service /CuAmps / /.)` C Volts Overhead L3 Undgrd❑ No.of Meters 1 New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity Ply-4 Location and Nature of Proposed Electrical Work: Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceii.-Snap.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA 6 No.of Luminaires Swimming Pool Above ❑ In- No.of 1N:mergency Lighting C grad• grad. Battery Units .1 o No.of Receptacle Outlets , No.of Oil Burners FIRE ALARMS No.of Zones ,�'-, O No.of Switches No.of Gas Burners No.of Detection and aJ O Initiating Devices . C No.of Ranges No.of Mr Coed. Total No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons 1 KW No.of Self-Contained Y Totals: Detection/Alerting Devices Na.of Dishwashers Space/Area Heating KW Local 0 Municipal nnection 0 Other No.of Dryers HeatingCo Appliances KW Security Syste.ms:* No.of Water No.of No.of No•of or Equivalent Heaters ' Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of ectri al Work: � C;-C Work to Start: � /� L (When required by municipal policy.) 2 -- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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 undersigned certifies that such co erage is in force,a s exhibited proofoperation" osame to permit issuor its ing substantial office. mv��t The CHECK ONE: INSURANCE BOND 0 OTHER I certify,under the pains and 0 (Specify') penalties ofperjury,that the information on this application is true and complete. FIRM NAME: Kevin A Cronin- Licensee: i l.tets LIc.NO.: 1/ 7 Licensee: e,enter "eLiepit� t Signature zr `lA- -..-_-- LIC.NO.: Address: r tt • ` " Bus.Tel.No.: ,_-1 ' ''7 Te*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.L c,.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability ,I hereby waive this requirement. I am the(check one coverage normally required by law. By my signature below, ❑owner's • eat. Signature Telephone No. PERMIT FEE:$