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Home My WebLink AboutBLDE-22-006130 Commonwealth of official Use Only X %,E ` Massachusetts Permit No. BLDE-22-006130 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:4/26/2022 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) 44 CAPT PERCIVAL RD Owner or Tenant HOFF ELIZABETH A Telephone No. Owner's Address 44 CAPT PERCIVAL RD, 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: Install receptacle for fireplace 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- ElNo.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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting 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 Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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. I PERMIT FEE: $50.00 1 .�`�\ C..ammonwea /t of rf/assac/uasef/s vaauuu use vary cc� cc77•� snit No. S22—(4 l 3,0 • _ a alle�xarlmsnf of�ire Services 1 'v Occupancy and Fee Charred `•• •_ BOARD OF FIRE PREVENTION REGULATIONS ate,.lion t a t a3` APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 12 OOR E C E V' E (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ( a• ad. -- ,A--. City or.Town of: Yarn e.44_.?v----- -To tie Inspector of Wires: 2 2022 �__--. -- APR 2 w �.,,��. By this application the undersigned gigs notice of his or her intention to perform the electrical work desc*bed below. Location(Street&Number) 9 / ( Q f�T• re'ex_tvQ L al BUILDING DEPARTMENT Owner or Tenant L-1Z ) Kr TelephoneNo —.----_--_-__-�G .- Owner's Address ii-') C o p es PG,‘-1 t /)chi S y Is this permit in conjunction with a building permit? Yes Or No (Check Appropriate Box) Purpose of Building Q2 S /derma Utility Authorization No. Existing Service /ka> Amps / el- 1 a 4l U Volts Overhead.'' Undgrd 0 No.of Meters / New Service Amps / Volts - Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity i\J).0 fi:Location and Nature of Proposed Electrical Work: 6 tV 0 tb I.t, /1 �T G eu 7e T l�Cr 6" T'I€ PLIa R Liu) L R' Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.of Total Transfornn+ts KVA E No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pal Above ❑ No.of Emergency Lighting p pm/wive. ice- Battery. Units 0 No.of Receptacle Outlets ( No.of Oil Burners FIRE ALARMS No.of Zones p No.of Switches No.of Gas Burners No.of Detection and Initiatins Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices 2 No.of Waste Disposers Heat oPump_ Number_ _Tom_-- KW No.of Self-Contained ) Detection/Alerting Devices J No.of Dishwashers Space/Area Heating KW; Local ❑ Municipal 0 Other in Connection No.of Dryers Heating AppliancesKW itu Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirnng: No.of Devices or Equivalent v Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o El trical Work: (When required by municipal policy.) Work to Start: 2 ?L 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 i'i BOND 0 OTHER 0 (Specify:) I certify,under KimpkVA i! u: .� ' . _ ,; ,s• r,that the information on this application is true and complete. FIRM NAME: 7#,lets Lane LIC.NO.: 11 a 7,g- A Licensee: ��SoulhYdltlpuilt.MA02664 Signature '� p� _ ` C ..,„, LIC.NO.: (If applicable Y 137$4 Ittiatnniar line.) Address: Bus.Tel.Na.: '/ col .S' ')p *Per M.G.L.c. 147,s 57-61,securitywork "S" Alt.Tel.No.: requires Department of Public Safety License: Lic.No. OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the liability insurance coverage normally required by law. BY my mature below,I hereby waive this requirement. I am the(check one) ❑ owner ❑ owner's agent. Owner/Agent Signature Telephone No. i PERMIT FEE:$ I