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Home My WebLink AboutBLDE-22-006295 Commonwealth of Official Use Only I. k `. \ Massachusetts Permit No. BLDE-22-006295 Sti 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:5/2/2022 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) 48 MONOMOY RD Owner or Tenant Andra Arel Telephone No. Owner's Address 48 MONOMOY RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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 bovend. ❑ g rnd. ❑ 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 Initiating 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/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 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 (Specify:) I certify,under the pains and penalties operjury,that the information on this application is true and complete. .f 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. 'PERMIT FEE:$50.00 I .1�� f .time�ervicss Per l l N�o. Apartment� SAY 02 2022 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee k �» • f Rev. 1/07) (leave --_ APPLICATION FOR PERMIT TO PERFORM ELECTR - `"—' ' :---- All work to be performed in accordance with the Massachusetts Electrical Code(M ),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ';-/ Z- )— City or Town of: y/-t-/Z jy1 �;it. j fj 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) 17- A &it) ti/y)o /2 , " Owner or Tenant A Ai [ZA AR , L Telephone No.j�"7,7' Ly,f G 23' Owner's Address r in C,' C,in c y /z i) /47zni 6 cf 7771 Is this permit in conjunction with a building permit? Yes ❑ No Q'" (Check Appropriate Box) Purpose /of Building ✓�S� r.e',,i c e' Utility Authorization No. Existing Service 44, Amps /2L., l (...! Volts Overhead Er Undgrd❑ No.of Meters _L___ New Service Amps / Volts Overhead E Undgrd ❑ No.of Meters Number of Feeders and Ampacity �f�,/k) Location and Nature of Proposed Electrical Work: C`LD w 1 2/d /2 t: t ct t c',r T I Er t -7.._ Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceti.-Soap.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA 0 No.of Luminaires Swimming Pool �a e ❑ In- ❑ No.of 1!mergency Lighting grnd. Battery Units .1 p No.of Receptacle Outlets r No.of Oil Burners FIRE ALARMS INo.of Zones ONo.of Switches 1 No.of Gas Burners No.of Detection and ai O Initiating Devices No.of Ranges No.of Air Cond. Tuesl No.of Alerting Devices to p No.of Waste Disposers Heat Pump I Number ITons 1 KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Olher No.of Dryers Heating Appliances KW rarity S ems:* ` No.of Water No.of NO`of or Equivalent Heaters KW No.of Data Wiring: Signs Ballasts 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 ectrical Work: �- (When required by municipal policy.) Work to Start: S ?:19 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 'BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and pe allies operjury,that the information n this FIRM NAME: Kevin A Cronin-Elf application is true and complete. Licensee; t Uefs an LIC.NO.: / c) '7 1 gii (If Licensee:applicable,enter " i ► �ature -�-�' LIC.NO.: Address: Tel.j* ✓s''� Bus.Tel.No.: 7�1 S!a *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt. c No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normall required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑ownery Owner/Agent 0owner's .:ent. Signature Telephone No. PERMIT FEE:$