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Home My WebLink AboutBLDE-22-005577 a : '\(e Commonwealth of Official Use Only g4., ,'"") Massachusetts Permit No. BLDE-22-005577 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:4/1/2022 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) 102 PHEASANT COVE CIR Owner or Tenant COUGHLIN STEVEN Telephone No. Owner's Address COUGHLIN JO ANNE L, 102 PHEASANT COVE CIR,YARMOUTH PORT, MA 02675-1024 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 Above ❑ In- ❑ No.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 Initiatine Devices To No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices 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 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. PERMIT FEE:$50.00 0(--C-- ‘ 1C 1 __- <, K ommonuea g. of rf/assac.di, .,i►u uu use vn,y R E D Permit No. -Lz,-Firry ' ! �02 y and Fee Checked PD OF FIRE PREVENTION REGULATIONS ,_ts►71 blank) BUILDINA By PPI ION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 27 CMR I2.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: . ,c: 4 City or Town of: Y4.I'tn�u.- t h---------—To me 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) .-- % pA e(4A G y l� C'u v Cf e c/e .G, (/) Owner or Tenant `S ireL e C rt e?A L i Yt Telephone No45—ES.774 '3/70 Owner's Address L C'Ja PA Pq Son i C ou c C( ra 9 / ,r 7, Is this permit in conjunction with a ildingpermit? Yes ❑ No [t"' (Check Appropriate Box) Purpose of Building j'"`S/ c:ile—r Utility Authorization No. Existing Service -CO Amps /tad/ nkl,volts Overhead E( Undgrd❑ No.of Meters / New Service Amps 1 Volts " Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampacity bVitt\ Location and Nature of Pmposed Electrical Work: A /NG/Z E cC LE' L�I i 1 .. Gf1.t G Cto (do/e _ jT c it, ct / eT ,s c ci S ,.�c d/le.,a b hr>>V e y (JJ 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 Transformefs KVA O▪ No.of Luminaire Outlets No.of Hot Tubs Generators KVA yi No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting p s Battery Units O No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones 0 No.of Switches No.of Gas Burners No.of Detection and C Initiating Devices No.of Ranges No.of Air Coed. Total No.of Alerting Devices CS No.of Waste Disposers Heat - �- Tor>fs KW Na.of Self-Contained Totals:_ Detection/Alerting Devices j No.of Dishwashers Space/Area Heating KW; Local 0 muniaPO 0 Other No.of Dryers HeatingAppliances KW Security Sy No..of Devices orEquivalent No.of Water No.of No.of Data Wiring: Heaters KW _ Signs Ballasts No.of Devices orEquivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wrnu g: No.of Devices or Fuvalent 011iER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Work: 4C-7',. (When required by municipal policy.) Work to Start: 3 d- 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- .:a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ►"o BOND 0 OTHER 0 (Specify:) I certify,under -;,. ,, , e ' ,. r,that the information on this application is true and complete. FIRM NAME: 7 Lids Lane LIC.NO.: I la ' ,g- A Licensee: South li mouth.MA02664 Signature `P (t' , w....-: LIC.NO.: (If applicable.e'Ti fe 1' t" ic" tiditintr line.) Bus.Tel.No.:7 /*/c =is-'f 7 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 WAIVER: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 requirement.'I am the(check one) ❑ owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$ 3()