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Home My WebLink AboutBLDE-22-005576 o. e Commonwealth of official Use Only z. I Massachusetts Permit No. BLDE-22-005576 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) 183 PINE ST Owner or Tenant William Corcoran Telephone No. Owner's Address 183 PINE ST, YARMOUTH PORT, MA 02664 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ 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 receptacles in office&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 3 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 Ton No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained 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 LI NO.: 11275 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:7 Liefs Lane, South Yarmouth MA 02664 *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 ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$50.00 (C6I c ci�cle22jfe_____ 30 r monweag# of Ifialladz elb V111t%nn Use only RE ; E D Apartment c�77' ,.7 5� �' - ,f . 2 epartment o/�}ire—CervicalPramit No. �rCiZ�i� ts4�s 1 t� = : SO D OF FIRE PREVENTION REGULATIONS °cY awl Fee(fiected _ tom.t� t>�bt�1 f3UiLD'NGAf UCA ION FOR PERMIT TO PERFORM ELECTRICAL WORK By: All work to be performed in accordance with the Massachusetts Electrical Cody(MEC 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: t City or Town of: )/A/2pf7—J7I___-- 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) / p P/ D1 E.. 1 �A' Owner or Tenant J /v1 . CC 1- ( Cl Y 40 llTelephone No Ceof? Eitf Orrie, Owner's Address / S.3 Pin c 3" ryr>rvi:47 .4, i • Is this permit in conj th a building permit? Yes ❑ No [� (Check Ap propriate Ppmpriafae Box) Purpose of Building l S 1 —a..e Utility Authorization No. Existing Service Amps 17eJ t („Volts Overhead❑ Undgrd)-- No.of Meters New Service Amps I Volts `- Overhead 0 Undgrd 0 No.of Meters Number of Feeders and.Ampacity A /k Location and Nature of Proposed Electrical Work — M Tr'7N --(p/ la- �%--,, 1 P clei c:t j Completion of the fallowing table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total No.of Lnnminaire OutletsTf° KVA _ No_of Hot Tubs Generators KVA No.of LuminairesSwimming Above 0 7n Emergency Li C PoolNo.of Lighting >'a� Battery Units 3 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS ,No.of Zones No.of Switches No.of Gas Burners No.of Detection and No.ofImtuating Devices No.of Air Cond. No.of Alerting Devices No.of Waste Disposers Heat 1 N Dispose PumPj__u�'. _1o�ns_� 1�W Tons �No.of Self-t�on�i,ned- Totals: Detection/Alertin Devices un No.of Dishwashers Space/Area Heating KW. Local 0 Municipal 0 Other t No.of Dryers On Hung Appliances KW Sec�u o'Systems:* No.of Water No.of No. inDevices or Equivalent Heaters KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications W1rmg OTHER: No.of Devices or Equivalent EstimatedValue of U Attach additional detail. .desired,or as required by the Inspieor of Wires. Work: (When n i ui by municipal policy.) Work to Start: 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"coYerage or its substantial undersigned certifies that such cov= .•:e is in force,and has exhibited proof of same to the permit issuing office. The CHECK ONE: INSURANCE ►l BOND 0 OTHER 0 (Specify:) I certify,under Kegkilik ;, , e .F. 7. r,that the information on this application is true FIRM NAME 7 L Lane and complete. Licensee: South Yarmouth.MA Signature $1#.4.,.. .Ce5 1 LIC.NO.: (If applicable 1 = d .�r line.) Bus.Tel.s NO.: Address: No.:�'/Frid S'�'�p *Per M.G.L.c. 147,s 57-61,security work requires Department of public Safety°S°License: Lic.No.No OWNER'S INSURANCE WAIVER:I am aware that the Licensee does not have the liability required by law. By my signature below,I hereby waive this insurance covrratnr' y �- I Owner/Agent am the(checkkone) ❑ owner ❑owners agent. Signature Telephone No. PERMIT FEE:$ tS O —