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Home My WebLink AboutBLDE-22-004798 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-004798 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:2/28/2022 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) 17 PORTSMOUTH TERR Owner or Tenant WILSON FRANCES E Telephone No. Owner's Address 17 PORTSMOUTH TER,YARMOUTH PORT, MA 02675-2310 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 Initiating Devices No.of Ranges No.of Air Cond. Tonal 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 Commonwealth of tr/assachuielis I Official Use Only r� �� R L(� l • — H c— C� Permit?�o. �-- RF apartmeni Jive Scrwri 4� `j �sti � J.. ..," .• BOARD OF FIRE PREVENTION REGULATIONS 0.c y rill ave nk) FEB 28 20� TO PERFORM CATION FOR PERMIT [Rev."°" (leave blank) ELECTRICAL WORK BUILDING U All work to be performed in accordance aith the Massachusetts Elegy tricat Code('1 : .527 7R 12.f10 8 y. ATIN INKOR TYPE IIVF41 I7( 1')_— Bate: J- �-13- or Town of: 1 /fl 6 It 77] _To the Inspector of Wires: By this application the undersigned giv notice of his or her intention to perform the electrical work described below. Location(Street&Number) /`7 1'/2 7'S pi G it -r-J2- 7 /2 Owner or Tenant T 12FA, bL. /L..5`(-T, Telephone No. S(i Y 3 / 13 � Owner's Address 1`7 U't 4r2 /)1,=y 774. j L12,e/3G` ,I 4/?i i�k 11-/Pavl7— is this permit in conjunction with a building permit? Yes L1 ,� fq' (Check Appropriate Box) Purpose of Building 'zc S/ 1, Utility Authorization No. Existing Service ,)-C Amps /2,/.)-yL Volts Overhead[U Undgrd gr 0 No.of Meters New Service Amps / Volts Overhead D Undgrd❑ No.of Meters Number of Feeders and Arnpacity A/A Location and Nature of Proposed Electrical Work: 171 1 N[;2 ELL-- L i 2/e/a L C'Gl✓,. C:/) I.v iJ;2/� G:t Ti-el, r,.,,, ;=i/ -u�C.FZ4 1I'Lcia f is 2 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Lwninaires No.of Ceil.-Susp.(Paddle]Fans 'No. Total ? j`fransfornr ;A g No.of Luminaire Outlets No.of Hot Tubs v Generators KVA I No.of Luminaires Swimming Pool Above ❑ g rad Batt 1n- No.of Emergency Lighting 2 0 grad ery No.of Receptacle Outlets ( t No.of Oil Burners !FIRE ALARMS tie_of Zones JNo.of Switches No.of Gas Burners 'No.of Detection and No.of Ranges Total Loki, ' ,g Devices No.of Air Cond. h No.of Alerting Devices ons No.of Waste Disposers Heat Pumpl. Number I Tons J KW No.of Self-Contained Totals:t tvu No.of Dishwashers 1 1 Detection/Alerting Devices !Space/Area Heating KW Local ^_ Municipal 0 Other t S CorlIIeCt WSecuti No.of Dryers Heating Appliances KW ty ystems:* No.of Water No.of No.of Devices or Equivalent Heaters KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydronuassage Bathtubs No.of Motors Total HP Telecommunications Wiring:Telacorn # OM ER: No.of Devices or Equivalent Attach additional detail if desired,or as required Estimated Value of lec 'cal Work: (/`L�C.` 4 by the Inspector of Wires. (When required by municipal policy.) Work to Start: )( ).- - Inspections to be requested in accordance with M.EC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no may the licensee provides proof of liability insurance including"completedtopera on"coverage or t of s substantiacal work equi ales The • undersigned certifies that such cove rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE • BONA 0 OTHER I certify,under ❑ (Specify:) 1tM mair ',that the information on this application is true and complete. FIRM NAME: 7 _ Licensee: South RIOUMt Signature �"4.-^, LIC.NO.: LIC.NO.: 1 la 7+y A (Ifapplicable, el- "7►t tftt?�!'1 P _giG�rt� r line.) Bus.Tel.No.:Al Vol S'S Tf Address: Alt. *Per M.G.L.c. 147,s 57-61.security work requires Department of Public Safety "S"I ic:ensc: Lic.Neo_l.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) 0 owner I!! owner's agent. Owner/Agent I PFRAAIT RAW. iC IF