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Home My WebLink AboutBLDE-23-004874 Commonwealth of Official Use Only :10:: �� Massachusetts Permit No. BLDE-23-004874 \' BO�ARD 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:3/6/2023 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) 346 LONG POND DR Owner or Tenant KELLEY THOMAS E Telephone No. Owner's Address KELLEY GLADYS B, 346 LONG POND DR, SOUTH YARMOUTH, MA 02664-4148 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 El 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. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* ►y No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: y g 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 ` `� t f o�///� a Official Use Only l a[[k � jj�r - C arwarowrw . � "C I - - .�� n Permit No �' �'7 r x ePsslwreel _?dank., y Occupancy andFeeChecked 'U 4; _ ;OAKO OF FIRE REGULATIONS Rev. 1/071 (lease blank) BUILDiNG D t P I , ATION FOR PERMIT TO PERFORM ELECTRICAL WORK 3y All work to be performed ire accordance with the Ltassadiu ens Electrical Code EN C)517 CMR 12.00 IPI.EtSE PRINT IN INK OR T1 ILL I\F-OR.IL1 IO_\) Date: 3 6 ,/ 3 City or Town of: P hl Op 1 To the Ins or of Wires: By this application the undersign gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 3 (/‘ [ 1-'& p,f9)2D. Owner or Tenant fc 5 11-7 CP' r. k'..e'liey Telephone No. 330-s GS- yr. Owner's Address 3 ,' Z. a"( ' I2D S-y e. Is this permit in conjunction with a building permit? Yes ❑ No El-- (Check Appropriate Box) Purpose of Building 9/5 i alor.-.)cc Uiio. An , ;, -r t l 'o. / Existing Service , Amps / i 1 )U Volts Overheads �i Undg + ��-7 No.of Meters New Service Atolls I Volts Overhead❑ Uadgrd No.of Meters Number of Feeders and Ampacity iJ Location and Nature of Proposed Electrical V/ork: cd ci) lt9 r 2C ' CL- c i,TL t='S F - to 1'u— 1-2 4 'P-/i25,2u .e (stud Corap/etion of the frdlonl. , table arm•he waived Iry the&specto,-of wires. -NoNo.of Recessed Luminaires No.of Cell: addle)Fans `of total - SAP-(PTransformers KVA 0 No.of Lie Outlets No.of Hot Tabs Generators KVA • 0 No.of Lames Swit�ag Pod t Above ❑ litwA. Q bu No.et ns t fighting Units u gU v ` Y 1 q No.of Receptacle Outlets No.of Oil Burners :FIRE ALARMS IN*.of Zones of p No.of Switches No.of Gas Burners No.In Detection and • p i Devices u 763 G No.of Ranges No.of Air Cond. Total '.No.of Alerting Devices Y Heat Pomp Nader � Toss KW INo.of Se1Fataiued No.of Waste Des Totals: -0et3ectioalAleriI Desires Municipal • of Dishwashers Space/Area Heating KW 'Local O ❑ Other _- Nut.of Dryers Heating Appliances KW Security Ss•stems:* ties of vices or Equivalent No.of Water KVV No.of No.of Data Wiring: SignsHeaters Ballasts Ns.of Devices or Equivalent T- . r 'Wiring: `No.Hydros Bathtubs No.of Motors Total HP No.of Devices or Equivalent W i Ar*. 'OTHER: LO HRH Attach additional detail if desired.or as required by the Inspector of Wires. g Estimated Value of E i 1 Work: U (When b!' policy.) w g - Work to Stan: 3 Inspections to be requested in accordance with MEC Rule 1 fk and upon completion. c 1 t . INSURANCE COV RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless e J F . the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The Qt` at>to undersigned certifies that such cove is in force,and has exhibited proof of saute to the permit issuing office. c N CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) o I eersij,f,trtxler the pails and penalties of perjsay,that die&f rw "n me this application is true and complete. Y a§I FIRM NAME: 1 e t1 t h #4- CI' rt iii LIC.NO.: ;Ia 7-5-R Licensee: '71-"C t4 h A C rc,i t h • Signature se f`« .. LIC_NO.:c}y./7f L' (If applicable.enter'erempt"in the license number line.) Buis.Tel.No.: 7dti A'ta S-�'1 Address: Alt.Tel.No.: Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S-License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hare 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. Signature Telephone No. I PERMIT FEE: