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Home My WebLink AboutBLDE-23-003749 ``'' lk� Commonwealth of Official Use Only ,E��'j\ Massachusetts Permit No. BLDE-23-003749 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:1/10/2023 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) 148 BLUE ROCK RD Owner or Tenant BLUE ROCK HEIGHTS ASSOC INC Telephone No. Owner's Address PO BOX 791, SOUTH YARMOUTH, MA 02664-0791 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: Replacement furnace&add 5 smoke detectors. 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- CINo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiatine 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 5 Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: : 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 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 ofperjury,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. I PERMIT FEE:$80.00 I R EC E ley E D p ry� ( �. ._�� _ O o��/lasaac� Official Use Only � � , _=r, Permit No. 3 —3�7 4.9 JAN -1 � ►�.. �'L- a Occupancy and Fee Checked B U I L D I N G , ''.' M E N i D OF FIRE PREVENTION REGULATIONS ev. I l07j leave blank) BY ___ * _ ' TION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( EC) 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL LVFORAf4TION) Date: // / a City or Town of: � - pi/,it 'Ty) 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) / tf ) (_(,(t /�r) � Ac, �' S 4y 4,2",Gu 71/ 4 Owner or Tenant Lli t= /2Cc/<- /y/G I)-T S C ac L1.7.7 nJ c, Telephone No. c 32 y'O7 yZ Owner's Address P C' 3 o x 79/ 5 ck T/I y/Z(1/YtC41 71/ jo f° Gd,&l: Is this permit in conjunction with a building permit? Yes El No 13-- (Check Appropriate Box) Purpose of Building > C L U g) S Utility Authorization No. /74 Existing Service 1(e) Amps 4.) /)/c/Volts Overhead[V Undgrd❑ No.of Meters / New Service Amps / Volts ri Undgrd 0 No.of Meters Number of Feeders and Ampacity /-1/49 Location and Nature of Proposed Electrical Work: to/l?� 12-� k- f-u/N,C , - c. 1 ),.A->,r�i n vc <i,r r c .4[1 lets Completion ofthee follyns*g table mar be wan'ed by the I�pector of Wires_ No.of No.of Recessed Luminaires Na of CeiL-Snap (Paddle)FansT iTrausiormers KVA 0 No.of Lammaire Outlets No.of Hot Tubs Generators KVA RC No.of Luminaires Swimming Pool Above ® Iu- No.of Z mergency Lighting v u grad. Battery Units ,Y No.of Receptacle Outlets No.of OR Burners FIRE ALARMS o.of Zones i WDeteO ction O No.of Switches No.of Gas Burners ) No.of nitialing Devices 44 u C No.of Ranges No.of Air Cond. TO I No.of Alerting Devices to Tons No.of Waste Number Detection/AlertingTotals: _Tans �KW. No.of Self C i r No.of Dishwashers Space/Area Heating KW Local❑ Municipal No.of Dryers Heating Appliances KWSecurityConnection ❑ Other Systems:* No.of WaterNo.of Mv,*ces or Equivalent HeatersKW No.off Hoof Ballasts Daia Wiring: No.of Devices or Equivalent a No. Bathtubs No.of Motors Total HP T - No.of Devices or Equivalent OTHER: 0 lc? Estimated O N Attach additional detail if desired,or as required by the Inspector of Wires. tU CValue of F Work )O (When required by policy.) . 3 -MWorkto Start: I / ti Z 3 Inspections to be requested in accordance with MEC Rule i4I,and upon -c m l iL INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless U 3 € . the licensee provides proof of liability insurance including`completed operation"coverage or its substantial equivalent. The n Q }r. undersigned certifies that such coy a is in force,and has exhibited proof of same to the permit issuing office. .cc CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) Y t I cep,ander theme afperju y, t the information mr this is truea and J FIRM NAME: 1E e V r h A- Crcii t;, LIC.NO.: !Id 7_1-p s Licensee: e u h A. C_rah th Signature 7 r Of applicable,enter"exempt"in the license number line) T � 4 Tel. N�"� / 7�L Address: �,.. Bus. No.: 7d+t It1 ST�� *per M.G.L.c. 147,s.5 tat,security workAlt Tel.No.: requires Department of Public Safety"S"License: Lie.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 ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ c't) C1 --2_0%