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Home My WebLink AboutBLDE-23-004321 Commonwealth of Official Use Only •, \ik_ ��, � Massachusetts Permit No. BLDE-23-004321 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f 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:2/6/2023 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) 11 CAMPION RD Owner or Tenant CHARLES RAE Telephone No. Owner's Address 11 CAMPION RD,YARMOUTH PORT, MA 02675-1560 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 fireplace 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. Totalo 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 ❑ 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 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 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 .f Ct . .- t.ommonurea&o f MaMachuSette Official Use Only r. ., � • c� Permit No. 3Z1 VE p 2epartment o/lire�erviced + ..�i� Occupancy and Fee Checked `-"Z BOARD F IRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) t 16K-46 kI31 N FOR PERMIT TO PERFORM ELECTRICAL WORK I D Fst`b� •.rformed in accordance with the Massachusetts Electrical Code ME 527 CMR 12.00 BU�Lt]IriG vE�FY��I ( ), (PLEA, - s'� •f---^ "t 3 �TYPE ALL INFORMATION) Date: I � l -3 City or Town of: y jy)c c�. 774 To the Inspector of Wires: By this application the undersigned give notice of his or her intention to perform the electrical work described below. Location(Street&Number) )I (ei w /cN �2d . Owner or Tenant 0 4,-, Is. /�4 e, Telephone No.— r 1. / "7 Owner's Address /C C our 1 ate- i2 • Ao n ct l'9" �' - Is this permit in conjunction with a building/permit? Yes No (Check Appropriate Box) Purpose of Building 2 S I L Utility Authorization No. Existing Service )..A..,- Amps / 72._/,.,t Volts Overhead Er- Undgrd❑ No.of.Meters / New Service mps / Volts Overhead❑ Undgrd ❑ No.of Meters =J E Number of Feeders and Ampacity V•//A •v 0 Location and Nature of Proposed Electrical Work: O Mt G L p t4J c,i2K J7Cc cr' f Ct l Tt(ai— r- C Fein_ CN F. t -lie f 6 R L v� A, a) O Completion of the following table may be waived by the Inspector of Wires. Cii 4'' No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total ✓ M Transformers KVA to C KVA Y No.of Luminaire Outlets No.of Hot Tubs Generators No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets I No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. Initiatinnggon Dete and In Devices Total ,. No.of Ranges No.of Air Cond. Tons No.of Alerting Devices coin Heat Pump Number Tons KW No.of Self-Contained ocfl N No.of Waste Disposers Totals: Detection/Alerting Devices o m. , No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other of c M p Connectiony 1 —�s No.of Dryers stems:* Heating Appliances KW Security Devices or Equivalent o m o a No.of Water KW No.of No.of Data Wiring: U Heaters Signs Ballasts No.of Devices or Equivalent `Cc } ~ No.H dromassa a Bathtubs No.of Motors Total HP Lo • Telecommunications Wiring: cat Y g No.of Devices or Equivalent a5i z Y co ci OTHER: J Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of E ect�%sical Work: 7/4.CV (When required by municipal policy.) Work to Start: 0 13/(..)3 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (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-Electrician LIC.NO.: l r d-7,j� 7 Liefs Lai ie . Licensee: South Yarmouth , MA 02664 Signature �y,_.—.----- LIC.NO.: 01- l (If applicable, enteliadtlen5Aitft it s8122#5 fl 'ee) Bus.Tel.No. 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: $