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Home My WebLink AboutBLDE-23-002481 `d Commonwealth of Official Use Only tL. Massachusetts Permit No. BLDE-23-002481 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:11/6/2022 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) 8 TRUMAN LN Owner or Tenant RYDER SEAN PATRICK Telephone No. Owner's Address DRISCOLL JOANNA L, 8 TRUMAN LN,WEST YARMOUTH, MA 02673 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: Install 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 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 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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 C _ - E C EW I V ' ,D 1, y%f �,i„� Official Use Only 11,t= Permit No. 2 3 D-r ( I it NOV 0 4 2022 ' 3cy and Fee Checked - _BOARD OF.F : ' 'EVENTION REGULATIONS [Rev.Occupan!/07) (leave blank) i BUILDING DEPARTMENT A -•= • •=• "r= • PERMIT TO PERFORM ELECTRICAL WORK All work to be performed m accordance with the Massachusetts Electrical Code NEC).527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: //1Z / 2 City or Town of: y�72hi C ii 774 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) W / t.g. *an h/C Owner or Tenant C C 1,./ 3- J L�ti ii y /2r de,,,- Telephone No. 2J (yt/(i/7, Owner's Address e 7724,is*J L f4-1 Is this permit in conjunction with a building permit? Yes ❑ No U3--/ (Check Appropriate Box) Purpose of Building 9...c.,S i ja.„c_ Utility Authorization No. JV/ Existing Service/U) Amps / /(44c., Volts Overhead a Undgrd❑ No.of Meters / New Service Amps / Volts / Overhead❑ Undgrd n No.of Meters Number of Feeders and Ampacity A/4 Location and Nature of Proposed Electrical Work: Q M 603 /,i cd2t_ 14 EZcp �L" d' ,TL ET c- ea2 GAS ,'/,k AXLe- d Low IZ Completion of the following table mar be waived br the Inspector of Wires_ No.of Tal No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA 0 No.of Luminaire Outlets No.of Hot Tubs Generators KVA CE No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting O grad. grad. Battery Units ,i - No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones x co 0 No.of Switches No.of Gas Burners No.Initiatinngg Deviees Detectionof and � in ci 7 No.of Ranges No.of Air Cond. Total No.of AlertingDevices tp O Tons Y No.of Waste Disposers Heat Pump _Number,Tons KW No.of Self-Caatained Totals: _ Detectron/Alertiug Devices No.of Dishwashers Space/Area Heating KW Local 0 Muaregml ❑ Other , n' Sy-stems:* No.of Dryers Heating Appliances KW SeeN of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP T � . ei No.of Devices or Equivalent e A is. . OTHER: b G Attach additional detail if desired,or as required bt'the Inspector of Wires. 8 c q°Q Estimated Value of E�Work: ei (When required by municipal policy.) u!3 -ti Work to Start: ///3(ad_ Inspections to be requested in accordance with MEC Rule 10.and upon completion_ •c m 1 a: INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless UJ €Q the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The Q t`}inundersigned certifies that such coy a is in force,and has exhibited proof of same to the permit issuing office. c £N CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) m o o I certify,under the pains and penahies of perjury,that the information on this application is true and complete (411 FiRM NAME: L(J t It /4- Cry i j) LIC.NO.: i/c)7.1-g Licensee: -ee(�/ h /1• Cron tr) Signature ��Q5' 4u. L1C.NO.:a L/ 7 f L (!/applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 72ti I I 1 SS 79 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: tam 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$