HomeMy WebLinkAboutBLDE-23-002479 Commonwealth of official Use Only
c*L '� Massachusetts Permit No. BLDE-23-002479
ti BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
lRev.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: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) 58 AMY LN
Owner or Tenant JEANNE DANTON Telephone No.
Owner's Address 58 AMY LN,YARMOUTH PORT,MA 02675
Is this permit in conjunction with a building permit? Yes ❑ 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. 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 0 Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Watery 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 ❑ 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'9 11121
A►." E C E i V Mamachidiells Official Use Only
I.
_- — - ermit No. G2e3 � k 79
'NOV-ii Is /N 04 2022 .71rartasent 0/gin? Serviced
Occupancy and Fee Checked
\ 4ILDIP ' 9I F PREVENTION REGULATIONS jRev. 1/07] (leave blank)
BY _ - -
A ' - A • ` • R 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/ i'/ c,/
City or Town of: in c t 77/ To the Inspector of Wires:
By this application the undersignedgives notice of his or her intention to perform the electrical work described below.
Location (Street & Number) 'Al? i y p N &
Owner or Tenant U 09 u pT bil-tki Taki Telephone No. 6 f 7 y36 G��
Owner's Address "Ay £ -/ )e- ).//9_
Is this permit in conjunctionwith a building permit? Yes ❑ No E (Check Appropriate Box)
Purpose of Building &e:S L Utility Authorization No.
Existing Service /co Amps /24.4 ot/u Volts Overhead ❑ Undgrd No. of Meters
New Service -_ Amps 7-- Volts Overhea [d-grd ❑ --
Number of Feeders and Ampacity A/ft
Location and Nature of Proposed Electrical Work: O N G co 4o cl>* 62 eZco-yrxiel, & 6, I-�
„,_,_
I 't 67 ± y'1/2G- PL,,264:= .1364xu 0 71,
Completion of the following table may be waived by the Inspector of Wires.
Total
No. of Recessed Luminaires No. of CeiL-Susp.(Paddle) Fans T KVA
TransTransformersKYA
0 No. of Luminaire Outlets No. of Hot Tubs Generators KVA
49 E No. of Luminaires Swimming Pool Above In- No. of Emergency Lighting
.� O g grnd. ❑ grnd. ❑ Batter/ Units
u L.._ . No. of Receptacle Outlets 1 No. of Oil Burners FIRE ALARMS No. of Zones
Y
a) 0 No. of Switches No. of Gas Burners No. of Detection and
-.. Initiating Devices
uO= No. of Ranges No. of Air Cond. Total No. of Alerting Devices
YHeat Pump Number Tons KW No. of Self-Contained
No. of Waste Disposers _ Totals: Detection/Alerting Devices
No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ID Other
Connection
No. of Dryers Heating Appliances KW Security Systems:*
No. 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 TelecommunicationsDevcor Wiring:
co No. of Devices Equivalent
co 510 OTHER:
cv
.S o N Attach additional detail if desired, or as required by the Inspector of Wires.
W c , aQ Estimated Value of El ica Work: /}-U0. (When required by municipal policy.)
$ J -ago Wok to Start: 11 4/ c) � Inspections to be requested in accordance with MEC Rule 10, and upon completion.
-E 4 = a: INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless
es o
U -zithe licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The
t` € <Cio undersigned certifies that such cov a is in force, and has exhibited proof of same to the permit issuing office.
< r C CHECK ONE: INSURANCE [ BOND ❑ OTHER El (Specify:)
Yo I certifp, under the and penehiesof perjury, that the information on this application is true and complete.
FIRM NAME: eL V t it P4 nn - C r^ch t i) LIC. NO.: //a 73- 19
Licensee: '' fie U h ,4• C rG n t h Signature 594u . LIC. NO.:4 c f / 7f L
(1f applicable. enter "exempt in the license number line.) Bus. Tel. No.: 7&i ,'la SS 7g
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: $
v;.
Elliott, Ken
Subject: Use & Occupancy Barnstable Canvas
Start: Thu 5/4/2023 9:00 AM
End: Thu 5/4/2023 3:00 PM
Show Time As: Tentative
Recurrence: (none)
Meeting Status: Not yet responded
Organizer: Fallon, Rosa
Required Attendees: Inkley, Brad; Elliott, Ken; DiBenedetto, Mark; Gardiner, Jay; Huck, Kevin; Bearse, Matt
The Building Department is scheduled to conduct a final for occupancy inspection on May 4, 2023, at 11 Arlington St-
Barnstable Canvas. Jeffrey Tivey 508-790-7287 is the contract person. We would like for you to attend. Please notify
me regarding your inspection results.
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