Loading...
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. v , 01 1) tp) (Y - /vdcr