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Home My WebLink AboutBLDE-23-002480 k0' Commonwealth of Official Use Only Permit No. BLDE-23-002480 . L � Massachusetts 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) 47 DANAS PATH Owner or Tenant CYNTHIA ALEXANDER Telephone No. Owner's Address 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: 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 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat 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 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 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 sl,,, it (c(.2, ECEIVE i ryy� C� _ ..,- I, . I, al///assize Official Use Only \ IV 04 2022PermitNo. ,_ `"(�� Occupancy and Fee Checked ..:F`DIN 2 el i - E PREVENTION REGULATIONS 1Rev. 1/07] (leave blank) 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: /42,/dva City or Town of: A--MGtc Iv To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) ii-2 04')t.)ilf f t -7/71 Owner or Tenant C y,7 4 !l p-/-ex_,4 4 a - Telephone No.3Oi- 73 // 5'S.-- Owner's Address / ''7 /)A ill 4'S f I f f/ Is this permit in conjunction with a building permit? Yes ❑ No [ (Check Appropriate Box) Purpose of Building [c c i:43,G F Utility Authorization No. Existing Service(CC) Amps /c we. Volts Overhead❑—Undgrd❑ No.of Meters New Service Amps -->~ Volts Overhead I-+ Undgrd❑ No.of Metes' Number of Feeders and Ampacity N A9 Location and Nature of Proposed Electrical Work: 6 u G t b to c4ft'k. /1 t C t.r"i✓-ciL- Gcc X"G i 7• /=c,.z G" r--ig c f}L Pe&- .&(-C40 Completion of the fallowing table mm'be waived br-the Inspector of Wires_ Total No.of Recessed Luminaires No.of Cei.-Susp.(Paddle)Fans Tof Transformers KVA 0 No.of Luminaire Outlets No.of Hat Tubs Generators KVA .0 Above In- No.of Emergenc%Lighting to C No.of Luminaires Swimming Pool gam- ❑ gad ❑ Battery Units i Y u No.of Receptacle Outlets Rio.of Oil Burners 'FIRE ALA R iS No.of Zones 'i 0 No.of Detection and a) O No.of Switches No.of Gas Burners initiating Devices v C No.of Ranges No.of Air Cond. Total No.of Alerting Devices ens Y No.of Waste Disposers Heat PumpT Number Tens ' D Detection/Alerting Alerting Devices No.of Dishwashers Space/Area Heating KW cal❑ Municipal Connection ❑Lo Other No.of Dryers Heating Appliances Key Security Systems:* No.of braces 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 Te No.of Devices or Wiring: No.of Devices Equivalent .D ca g OTHER: C N Attach additional detail if desired,or as required b} the Inspector of Wires. Wc 1 Estimated Value ofElectrical Work: (LO U (When required by municipal policy.) c 'ti Work to Start // 3/c)a Inspections to be requested in accordance with MEC Rule 10.and upon completion. •c m l INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless U3 € . the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The Q t.}to undersigned certifies that such cov a is in force,and has exhibited proof of same to the permit issuing office. c £ CHECK ONE: INSURANCE ' BOND ❑ OTHER ❑ (Specify:) m 30 o I certify,airier the pains and penalties of perjary,that the reformation an this application is tare and complete. to=r FiRM NAME: i c3 V t it I4- CrGIt t%i LIC.NO.: //)7_1-p Licensee: e(4h 4' C ron i h Signature s Q5 4� LIC.NO.:4t ./ 7f 6(!(applicable,enter"exempt"in the license number line) Bus.TeL No.: 7s'i II id SS 7y Address: Alt.Tel.No.: `Per M.G.L.c_ 147,s_57-61.security work requires Department of Public Safety"S'"License: Lie.No. OWNER'S INSURANCE WAIVER: i am 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 ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$