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Home My WebLink AboutBLDE-23-005034 or '1j Commonwealth of Official Use Only f. ; 41 Massachusetts Permit No. BLDE-23-005034 4...' 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:3/14/2023 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) 879 ROUTE 6A Owner or Tenant JOSEPH TAURAS 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: 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- ElNo.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 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 64LC -9(73.6"3- , A <� Lti' j ! Co> ealth oq ma saduesetts ! Official se Only R- E C E I,; ! e[1e ' Permit No. Z3— 3 `( f _ R' Occupancy and Fee Checked MAR 1 ;� =OARD OF ARE PREVENTION REGULATIONS [Rev. 1/O7) (leave blank) 1 BUILDING DtrIA1P`i ATION FOR PERMIT TO PERFORM ELECTRICAL WORK By -----—— -- - All work to be performed in accordance with the Massachusetts Electrical Code 1ME('?.527 CMR 12.00 iPLE4SE PRINT IV INK OR TYPE ALL LVFOR:IL-ITIOV j Date: _ //1.3 h), 3 City or Town of t A. /Z rj e1 t T 1]- To the Inspector of Wires: By this application the undersigns gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) E-77 2 T C., 4 Owner or Tenant 7 Cl S(✓(p /} i A- Z( r2ets Telephone No 7>9-,3%7( /ci3 C. Owner's Address E-‘'7 je cr. C, A Y/ri in 6,4?1-1 PcRi,i A D G 7T Is this permit in conjunction with a building permit? Yes Q No 2 (Check Appropriate Bos) Purpose of Building Si 44.,E Utility Authorization No. Existing Service Dr(0 Amps /Zej 0)%1C,Volts Overhead s U"ndt rd[1 No.of Meters ( New Service Asps / Volts Overhead❑ U ndgrd❑ Nis.of Meters Number of Feeders and Aspacity A-1A" Location and Nature of Proposed Electrical Work: 0 Nc-:: c u►] C¢9 G2 k Ot.. r t pT r"c& 6-: /=//ZE(R-tc Gt B L.ci..) tr 4. Completion ofthe fidlowing table ma•he waived by the Lector of Wires. No.of Recessed Luminaires No.of Ceil.-Snsp.(Paddle)Fans Transformers KVAVA tg No.of Luminaire Outlets No.of Hot Tubs Generators KVA C Above in- No.of Emergency Lighting *au No.of Luminaires Swimmingol It� red ❑ owl. ❑ Battery Units 7 i' No.of Receptacle Outlets t No.of Oil Burners ; Z.at FIRE ALARMS No.of es c1 0 No.of Switches No.of Gas Burners 1No. lof nI)eteetion and Riatiag Devices v76.5 Total = 'No.of Ranges No.of Air Coed. r ,o.of Alerting Devices ons Y Heat Pump Number 'ions 1KW $Na.of Self-C. ed No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW 'Local❑ Con" 'n El Other ^T No.of Dryers Heating Appliances KW Security Systems:* No sf bevices or Equivalent No.of Water Kam, 'No.of No.of Data Wes: Heaters Siigns Ballasts No.of Devices or Equivalent Na.Hydromassage Bathtubs No.of Motors Total HP Telecommunications t firing: No.of Devices or Equivalent g A I OTHER: • Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lecttric 1 Work: CO (When required by numicipal policy.) _ Work to Start: 3 Inspections tobe requested in accordance with MEC Rule ID.and upon completion. • (Z INSURANCE CO ERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless coverage or its substantial equivalent. The Qn to undersigned certifies that such cov a is in force,and has exhibited proof of saute to the permit issuing office. • 01 CHECK ONE: INSURANCEBOND 0 OTHER ❑ (Specify.) Y N...... I calif),under theme and penalties of perjure,that the information on this application is true and complete. ...t FIRM NAME: A e-(!t h A- CrH I i� t I.iC.NO.: i/)7 r 9 Licensee: `k/e(a h #4' C yen t,, Signature 1 435a4140- LIC.NO.:4 t 7 f t of applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 7 a X I A SLSTlE1 Address: Alt.Tel.No.: *Per M.G.L.c. 147.s.57-61.security work requires Department of Public Safety"S"License: Lic_No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not ktne the liability insurance coverage normally required by law. By my signature below.I hereby waive this requirement. I am the(check one)❑owner 0 owner's aeent. Owner/Agent Signature Telephone No. I PERMIT FEE:$