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Home My WebLink AboutBLDE-23-000252 Commonwealth of Official Use only Permit No. BLDE-23-000252 • 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:7/15/2022 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) 33 CRANBERRY LN Owner or Tenant MUSE WILLIAM C Telephone No. Owner's Address MUSE MARGARET A, 33 CRANBERRY LANE, SOUTH YARMOUTH, MA 02664 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: Family room, kitchen addition with 2nd floor space. 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 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 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: Robert J Sanborn Licensee: Robert J Sanborn Signature LIC.NO.: 1539 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 16 SAXONY DR, MASHPEE MA 026492209 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: $75.00 • F-(1\364( 4,9(7)7, ("LITAVC calf � • Cpt . F r ' , 42 23t RECEIVED % JUL 142022C kho /o nwaa ///{yyr aesacrivaatta tlicial Use Only k.,..:,:"*-1'-#to_- -- c�7- PcnnitNo./ �i `�03-o Zt'��15DING DEPARTM partsnent of gin J�wicsa -t I, ? ------—-- - Occupancy and Fee Checked B vAKU OF HKt'REVENTION REGULATIONS [Rev.1/07] (leave blank) a v APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 Nr 1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7-JA /`(�dda Z k City or Town of: YARMOUTH To the Inspect or of Wes: Q...) By this application the undersigned gives noticet of hi or her intention to perform the electrical work described below. Location(Street&Number) 3 `no PCr,�4e,-/.!, /N , Owner or Tenant fr,V."-I- vY to fe / Telephone No. 1 Owner's Address /', Is this permit in conjunction with a budding permit? Yes No ❑ (Check Appropriate Box) Purpose of Building AA,(/,n Utility r>,uthorization No. c Existing Service OZt)O Amps / / )yo Volts Overhead ElY Undgrd❑ No.of Meters ----(J New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Locationa d Nature of Proposed Electrical Work: 0,.( � to 0/Yt /1,,A,.N a /tit-/(u u/ .2AA c{enr- .��aC'e r A n Mj Completion of thefollowioLlable m be waived by the Inspector of Wires. U, No.of Recessed Luminaires No.of Ceil:Sus No.of 7 oral oi p.(Paddle)Fans Transformers KVA _ ,t No.of Luminaire Outlets No.of Hot Tubs Generators KVA t- No.of Luminaires Swimming Poolove In- No.01 Emergency Lighting rnd. grnd. Battery Units - No.of Receptacle Outlets No.of OB Burners FIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners No.of Detection and i; Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump j NumberT _ KW No.of Self-Contained Totals:I }.ons J....... -��-- DeteMion/Alertlni[Devices No.of Dishwashers Space/Area Heating KW Local❑Municipal Connection ❑th6er No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters KWData Wiring: No.of Signs Ballasts 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: /ef 000'00 (When required by municipal policy.) Work to Start: fay 102 o)OaZ inspections 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 cove a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE(BOND 0 OTHER 0 (Specify:) I certify,under th atns and penalties of perjury,that the in ormarlon on this application is true and complete. FIRM NAME: fje,- -r 4„..�,,,, Eketr/C/. .v\ �A6er LIC.NO.: Licensee: of rt Li rh Signature //p (If applicable,ease 'exempt"in the tceme number li e.J '" �` Tel. NO.: ?t") q�� Address:( ,ccoeci ci Pt'• 1//4( co ,i l,4 Ua6y9 Bus.Tel.No.�'sO'76v, �3Cf_yr(�� .Per M.G. c.147,s.57-6 V,,securitywork re ui // Alt.Tel.No.: 9 pathnent 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)Ei owner Ej owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$