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Home My WebLink AboutBLDE-23-000979 a * Commonwealth of 0Official Use Only & Massachusetts Permit No. BLDE-23-000979 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:8/23/2022 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 0 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: Wiring of split NC system within addition. 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 0 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. 1 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 Eauivalent 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 Eauivalent 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 Sanbom 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:$50.00 et,V �iM'-6. S1Z1 f? Kg I RECEIVED 1 AUG c� 2 �ff 1k AUG 2 3 2022 ,nwaaL 01 Vaesachus4i Official Use Only riy'y `"jiING DEPAR.TME g at•f»unfv Permit No. -'�� :f I - Occupancy and Fee Checked . " BOARD OF FIRE PREVENTION REGULATIONS [Rev. 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: A/ ,,)_ ? ,_ ,J'al.. a 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) 5 ? diffi �1 er7 i Owner or Tenant jr !44r7S- Jt/f e Telephone No. Owner's Address U.)rilc Is this permit In conjunction with a buildingpermit? Yes No ❑ (Check Appropriate Box) Purpose of Building ,p(,{,G,g K Utility Authorization No. Existing Service G9 60 Amps /k/ Ay()Volts Overhead Er Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity [ Location and Nature of Proposed Electrical Work: /A'i r/ a ii 4L( k'r 15. Completion of the following f uy able m be waived by the In ector of Wires. IA.. No.of Recessed Luminaires No.of Ceil:Sasp.(Paddle)Fans No.of Total , Transformers KVA 'Z; 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 1t` No.of Ranges No.of Air Cond. Tons No.of Alerting Devices 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❑ CoM n ecti 0 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.Aydromassage 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 f Electrical Work:-P 30o' Li () (When required by municipal policy.) Work to Start: .,2 , .Zlnspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 cove9ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE WI BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties olperjury,that the information on this application is true and complete. FIRM NAME: V fje, , SR,t, I,-,� f�"/2C�i i�tG, ^ LIC.NO. Licensee: £.,. e. �2 h,Z0,--v.. Signature / ,—/�J 4 .A-- LIC.NO.: /_573/S/z (If applicable,enter"exempt"in the!i erase number lira .) Q rj y ry Bus.Tel.No.: ET _ ,''K7 Address: �( S4ro Cs.-• /9v. //f 1 S ,e,</ �l A ,2b % Alt.Tel.No.: t *Per M.G.L.c. 147,s.57-61, ecurity work requi s Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: 1 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 I Signature Telephone No. l PERMIT FEE:$