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Home My WebLink AboutBLDE-18-003706 A,` Commonwealth of Official Use Only t1 Massachusetts Permit No. BLDE-18-003706 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/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:12/26/2017 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) 38 LEWIS BAY BLVD A'4 Owner or Tenant BRADBURY DAVE Telephone No. 11F� / Owner's Address 38 LEWIS BAY BLVD,WEST YARMOUTH, MA 02673 . Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Bo \ i't. Purpose of Building Utility Authorization No. 2252995 Existing Service Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 200 Amp U.G.service and new construction(508-776-1857) Completion of the fallowing 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- 0 No.of Emergency Lighting grnd. grnd. Batten/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. To No.of Alerting Devices 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 ❑ Municipal ❑ 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 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 ❑ 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: Neil SChoener Licensee: Neil Schoener Signature LIC.NO.: 13949 (Ifapplicable,enter"exempt'in the license number line.) Bus.Tel.No.: Address:44 TRADERS LN,W YARMOUTH MA 026733333 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 signature below,I hereby waive this requirement.I am the(check one) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$180.00 gfosa_ 1,61,13 ef_., riAitu kvr c/(51(8 bt Gmot, 8/zr/ice rt • r l_omanor-rocc fh of M.o.:A•m-µd Omeal Use Only cc��,, �s77 ((�� -- .PerlidtNo. SOF -/7-0t1320,6 • i .350¢rimu.E oil ire Jererce0 - �� \ Occupancy and Fee Checked N`�lis BOARD OF FIRE PREVENTION REGULATIONS Rev. 1107] • ("me blank) APPLICATION 'FOR:PERMIT TO PERFORM ELECTRICAL WORK\ .All work to be perfa tnd in accordance wit the Massachuserts Electrical Code(MEC),527 ChiR 1200 (PLE,4SEPINNK RLNTOR TYPE ALL INFORIZATIQ ) Date: Jag r 2,2 - / 7 City or Town of: YARMOUTH To the Inspector of Wires: . By this application the undenimed gives notice of his or her intention to .morin the d- cal work described below. ' Location(Street&Number) i L.erg1J ��G✓a� N Own er br Tenant ,../erre- % i 'D&V i Telephone No. Owner's Address """��"��'�-� e1 Is this permit in conjunc,tiiiu with a branding permit? Yes rI No ❑ (Check Approprlate Boz) r Purpose of Building f V Gf/✓ tOt/Se/ Utility Authorization No.n7,2 ' P g9J `R' Existing Service_ Amps / Volts Overhead E Undgrd❑ No. of Meters vvv000 New Service -1.-00 Amps /20/ 240 Volts Overhead❑ Undgrd ❑VNo, of Meters 1 Nubber of Feeders and Ampacity Ci ----IF- 1 Location and Ne.-¢r_of Proposed rEI.ect-inl Work: 7iQ04 (J.CD-. eLGPi 'tot' LU cr iEn, .. ._ ___ —. _ Completion of the fofawfn table may be winesed by the inspector of Wires. .-,,, No.of Recessed Lamdne res INo.of Cert (Paddle)Fans No.of TVA Lli C\l otal :` sP-LP ) Trzarformers ICV A . , No.ofLumit*a4r_Oatletr INo.vf Hot Tubs 'Generators b�A 0 W ;ere ) 4bov In- rip.ox Lmerg cry L phtmg o 1 n No.of Luminaires ISwirnming Pool ❑ ❑ Ili i_, I >xxrd. �rxtd. B.attery IIai� . , --J No, of Rtemptade OarL� No.of Ofl Barriers FMB ALARMS No.of Zoom -------- No.No. of Switches INo.of Gas Burners No.of De' non and Inftia--Devices No.of Ranges INo. of Air Cont Tons No.of Alerting Devices • No.of Waste Disposers 'Heat Pump 1 Number 'Tons Igo.of Self-Contained Totals: etectioa/Aieriing Devices No.of Dishwashers • Spacet/Area HSting KW' L°c1-1 0 C mince trop 0 Other No.of Dryers IHeatingAppliances KW Security Systems:t No.of Devices or Equivalent No.of WaterR,W, No. of No.of Data Wiring: Heaters Signs Ballasts Na.of Devices or E•uivalent ' No.Hydromassage Bathtubs No. of Motors Total HP elecommnniices o s Equ'Irivalent No.of Devices or Egniv&nt S O 11d1:R ' 1- Attach additional derail if desired or as required by the Inspector of Mires. ,j Estimated Value of Electrical World 3'GUI (When required by municipal policy.) Work to Start /7.- 71-17 Inspections to be requested in accordance with NEC 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 ice including"completed operation"coverage or its substantial equivalent The I undersigned certifies that such cover. ,,is m force,and has exhibited proof of same to the permit issuing office. en CHECK ONE: INSURANCE BOND ElOTIfR 0 (Specify^.) I certify,render the p and pen hies of perjwp,that the information on this application is true and complete. FIRM NAME:Je„t (, SOKp€.vf4J' /\6d y/G/IC LIC NO: #739Yt lam ' Licensee: Signature ! pt8`r� LIC.NO.: a /Leable, 5h �.e/,� t iq t e!' bar/' ,e f�,,� �/ Bus.TeL No:.eAQ9�y�- Address. '� 6 TYR(LYIf�� WVOJ u �Ot/!r7 f7a7,',yltTel.No.:`Jvo r /1O1 r j Per M.G.L.c. 147,s.57-61,security work requires Depa4ent of Public Safety"S"License: Lie.No. —a OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner 0 owner's agent 1 Owner/Agent I PERMIT FEE: S l iii Signature Telephone No.