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Home My WebLink AboutE-18-2195 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-18-002195 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:10/13/2017 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) 70 HERITAGE DR Owner or Tenant DORCHESTER DONALD W Telephone No. Owner's Address DORCHESTER TINA S,70 HERITAGE DR,WEST YARMOUTH, MA 02673 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: Wring for breezeway. 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 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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 Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Ilydromassage 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 ❑ 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 (If applicable,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) 0 owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 Roca it�f« (e7 CdE - MQ 1 I( s Comnaraueaflia of/r/ai6aC e1fS _ Oficial Use Only Zr_ �7 �J Cs7 8- 2.I. '7--11�� . cPar.n n/o{,.yira Services Permit No. IOccupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS t . )/p r Qeave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 1200 (PLEASE PRINT W WK OR TYPE ALL INFORM4TTO19 Date: 1 0 --- /a -17 City or Town of: YARMOUTHTo 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) —7 D 11 ear%l—Rj ��i ' 1 %%I Owner'or Tenant L e' n or ofi L sr!�f Telephone No. c.7 '-"---i Owner's Address —� Iii c Ir— Is this permit fn •conjunction •with a bmlding ermit? Yes �i No i W `" !ri In of Bmf ing P�(J9 k� �/71€2&442481 U ❑ (Check Appropriate Boz) ...., cls. !y utility • don No. Ili .--t '^ 1 Existing Service Joy Amps `jgl/ dolts Overhead _. Undgrd❑ No.of Meters I co U0 , New Service Amps / Volts Overhead❑ Undgrd ❑ NO.of Meters __ Number of Feeders and Ampaeity Location and Nature of Proposed Electrical Works. knit efC/US2� or Campletion of the following table may be waived by the Inspector of FPgee No.of Recessed Luminaires INa of Cert-Susp.(Paddle)Fans • Na oTotal No.of LuminaireITraasfformers KVA Ouelt INo.of Hot Tubs IG-aerators • .VA ' - er'a0 'mereeacy Lighting Na of Luminaires ISwimmiag Pool AbovIrad0 IBaterUnits • No. of Receptacle Outlets . . INo.of Ort Burners IF=ALARMS INo.of Zones No.of Switches No.of Gas Burners Na of Detection and Initiat;n�Devices No. of Ranges IND.of Air Cond. Tons Tons INC.of Alerting Devices No.of Waste Disposers (HeatTotatc:Pump1 Number Tons KW It:.of Stioelf/A-Contataed tecnlertiao Devices No.of Dishwashers Space/Area Heating KW' LealMtmcipal Q Connection 0 Otter No.of Dryers Heating Appliances Security Systems:• No.of Water No.of Devices or Equivalent Heaters KW INo.of No.of Data Wiring Signs Ballasts Na of Devices or Equivalent Telecommunications Wiring: No. Hydromassage Bathtubs INo.of Motors Tory gip Na of Devices or Egnfvient 0!HER: Attach additional detail(desired or as required by the inspector of rzres, Estimated Value of Electrical Work: Il, f/�f e 0 (When required by municipal policy.) Work to Start /0 411 7 Y requested in accordance with MEC Rule 10,and upon compleon.INSURANCE COVERAGE: he owner,no permit for the performnce of electrical work may issue unless the licensee provides proof of lihtting"completed operation"coverage or its substantial equivalent lite undersined certifies that such cand has exhibited proof of same to the permit issuing office• CHECK ONE: INCEOTHER 0 (Specify:) I certify, under the r s 4jPe of erjat the b forrnatFo on this app c ' n it true and coo=p[ r, FIRM NAME: ` � Il" `^ '1J � LIG NO.: 39T Licensee: Signature LIC.NO.: (If applicable,enter "exempt"in the license number line) Bus.Tel.No7 Address: Alt.Tel.No j 'Per M.G.L.e. 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 have the liability insurance coveragerage nnootmaly required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner 0 owner's agent s Owner/Agent Signature Telephone No. I PERMIT FEE: S