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Home My WebLink AboutE-19-1585 Commonwealth of Official Use Only " arMassachusetts Permit No. BLDE-19-001585 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:9/17/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives no ice o us or her in en ion o per •c nca work described b w Location(Street&Number) 14 MARION RD (> ('J AU t# Owner or Tenant YORKE MARCIA S Telephone No. Owner's Address 65 AUTUMN CT, CHESHIRE,CT 06410 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 ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement furnace&add on A/C. 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- o 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 1 No.of Detection and Imttatine 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 ❑ 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 Stens 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 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: Neil Schooner 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 Mt.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:$50.00 Content)* yy •- l.ommonmra of/r/aaeachrwrlfs Official Use Only i- ccyy c7 G�_ g8 _ ��_ Thepart neral of„yin Permit No. S rwicd _ � BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee k ev. f/07j (leave blanank)) 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: 9 ^I7 — 18 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives otice of his or her inteption to perform the electrical work described below. • .. Location(Street&Number) / hi )Joel p r) a.. wesry,�eatem Owner'or Tenant SUS4I� h'l42S H Telepi(oneNo. Owner's Address Is this permit in conjunnctl n with a building permit? rr�� eL�1s 0 No Au (Check Appropriate Box) Purpose of Building /TIC COM fPvsSar//J(,st/tu UtilityAuthorization No. Existing Service /00 Amps /7C, Zrd Volts Overhead Undgr'd 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: (4/f re- 4/errl yc/'aa� /ii 4vD-v, r'0 n19rtcsD c `l_ Completion of thefollowin&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 gnid. grad. 0 Battery Units No.of Receptacle Outlets No.of OB Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained - Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Hyl 0 Municipal Connection 0 Othe- No.of Dryers Heating Appliances K'W Security Systems:' No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Dats Wring: Signs Ballasts No.of Devices or Equivalent _ No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent L • OTHER: !Attach additional detail ijderired or as required by the Inspector of Wires. Estimated Value of El 'cal Work (When required by municipal policy.) Work to Start: g, -l'C i 6 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waiv y the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability i ce including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coy ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) 3 I cert)",under the pal a d penalties of e,ju that the information on this appli ' n is true and complete �Q t FIRM NAME: -C t6 „ 0,01f � LIC.NO. am` f9 d Licensee: Signature r (If applicable, n em •• 1m A" LIC.NO.: th a gumber line r f/�.r- / jn _ �/ s.Tel.No.: Address: J ( S C1rrX o// (? d 14 Tel.No.:_/�0 7>d J `Per M.G.L.c. 147,s.57-61,security work requires Department of Pbblic Safety"S"License: Lic.No. a 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)0 owner 0 owner's agent Owner/Agent III Signature Telephone No. I PERMIT FEE: S