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HomeMy WebLinkAboutE-19-1865 1 �... , Official Use Only Commonwealth of gTh. Massachusetts Permit No. BIDE-19-001865 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.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:10/1/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 14 TELEVISION LN Owner or Tenant MCFARLAND JAMES E Telephone No. A& Spy fj Owner's Address MCFARLAND YVONNE V.8 BAYBERRY LN,BEVERLY,MA 01915-1156 /1 ll..• O. Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) S �( Purpose of Building Utility Authorization No. 2298646 i 17 Existing Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Temporary service. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ce6: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- 1:1No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I 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/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 Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siena 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:) Jere,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"e<empt"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 0 owner's agent. Owner/Agent Signature (� / Telephone No. PERMIT FEE:$50.00 �C i7(e i t —1 i �/ yy�� ammonmsatth of rr/attach+attlta Official Use Only Apartment o/�ur [�rry�rt Permit No. {{_ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07] • (leave blank) APPLICATION F0R.PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),527 CMR 12.00 (PLEASE PRINT ININK OR 7YPEALL INFORMATIOIQ Date: ti ? 7 '�) y City or Town of: YARMOUTH To the Inspector of Wires: By this application the pndersigned gives n ife of his oiler intention to perform the electticatwork described b ow. n Lodon (Street&Number) Lt(-c(ILSlot) /< d. (msy—i, Czmitt ifir Owner or Tenant _� b(1 �F,( � JTelephone No. Owner's Address Dail ta".1 Fr� v kms,(! �A ec Is this permit in conjunction with lkibufidin permit? _ yes_ ❑- No (Check Appropriate Box) 'urpose of Building I &!V ui.(_pj Utility Authorization No. o .4,l- ,92-e? $(.!� w _ f Existing Service Amps / Volts Overhead In Undgrd❑ ?Meters slew Service `0 0 Amps ad/.240Volts Overhead 0 Undgrd No.of Meters -. Q amber of Feeders and Ampacity a Ili !t o ocation and Nature of Proposed Electrical Work: Mai+ tyle-6 I NtilLeellfi Se tLul 0 • Completion of thefollowtntable may be waived by the Inspector of Wires. �+= m >., No.of Recessed Luminaires No.of Cert Sasp.(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 ¢rnd. orad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners 'No.of Detection and • Initiating Devices No.of Ranges No.of Air Cond. Ton No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/AlertingDevices No.of Dishwashers Space/Area HeatingKW' Munlcipa Local 0 Connection 0 other No.of Dryers Heating Appliances KW Security Systems:* - No.of Devices or Equivalent No.of Water No.of Heaters KW No.of Data Wiring: Sips 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 ffdesireci or as required by the Inspector of Wires. Estimated Valf Elecuica Wor • t©O (When required by municipal policy.) Work to Start:"27'-f X Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waiv the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability' ce including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I tenth, under the pains and penalties of and that the informatio on this application is true and complete. FIRM NAME: 11 at L S'c s{0 Gam/ ^ LIC.NO.: /J1 �7 Licensee: / Signature LIC.NO.: (If applicable.ght em •jn hC�e a ..,,�c (7 War Address. —( `f 1 y uV (jf/ Q�t�t��yy�,o� Bus.Tel.No: J Per M.G.L.c. 147,s.57-61,securitywork requiresAlt.Tel.No.:(- _j OWNER'S INSURANCE WAIVER: I am aware that the Licensee doer not havethe liability insurance coverage normally cense: Lic.No. .< required by law. By my signature below,I hereby waive this requirement I am the(check one)0owner 0 owner's agent t Owner/Agentg Signature Telephone No. I PERMIT FEE: $ (c co