The URL can be used to link to this page

Home My WebLink AboutBLDE-19-002060 0 as Commonwealth of Official Use Only a40°. Massachusetts Permit No. BLDE-19-002060 BOARD OF FIRE PREVENTION REGULATIONS i Occupancy and Fee Checked JRev.l/071 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:10/9/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonn the electrical work described below. l Location(Street&Number) 2 HIGHLAND ST Owner or Tenant SHAH HELEN S TR Telephone No. Owner's Address HELENS SHAH REVOCABLE LIVING TRUST,2 HIGHLAND STREET,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 ❑ 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: Install receptacles as needed. l Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddie)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. 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 Watery 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 OTIIER: 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 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 16)&1'8 r Cnott of I(Q(,e5 g , Commonwealth of///adeachiwelto J'tilt eye e� El .UrparGntnt o f.tiro&n'ked Permit No. fa Occupancy and Fee Checked •NS 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 12.000 (PLEASE PRINT IN INK OR TYPE I I INFORM TION) Date: /0 ' ' 7-1g( City or Town of: y9-2!1Z ovni To the Inspector of Wires: By this application the undersigned g. es notice of his or ter intention to perform the electrical work described below. Location(Street&Number) oZ /7 I .e( h 14,106 .STS 14, `� AQo�'t0v7Ti Owner or Tenant N .n-CJesemi/ id Telep lone No. Owner's Address • Is this permit in conjunc,�ti with a building permit? Yes 0 No (Check Appropriate Box) Purpose of Building jrdilii cern;eta, Utility Authorization No. Existing Service_ Amps I Volts Overhead 0 Undgrd❑ - No.of Meters New Service _ Amps / Volts Overhead 0 Undgrd ❑ No.of Meters _ Number of Feeders and Ampaclty Location and Nature of Proposed Electrical Work: op phis W heftei .t a " VI Completion of the allowingtable m be waived by the Inspector of Wires. Total Ui No.of Recessed Luminaires No.of Ceil:Sas . Paddle Fans No.ofEVA P (Paddle) Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Ci No.of Luminaires Swimmin Pool Above ❑ In- ❑ No.of Lmergency Lighting g grad. grnd. Battery Units "! No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners Na.of Detection and Initiating Devices l 11.1 No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump NuK mber_Tons _ W No.of Self-Contained P Totals: — Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ MunicinnectS pal 0 Other C _ No.of Dryers Heating Appliances KW SecuriNo oSystems:* Devices or Equivalent No.of Water iRV No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalentg _ No.Hydromassage Bathtubs No.of Motors Total HP 1 eiNo of Devic soor Wiring: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: -*7-00 0 (When required by municipal policy.) Work to Start /0 -*s--) FInspections to b quested 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 ranee including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) p I certify,under the pains pr{d penalties of perjury,that the infarmatio on this app!i lion is true and complete/113 9 l t!I FIRM NAME: rLitt.i SGHo-erlc LIC.NO.: licensee: Signature 1 LIC.NO.: (If applicable, gs4r�rpr�' ' 1lhe�/' m b r11pa Bus.TeL No: Q / 7 Address: �I r` T � �/-LS/�a�-�i9v//1 Alt.Tel.No.:�Qt� '701�� / *Per M.G.L.c. 147,s.57-61,security work requires Dep rtment of Public Safety"S"License: Lic.No. 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/AgentPERMIT FEE:$ SignaatureureTelephone No.