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Home My WebLink AboutE-19-2921 M r Commonwealth ofOffeialUseOnly Massachusetts PermitN°. BLDE-19-00292, 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:11/13/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertomi the electrical work described below. Location(Street&Number) 14 TELEVISION LN Owner or Tenant MCFARLAND JAMES E Telephone No. Owner's Address MCFARLAND YVONNE V, 8 BAYBERRY LN, BEVERLY, MA 01915-1156 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: Grounding of re-bar. 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, grn . 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 Initiatine 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.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 ❑ 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 tikR alMItsKEL Ci4 15Cr- rnIc 12 p_ ) i l l 146/18 c • n/� _� l.omnwnmaa ofcc77 maaclucssfft Ott Use DoryQ/ 1 KIN1JePar[menE ol-lrnr Jrrorc><! •Permit No. 1—t 1 =1`lOccupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS . 1/07j (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEA.SEPRINT ININK ORTYPE ALL INFORMATIONJ Date: / /'-/3 —/B /B City or Town of: YARMOUTH To the Inspector of Wires: . By this application the pndersigned g)ive notice of or her intention to perform the electrical work described below. Location(Street&Number) !11 --re key/SI o.7 iv- y s c SI OW Owner Or Tenant Zt ej PMC r/<!n l{ . Telephone No. Owner's Address — Is this permit in conjunction with a building permit; Yes Purpose of Building re@AQ Cj tQpV4 A- Utility No (Check Appropriate Box) Utility Authorization No. Existing Service_ Amps / Volts Overhead Q Undgrd gr ❑ No.of Meters New Service 7r,D Amps /24/ 20 Volts Overhead 0 UndgrdNo.of Meters Number of Feeders and Ampacity • Location and Nature of Proposed Electrical Work: ant i Completion of the following table may be waived by the Inspector of Wres. No.of Recessed Luminaires No.of Cel.-Snap.(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 erred. El hind. 0 Battery Units No.of Receptacle Outlets . No.of Oil Burners FIRE ALARMS INC.of Zones No.of Switches No.of Gas BurnersNo.of Detection and ' • Initiator!Devices No.of Ranges No.of Air Cond. Ton No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number ITons IKW No.of Self-Contained Totals; Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Municipal focal❑Connection 0 Oche No.of Dryers Heating Appliances ICW Security Systems:" No.of Water No.of Devices or Equivalent No.of No.of Heaters KW Signs Ballasts Data Wiring Na of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP i elecommunications Wiring: - Na of Devices or Equivalent OTHER: _ ¢� Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work:`t` a°Q (When required by municipal policy.) Work to Start: ///3-(f Inspections to be eared in accordance with MEC Rule I0,and upon completion. INSURANCE COVERAGE: Unless waive the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability in ce including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coy e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) K certify, under the pains/and pertaltie -'6,,h,0 ojpe 'u" that the information on this ap Ifcarfoh is true and complete FIRM NAME: /J G � D C7cr LW,NO.: 9 Licensee: Signature i-4�%�i2 I b Geable LIC.NO.: if pp eget£afli th lice num r 'ne.) `/ �./ f(�^'� Address: "/`( l iZ �•�S`/ T Ranto/it Bus.Tel.No.L7'"ler / j •Per M.G.L.e. 147,s.57-61,security work requires D armten of Public SafetyAlt.Tel.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)❑owns El owner's agent. I Owner/Agent j Signature Telephone No. I PERMIT FEE: $ J