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Home My WebLink AboutBLDE-19-003109 K Commonwealth of Official Use Only a'E * Massachusetts Permit No. BLDE-19-003109 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked /Rev.//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:11/20/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertomr the electrical work described below. Location(Street&Number) 108 CRANBERRY LN Owner or Tenant CARROLL MARY THERESA Telephone No. Owner's Address 108 CRANBERRY LN,SOUTH YARMOUTH,MA 02664 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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: Wiring for basement area.(Work done without permits or inspections) 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 i 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 Tnrtiatine 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 ❑ 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 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 0 OTHER 0 (Specify:) !certify,under the pains and penalties of perfusy,that the information on this application is true and complete. FIRM NAME: Neil Schoener Licensee: Neil Schoener Signature LIC.NO.: 13949 (Ifapplicable,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 n Telephone No. PERMIT FEE:$250.00 92Jt1f (t 22 r it ammo. tuora& Massachusettsofe7Official Use On U nt ` Vire J Permit No. 2p o enzces• Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev, 2/07] (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEG),527 CMR 12.00 (PLF-ASE PRINT IN INK OR TYPE AILINFORMATION Date: /l" (R—l7 City or Town of: YARMOUTH To the Inspector of Wires: By this application the tmdersiped gives notice of his or her intention to perform the electrical work described below. . Location (Street&Number) (':'!ice—: 1:,.a..00.1',1. ' we Cra4 I 1./41Vt° &o *Lent. Owner'orTenant {�V► R to CA 2R0(, C{�y oil elephone No. f Owner's Address Is this permit in conjunction with a building permit? Yes No�/ (Check Appropriate Box) Purpose of Building cin tS k. 11 W/+t(l1OtT &CL Utility Authorization No. Existing Service Amps / Volts Overhead Q Und grd❑ No.of Meters _ New Service Amps / Volts Overhead 0 Undgrd rd ❑ Nd.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the following_table may be waived by the Inspector of Wirer. No.of Recessed Luminaires No.of Cell.-Susp,(Paddle)Fans No•of Total Transformers }CVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming pool Above 1--} In- No,of Emergency Lighting ¢rid-_ grid. Battery Units No.of Receptacle Outlets No.of Oil Banners 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 'Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Local 0 Municipal Connection 0 other No.of Dryers Heating Appliances KW Security Systems:• ' No.of Water No.of No.of Devices or Equivalent Heaters No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: _ Estimated Value of Electrical Work j CO (When additional detail if desired or ar required by the Inspector of Wirer. (When required by municipal policy.) Work to start /H.qt--f 7 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waive by 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 ctrtifies that such cove is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify, under the pains and p nakies ofpeerfury,that the information on this application Zrtrue and complete. el FIRM NAME: et / v/ ScOfirer LIC.NO.:complete. ' v /OCIY? Licensee: Signature LIC.NO.: (If applicable,a emp�n the license number 'n . Bus.TeL No.. Address: `7 `f I / S f/ _DS Whits-_ 7 -J 'Per M.O.L.c. 147,s.57-61,security work requiresAlt Tel.No.: ry Department of Public Safety"5"License: Lie,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 t Owner/Agent Signature Telephone No. I PERMIT FEE: S