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HomeMy WebLinkAboutBLDE-19-003545 car Commonwealth of Official Use Only tTh E Massachusetts Permit No. BLDE-19-003545 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.//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:12/11/2018 City or Town of: YARMOUTH Tothe Inspector ofWires: By this application the undersigned gives notice of nis or her intention to pertorm the electrical work described below. Location(Street&Number) 30 CRANBERRY LN Owner or Tenant CASEY WILLIAM M Telephone No. Owner's Address CASEY JUNE,30 CRANBERRY LN, SOUTH YARMOUTH,MA 02664-1005 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 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Transfer switch. 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 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 1 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 ❑ 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 0 OTHER ❑ (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 elephone No. PERMIT FEE:$50.00 -7:410451\4C(5)K ✓A.// Y l % � • '� \ O _61 �l Use cc7'A, ec77� ��ssPermitNo. 1JeParimsn(o�yinJeroiuJOccupancy and Fee Checked S re) BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07) (leave blank) APPLICATION FORPERMIT� TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLE SE PR TIN INK OR riPE ALL INFORM,4 liON) Date: / e? — // ' / 2-- City City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work describedb low. Location(Street Sc Number) a D' Cr NU S e rrl# L..4 ./e SO. �a& r OwnerorTenant (3i 14- ell A,l v elephone No. j Owner's Address " VA' Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) 1 ©r ----1 Z nrpose of Building o rr+t £ e tmr$ , � Utility Authorization No. �2S plisting Service Amps / Volts Overhead ❑ Und N _i* I grd❑ No.of Meters _ VA/ ew Service ❑ Und —grd Amps / Volts Overhead 0 No.of Meters LII h,ti umber of Feeders and Ampacity 'Ta 12 S Fe st1 Q V w !z atlon and Nature of Proposed Electrical Wort (� l /� m,t v Al-- r wrr ua„l r (4,i9i 'c, �+ 1 of i ( , '' Completion of the followin&table may be waived by the Inspector of Wires. m : ! No.of Recessed Luminaires No.of CeiL-S (Paddle)Fans No.of Total �' Transformers KVA No.of Luminaire Outlets No.at Hot Tubs Generators KVA • No.of Luminaires Swimming Pool Above ❑ In- No,en mergenry Lighting - grnd grad 0 Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.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 IKW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' LoalMunicipal ❑Connection ❑ mer No.of Dryers Heating Appliances KW Security Systems.* No.of Water No.of Devices or Equivalent Heaters KW No.of 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: - Sod Attach additional detail ijdesired or as required by the Inspector of Wires. Estimated Value of Electrical Wo (When required by municipal policy.) Work to Start: (y- 10'17 inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless we' by 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 coy ge is in force,and has exhibited proof of same to the permit issuing office.CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I cent", under the pps and penalties ofperjury,that the information on this ap !faction is true and complete. FIRM NAME: e t"L Sabot sic r LIC.NO.: 413 i 119' Licensee: 52 '� Signature , LIC.NO.:�"�7 {"�Q �f Address: dress:applicable.enr�eq �r�mpt"''n the ficens tuber line. Bus.Tel.No.y J' V ' '1J / Address. J fi r :pt4Dtrt� r �es•a t mtmow/ Jj J Per M.G.L.c. 147,s.57-61,securitywork requires �par4rfY Alt Tei.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required bylaw. Bymysignature below,I hereby waive this requirement, I am the(check one)El owner ❑owner's agent t Owner/Agent al Signature Telephone No. 1 PERMIT FEE: 5