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Home My WebLink AboutBLDE-19-003508 ir"-' Commonwealth of Official Use Only Permit No. BLDE-19-003508 oi- ' 1 Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] 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:12/10/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to electricalpere� � desr��bel�1eow�O� Location(Street&Number) 414 PINE ST ___...JJJ 6Jtrv> Owner or Tenant POOLE WILLIAM H JR Telephone No. Owner's Address 414 PINE ST, SOUTH YARMOUTH, MA 02664-3010 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 El Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Finished basement. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 4 No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 3 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 5 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 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/Alertinc 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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:$75.00 1-40(em 146 (efi te..___, ,--) (A ritt-0-cj sizdt 't e co 34q- 2J % ?/ o/e1 • ,1 �,�,.�, , �lae Use,n_is26.) (� ry, /c7 p Permit No. V _ = '' Aparfnsani of.yire Jwviced BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked __ �� •�,` ,[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 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 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 described below. • Location (Street&Number) ,,��, Uee C Q//i"I acr-7h ,q .2 44 5/ Owner or Tenant 7-1qr//S \./cM/7-07'j Telephone No/ c8 git,sjSJ' Owner's Address /O ego-y of//,,,,?./..?aigO[r/e ,i� ,ez//77U Pdy ,ijj,¢ iIs this permit in conjunction with a building permit? Yes ❑ No El (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 400 Amps / / I Volts Overhead li Undgrd❑ No.of Meters / N New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters 4 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: -!n/Sh e a/ hd..C-eWlQ/I 74- Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires LiNo.of CeiL-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets 3 No.of Hot Tubs Generators KVA No.of Luminaires Swimnua Pool Above In- No.of Emergency Lighting g arnd. Li grnd. Li Battery Units No.of Receptacle Outlets 5 No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiating_Devices TotalNo.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons IKW No.of Self-Contained Totals: Detection/AlertingDevices No.of Dishwashers Space/Area Heating KW Local❑CoMunnniioncipal 0 Other ect No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent ''j K�,�, 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. N.k Estimated Value of Electrical Work (When required by municipal policy.) Work to Start: Inspections 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:) I certify, under the pains and penalties of perjury,that the information on this application is true and complete.. FIRM NAME: LIC.NO.: 1.� Licensee: Signature LIC.NO.:_ t1 .`\() (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: • Per M.G.L. . 147,s.57-61,security work requires Department of Public SafetyAlt.Tel.No.: -1 cep "S"License: Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability ins nce coverage normally S required by law. By my signa t el.w,I hereby waive this requirement. I am the(check one)in.-- m owner ❑owner's agent. Owner/Agent I I Signature p� Telephone No,tS& a'5'5/S I PERMIT FEE: $ lit $ rl'( OP '. Official Use Only C� Commonwealth of Permit No. BLDE-18-005286 , � 1 Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] 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:3/26/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm t�ctrical work descri ed below. Location(Street&Number) 414 PINE ST c/ Owner or Tenant RGEillisPordltelfitioWaktR. Telephone No. Owner's Address 414 PINE ST, SOUTH YARMOUTH, MA 02664-3010 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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for power vent,add receptacle for VRO unit. 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 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 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Christopher G Schultz Licensee: Christopher G Schultz Signature LIC.NO.: 39766 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: PO BOX 1522, BREWSTER MA 026317522 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: $75.00 ComrrorweaLz �fQ sc�... ¢ foetal Use Orl on _ ./ 2/7 l c--�� ii Permit No. LJ��/(r"� _ _ 1Jcparfm�nt ols Jcrvrtc6 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked �''. lRev. 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 C 12.DQ (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: a3 2 /'-" City or Town of: YA MOUTH To the In ector of Tres: . By this application the undersiped gives notice of his or her intention to perform the electrical work described below. • Location (Street&Number) //7 /7 ✓-✓C`, 5 Owner or Tenant /s.4ie eiii g-61-hr)say; Telephone No. Owner's Address Is this permit in conjunction with a building ermit? Yes — No (Check A ro riate PP P Box) Purpose of Euiiding /` L V\1 t ./ Utility Authorization No. Existing Service Amps / Volts /Overhead No. of Meters _ Undgrd C New Service Amps / Volts Overhead Undgrd NO. of Meters Number of Feeders and Ampacity ed ,f (i pJbtiC z-1Cn f fi5 Location and Nature of Proposed EIectrical Work: q i) af.-G ( doiz - tO /00 Completion of the followfriz table may be wed by the Inspector o f Wires. No. of Recessed Luminaires No. of CeS.-Susp.(Paddle)Fans No.of Total Transformers KVA No. of Luminaire Outlet No.of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ in- ❑ No.of ;mergency Lighung arnd_ c-rnd• EatlerY Unit No. of Receptacle Outlet No. of Oil Burners !FMZ ALARMS No.of Zones No. of Switches No.of Gas Burners No.of Detection and LnitiatirtQ Devices No. of Ranges No. of Air Cond. Toast No.of Alerting-Devices • No.of Waste Disposers Heat Pump [Number 'Tons KW No. of Self Contained Totals: —y ,Detection/Aiertina Devices No. of Dishwashers Space/Area Hearing KW* L Municipal ❑ Connectran ❑ ()tiler V No. of Dryers Heating Appliances KW Security Systems:* No. of Water No.of Devices or Equivalent Heaters No. of No.of Data Wiring; b KW Ballasts Signs — Nn.of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: Na.of Devices or Equivalent OTHER: _ � Attach additional detail if derired or as required by the Inspector of Wires. (L ?7J Estimated Value of Ele trim. . (When required by municipal policy.) Work to start: O3 022 r Inspections to be requested in accorrIRnce with MEC Rule 10,and upon completion. ` INSURANCE` C RAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unnless � the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent The k undersigned certifies that such cover e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify.) I certify, under the pains and ertrrlr;es o FIRM NAME: �J / � p er Imo, that the inform 'on on this application is true and complete.LIC. E / qi Licensee: � � Jr Signatud �— r � (If applicable, enter exempt in the license number fine.) s�P/ � LIC.NO.: Address: Bus.Tel.No_(d *Per M.G.L. c. 147, s.57-61,security work requires Department of Public Safety` Alt TeL No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have the liability insurance coverage normally allyS required by law. By my signature below, I hereby waive this requirement I am the(check one)D owner o Owner/Agent01 ❑owner's agent Signature Telephone No. PERMIT FEE: $