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Home My WebLink AboutBLDE-19-004626 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-004626 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:2/12/2019 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) 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 k,w Box) ' Purpose of Building Utility Authorization .� Ar, l; Existing Service Amps Volts Overhead 0 Undgrd ❑ ` .or"'eters New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence 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. 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 ❑ 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 ❑ BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties ofperjury,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: $180.00 w Ge- 44/i' '�Ob9 -'* Cornmonmsa op i iaddac ftd Official Use Only at -1 �t s �7 Permit No. el 1J parL.nent of.7r.sarviced `— ` BOARD OF FIRE PREVENTION REGULATIONSOccupancy l/07 and Fee Checked ,....<<` {Rev. l/07] (leave blank) --- APPLICATION FOR=PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts EIectrical Code(MEC),527 CMR 12.00 Z1 4'1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: a —/ ?---- �! 3'' c) _ M City or Town of: YAROUTH l • To the Inspector of Wires_ Bp this application the undersigned gives notice of his or her intention to perform the electrical work described below. � `@ _-- f , Locatio n(Street&Number) l i "7-�-o l °_V 5/0 `to, fi210 ,i/ v; (.:° 7 Owner or Tenant Jp--n,`e S ____ /n�r� .,� Telephone o. wL-- -'Owner's Address 4 r�Af 5w.-- i'.:. - Is this permit in conjunctio with a building permit? Yes No + ❑ (Check Appropriate Box) -- -Purpose of Building e(jt///Q(f�,� Utility Authorization No. 3 a`�----7Acr Existing Service Amps F / Volts Overhead ❑ Undgrd❑ of Meters New Service a..C79 Amps 420 /, C'Volts Overhead❑ Undgrd No. of Meters ___Z__ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ! vA--- vv 6 fi t c /4ei i .. Completion of the followinvable may be waived by the Inspector of Wires. - No.of Recessed Luminaires No.of CeiL-Burp.(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.o1 l`mergency Lighting • ,rnd. grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oa Burners FIRE ALARMS _INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No. of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained ' Totals:l f Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection El Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent Heaters ' .of Data Wiring: No.of Water No.of No _ Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent ��0 Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical ork (When required by municipal policy.) v Work to Start: f 1 I ( Inspections to be requested in accordance with MEC Rule 10,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 +4 undersigned certifies that such cove .: is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE r BOND ElOTHER ❑ (Specify:) j 'L/'�I certify, under the pains • d. -nna tiess gfperju than;information on this application is true and complete. ,-A FIRM NAME: _ ./:. �' ��,� 139 p /cy Licensee: f ` LIC.NO.: r Signature (Ifapplicable.ent cn the�ten�s�,rru r 1' e.) LIC.NO.: Address: 7Y &91 4,(_&6¢,• 1 Bus.Tel.No.: 1��7 J Per M.G.L. c. 147,s.57-61,securitywork requiresSafety �S Aft.Tel.No.: ` Department o Public "S"License: Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage nrm�oaily S required by law. By my signature below,I hereby waive this requirement. 1 am the(check one)❑owner ❑owner's aent. Owner/Agent G g I Signature Telephone No. I PERMIT FEE: $ �Q ��