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Home My WebLink AboutBlde-20-000633 Commonwealth of Official Use Only 1 '. • t Massachusetts Permit No. BLDE-20-000633 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:8/5/2019 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) 6 CHANDLER GRAY RD Owner or Tenant FROES EPAMINONDAS G Telephone No. Owner's Address OMURA YULIANA T,6 CHANDLER GRAY RD,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A. J '" �~ ,: `' Purpose of Building Utility Authorization No. f'*e- Existing Service Amps Volts Overhead 0 Undgrd 0 No.o 'eters New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters W" Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service w/underground trench. 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 ImNatine 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 Siens 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: 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: $75.00 �(RA�Y.i-I i o th> b/s((ci b ut TO Per-Ex I t\ IStiq lee (�ommo►uve o Ma.3dar/ ■ . /// �ussfti - ctal Use Only l_ Apartment m[1in Serviced fPetNo. l�lJ/� �_ `E'� =- ` BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ev. 1/07] blank) (leave 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: —,C..—/ ? City or Town of: YARMOUTH To the Inspector of Wires: By this application the t,utdersigned gives notice of his or her intention� to perform the electrical work described b ow. Location(Street&Number) C�D C A an,. / e / 4_, /N N LSO Owner or Tenant Pa tyli in 0`1 a`Se-o{S iirele"" Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No E<heck Appropriate Box) Purpose of Building 2-004 U 6- &l t ct.e., 3 v� 9 G Utility orization No. D Existing Service lap Amps l Za/ 2 Zvolts Overhead Undgrd❑ f Meters New Service Amps tom/2' Volts Overhead ❑ Undgrd No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: T(',,GA - CO 4G�vc7--- - /o-cs/zzl� Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceti.-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 1r.mergency Lighting =rod _rod. � Battery Units No.of Receptacle Outlets No.of Oil 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. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Q_ Municipal Cpnnectioa ElOtherO No.of Dryers Heating Appliances KW Security Systems:* qJ No.of Water No.of No.of Devices or Equivalent Heaters ' Signs No. Data Wiring: No.of Devices or Equivalent L No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: - OTHER: 8, No.of Devices or Equivalent Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: �Qd Q en required Work to Start: S� Z�f InspectiL . ons � by municipal policy.) c.-^ ions to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waiv . .y 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 cove .: is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE D BOND ❑ OTHER ❑ (Specify.) v I certzfy,tinder the pains an p:v of pert u [fiat l in fy ormation ontrue an this application is d complete FIRM NAME:_ 9/l LIC.NO.: 9 P3 Licensee: Signature /,,' (If applicable,enter " empt"in the li arise numb line.) IC.NO.: Address: f, Ul�.� ¢ 0 rk14 as.Tell.No.: is67 _i "Per M.G.L.c. 147,s.57-61,securitywork requires S Tel.No.: 0 Department f Public "S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally S required by law. By my signature below,I hereby waive this requirement I am the(check one)❑owner ❑owner's agent Owner/Agent I Signature Telephone No. [PERMIT FEE: $