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Home My WebLink AboutBlde-19-000872 1 Commonwealth of Official Use Only Iti-a' Massachusetts Permit No. BLDE-19-000872 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 1Rev.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:8/14/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 19 DOHERTY LN Owner or Tenant CHRISTO ROBERT Telephone No. Owner's Address CHRISTO ELIZABETH A, MARSH HILL ROAD, BRIMFIELD, MA 01010 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Chec Alp i ' iate Box) Purpose of Building Utility Authorization N l/ Existing Service Amps Volts Overhead 0 Undgrd N. IN1 New Service Amps Volts Overhead 0 Undgrd .fiiiiiii° / 4015 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Rewire house following flood. 04 Completion of the following table may be wa •ctor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of ` 'al Transformers . A 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 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 ❑ (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 • �-ommoaawsalth.of 7assachussffs Official Use Only I �� .UsParfinartf o f emirs�sroicss Permit No. � 7 7/� ' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [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 1 2.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: 8 I City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned giv notice of • r her intention to perform the electrical work described below.Location(Street&Number) q f%�t li t? "i- C st /'�ijy2'�CTt//r w � Owner or Tenant Qh / a 4L.5 Telephone No. Owner's Address 1- Is this permit in conjunc' n with a building permit? Yes No ❑ (Check Appropriate Box) /I—QritsS6D Purpose of Building it t!7(40 GeC,Qo Utility Authorization No._ 7-2-q j tier Existing Service 2et2 Amps l / 25l<OVolts Overhead _ ❑ Undgrd No.of Meters V , New Service Amps / Volts Overhead 0 Undgrd g 0 No.of Meters Number of Feeders and Ampacity (1 ovation and Nature of/Proposed Electrical Work: J.iJj re, Hy v ff-re. Dye--7V Wafer- Comfiletion of the1b11owin&table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL-Busy.(Paddle)Fans No.of Total Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA Pool Above In- No.of 1 mergency Lighting No.of Luminaires Swimming grad. grad. 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. Total 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 HeatingKW Municipal P L0� Connection other No.of Dryers Heating Appliances , Security Systems:* No.of Water No.of Devices or Equivalent No.of No.of 44 Heaters KW Data Wiring; Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent /-1 OTHER: �/ _� Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Ele"'�ctrical�Work: (When required by municipal policy.) Work to Start: � � Insp o,,, to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless w.' ed by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability' surance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove..ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE P. BOND ❑ OTHER 0 (Specify:) I certify, under the i and penaltifulperjury,that the infortnatio on_ � p this a ication is true and complete. FIRM NAME:_ 4S Licensee: oe �� LIC.NO.: 139 97 Signature LIC.NO.: (If applicable.e K�e � license rum er ii. Address: �'L 1 � t 118 � ) �,(-'r' y/,gen 4, Bus.Tel.No.: 1 p3- j "Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt. Lic. No.. -- OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance cover;ge normally 5 required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner El owner's agent. Owner/Agent I Signature Telephone No. I PERMIT FEE: $ /�)