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Home My WebLink AboutBLDE-20-006478 Commonwealth of Official Use Only r.gliti_ Massachusetts Permit No. BLDE-20-006478lc 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:6/30/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice or his or her intention to4sZorm the electrical wor cribed below. Location(Street&Number) 33 CREST CIR 0 !' t .4 6 '14L !/ or • Owner or Tenant WALSH MARGARET R(EST OF) Telephone No. Owner's Address C/O NANCY GULLBRANTS,45 CAMBO ST, BROCKTON, MA 02401-5862 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: Permit to close out expired permit , 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- ElNo.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 0 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: 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: $50.00 rek5ear C�cs ei9 /N -przG pt 7 zo c t ;.,, CommomtuGa6A o/'aeearhueslfe /�.Ossicial Use OnlyI `-� • :, c� ," Permit No. 1�6 `-C L 2 I -/ L' . ■ �Ue/varinun _ Occupancy and Fee Checked ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK V 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: & 30 `Z Q ZO i` 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) 33 C rcs r Cl rcte t "-s% aiL,Ilo(i'2y Owner or Tenant C/ 4..k PAL pi t./` Telephhe No. QI Owner's Address C. Is this permit in con unction with a building permit? Yes ❑ (Check Appropriate Box) Purpose of Buildingk f It It 1/ Csr/10Uf.. Utility Authorization No. S'.; Existing Service Amps / V Volts Overhead❑ Undgrd❑ .of Meters �1 New Service /00 Amps 1Zb/,2 YOVolts Overhead❑ Undgrd No.of Meters I 4 Number of Feeders and Ampadty 1 Location and Nature of Proposed Electrical Work: W/r{ 'Der-AC/teal e..,l�f v,.e__ : 1Q0/ Z113.e crttc t.l St r✓iie LO cr i Tz AT!/ Ltvi 4e1X3frt Completion of the following table may be waived by the I ector of Wires. vg No.of otat t f No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting g grnd. ❑ grnd. ❑ Battery Units "4 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and c. Initiating Devices 1 No.of Ranges No.of Air Cond. Total No.of AlertingDevices g Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 nidp� ❑Connection Other Co 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 TelecommunicationsofDeicesor Wiring: No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: /D C)d n (When required by municipal policy.) Work to Start: 6 r 30-201 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 i rance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I cert fy,under the pair and penalties o erju ,that the information on this application is true and complete. / FIRM NAME: {..<. epee,' e c_---_- LIC.NO.: //93?S ? Licensee: Signature LIC.NO.: (If applicable,pm"exem t"in the�ljic�eense numb r li e.)-,/ �Bt�s.TeL No.: �! Address: Lt 7CQLLetei �N !/"�J7 Z 4 O t�1�7� �19�IJ�,Wt.Tel.No.: �G �� / s7 *Per M.G.L.c. 147,s.57-61,security work requires Departm t of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my 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:$