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Home My WebLink AboutBLDE-21-003234 Commonwealth of Official Use Only _E Massachusetts Permit No. BLDE-21-003234 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:12/7/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform ectncal work described bel Location(Street&Number) 124 SILVER LEAF LN �-C ut Owner or Tenant Telephone No. Owner's Address R Is this permit in conjunction with a building permit? Yes 0 No 0 (Check : 14: i priate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ No i al. : al, New Service Amps Volts Overhead 0 Undgrd 0 1 • Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for manual transfer switch for portable generator. O Completion of the following table may be waive 1 or of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of 1 ;1 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 1 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: $50.00 _ /Li Wr titj r 5—i)Ve /2t/ Cnnvno u.A.a�ecMasaacluu i/s Official Use Only , .„. a Th.part`ar.st o�,}ir.J.rvicm Permit No.li�i —3�/34 ''_ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev, (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK k All work to be performed in accordance with the Massachusetts Electrical Code t 5 27 CMR_1;.00 / (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: / —e !f I'll / City or Town of: YARMOUTH To the Inspector of Wires: ,1 V By this application the undersigned gives notice of his or her intention to perform the electrical work described be w. I a/7 S1 1✓��' Location(Street&Number) jj(/ 5 r y/¢g iJt f1 t✓/7t Co t't��,C/v117 v22I C/i L— Gil / eq�' Owner or Tenant e�(/ C1 S o tJC6 t/Telephone No. G/1 Owner's Address `` ' Is this permit in conjunction with a building ding permit? Yes ❑ No Et<Check Appropriate Box) a i Purpose of Building G-e-e7 �4--ct-oTlr�v Utility rization No. *�- i Existing Service f 00 Amps /20 Overhead[ Undgrd 0 No.of Meters / '� f New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters 1 Number of Feeders and Ampacity r F Location and Nature of Proposed Electrical Work: (,A..)/rr Z Pe,e/`7 /1 ..6yl7/C5 v Completion of the following table itw be waived by the Inspector of Wires. mar; Total No.of Recessed Luminaires No.of Cet7.-Snip.(Paddle)Fans No.of evi Transformers KVA Z No.of Luminaire Outlets Na.of Hot Tubs Generators KVA No.of Lis Pod Above In- 1Vo.of Emergency Lighting Swim�ag ;gad. gynd. Battery Units e No.of Receptade Outlets No.of OE Burners FIRE ALARMS No.of Zones tion and . c No.of Switches No.of Gas Burners O'°f Initialing Devices IL! No.of Ranges No.of Air Cond. Total TowAlerting No.of Devices No.of Waste Disposers Heat Pump Number Tons IKW No.of Self-Contained Totals: Detection/Aler rig Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal 0 Other Connection Dryers Appliances KW Systems:* No.of H No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or , , i t No.Hydromassage Bathtubs No.of Motors Total HP Teleco of Deviations ' No.of Devices or Eq i i t _ OTHER: �j Attach additional detail ifdesired or as required by the Inspector of Wires. Estimated Value of Electrical Work a3 (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 certifir,under tke ,, .. ands of wy,that the bnfar on this application is true and complete. it FIRMNAME: weft. 5`C e,- - LIC.NO.: I 9T If Licensee: Signature .�,,ter LIC.NO.: Q �j / (If applicable;enter' t"m the license number line.)„ , / % ��IfJ v// Bus.Tel.No.: $ / / 6` rS2 Address: / rtA-(earl (� V a ec / Alt.Tel.No.: J D 'Per M.G.L.c. 147,s.57-61,security work requires Department 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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$