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Home My WebLink AboutBLDE-23-000940 Commonwealth of Official Use Only • Massachusetts Permit No. BLDE-23-000940 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:8/22/2022 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) 120 SPRINGER LN Owner or Tenant MYERS THOMAS D Telephone No. Owner's Address MYERS SHANNAN L, 18 HIGH RIDGE RD, OSSINING, NY 10562 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Permit to close out expired permit(Basement hobby room) 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: ,Heaters Signs No.of Devices or Eauivalent 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 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: $50.00 6 7 / h `i AConsmo,uveaiM ol Mao/mho& Official Use Only c7 Permit No, / �' .J-09 , 2spar tnreni e .five Services ` Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) cleave blank) . 4 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 7 CMR 1 .00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: e 2-2- ZQ 22_ t` City or Town of: YARMOUTH To the Inspect of Wir : By this application the undersig es not a ofhis or her intention to perform the electrical work described be ow. . Location(Street&Number) /, 0 5/f/" ,e_ G1/e 64,L vtl U Owner or Tenant T6 i,tri J4t4 C/L ` Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No 0 (Check Appropriate Box) 4§ Purpose of Building gSe�I1Qif' /7cr,/�,p,�,�2,,4•t Utility Authorization No. —77 Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters i New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters t i Number of Feeders and Ampadty ill Location and Nature of Proposed Electrical Work: Ph ►.S it 06 64-St en e n 1 1-,16(ti QDt>tic ey Completion of thefollinvinktable may be waived by_the Inspector of Wires. lb No.of Recessed Luminaires No.of CeiL-Sasp.(Paddle)Fans No.of KTotal VA T.( Transformers KVA nNo.of Luminaire Outlets No.of Hot Tubs GeneratorsKVA Tt; No.of Luminaires $winsnriag Pool Above ❑ In- ❑ No.of emergency Lighting m nd. end. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of CuBurners -No.of Detection and 4. Initiating Devices t k! No.of Ranges No.o Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/ Devices No.of Dishwashers Space/Area Heating KW Local❑ Mntreip' 0 Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent ' Heaters KW No.of Water No.of Bootle Data Wiring: Signs Ballasts of Devim or Equivalent No.Hydroinassage Bathtubs No.of Motors Total HP Tei N of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lectrical Work: 3 060 —(When required by municipal policy.) Work to Start: Z l Z Z Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE: Unless w ' ed by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability' urance 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 (Speci1 ) I ce,Ytfy,under the pa **duff.that the information on this app ,, ,n is true and complete. I �j FIRM NAME: �p� ,�riA.Q e ytep / LIC.NO.: ` 6 Licensee: Signature-,IL ! /- " (Ifapplicable,enter' t"in the I'ease LIC. o._ Address: t-ci. e i�PS r a 2 n�ii t,,� yZ` lt.TeL No.: J .TeL N • f 7 *Per M.G.L.c. 147.s.57-61,security work requires It Department of tic 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)❑owner ❑owner's agent.Owner/Agent J Telephone No. I PERMIT FEE:$