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Home My WebLink AboutBLDE-22-004901 'kiln �� Commonwealth of Official Use Only `'� Massachusetts Permit No. BLDE-22-004901 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:3/7/2022 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) 124 SILVER LEAF LN Owner or Tenant W YARM CONGREGATIONAL CHURCH Owner's Address ROUTE 28,WEST YARMOUTH, MA 02673 Telephone No. 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 New Service gNo.of Meters Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Rewire kitchen counter plugs. 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 grad. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Ton No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Esuivalent Heaters KW No.of No.of Ballasts Data Wiring: Signs No.of Devics or Esuivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Esuivalent 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 fperjury, I certify,under the pains and penalties o that the information on this application is true and complete. FIRM NAME: NEIL SCHOENER Licensee: Neil Schoener Signature Tel. NO.: 13949 (If applicable,enter"exempt"in the license number line.) Address:44 TRADERS LN,W YARMOUTH MA 026733333 Bus.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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. IPERMIT FEE:$75.00 I i ,. , Yelz, q4a I . at<4.- ,55— Li • RECEIVED conutwnweat7h 7 r//aeeace MAR ��4 _v ', Official tt cc�� Use Onl e �1 �[!e B U i L D I Pv G u t r •,. �; o/ �erwicse Permit No, l By _ ,_ �` BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked APPLICATION FOR PERMIT TORev. lro71 leave blank �-`-- All work to be perP�1ed in PERFORM ELECTRICAL WORK 00 {PLE,ISE PRINT IN INK OR TYPE �Ce`�'�01e Massachusetts Electrical Code(MEC).527 CMR 2- City or Town of: ALL INFORMATION) 3 YARMOUTH Date: _ 2:0 zz ,By this application the undersignet{gives notice of his or her intentio to Too the Inspector o k descr Location(Street&Number) ` perform the electrical work Owner or Tenant s)r S/` ye r'/'e 4 f C Al scribed below. �/c'vvlpvi'2�' ce Gl1.cs j' 2�itac17l Owner's Address G2r #tno?.z-f c Cr✓ch Telephone No. IsIs this permit ha conjuncts with a building � this p of it ha co m c h a permit. Yes 0 No ft,yv (Check Appropriate Box) !listing Service Amps ! Utility Authorization No. Volts Overhead Ej Und rd g 0 No.of Meters Number of Feeders and Amph, Location and Nature of Proposed Electrical Work: Overhead❑ Uad rd g ❑ No.of Meters e, lectrlcal work: ge,,,,rz. L 7'rrer1 GU v7T12 A., f. No.of Recessed Luminaires let�n, the olJowin, table m- tb `- No.of CeU.-Soap,(Paddle)Fans be waived b the I tor o Wires. �� No.of Luminaire Outlets 'o.o ota ``� N0.of Hot Tubs Transformers ICVA ` N0.of Luminaires Generators I{�rq �, Swimming Pool ' Ve n- o.of Receptacle Outlets d' ❑ d. ❑ Bate 'mergency 7 ;ng ,� No.of OH Burners Units $0.of Switches No.EZZEZEM of Zones t m.r No.of Gas Burners. `0.o r No.of Air Cond. Inidattn 'n a o.of Waste °m Devices Posers 'eat 'omp um r Tons No.of Alerting Devices Totals: ... �,.. ons `o.o So.of Dishwashers Detection/A1 out a Space/Area Heating KW ertin Devices No.of Dryers Local ❑ 'nn p '.0.o er Rea Appliances 11W Connection ❑ Other Heaters ICW y O.o No.of ystema. No.A tiro S ns Ballasts Devices or uivalent y e asaaBe Bathtubs Data Wiring: No.of Motors Total HPNo.of Devices or E,ulvalent OTHER: e cement one f _ g N0.of Devices or ' ,wvalent Estimated Value of Electrical Work,l(�4 L7 Attach equine detail mu ici pal policy.)or to Start: -1 ` Z 2 em required byas required by the Inspector of Wires. WorkSURANCE COVE Inspections to be municipal Rule RAGE: Unless waived byrequested in accordance with MEC 10,and u the licensee RAE CO proof EUnless liability the owner,no permit for the upon Ckmrpltissu undersigned provides that ' surance including"completed operation" of electrical work may and ONE:certifies such coy. :ge is in force,and has exhibited proof coverage or its substantial issue unless I CHECK INSURANCE It BOND OTHER ❑ (Specify:)P oof of setae to the permit issuingequivalent. The FIRM N ender the pa s gpdpe�fdes ojPe�n office. NAME: ,e, I ry,that the information on this application is Licensee: SG 0� Q - Pp true and complete Aplicable.enter"exempt"in the license n Signature LIC.NO.: !il 3C/�� Address: umber line.) LIC.NO.t`_' `Per M.G.L.c. 147,s.57-61 se Bus.Tel. OV1'NER'S INSURANCE �� work requires Department of Public Safe No.• ��!"' requiredOWNS ' law. ByWAIVER: I am aware that the LicenseeSafety"sh License: Attun ice No... ---------- OWNER'S Agent. my signature below,I hereby waive this does not have the liability h'insurance coverage n I am the(check one • owner y ture Telephone No. ■ owner's a;eat. PERMIT FEE:$ 7,5 --