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Home My WebLink AboutBLDE-21-006698 Commonwealth of Official Use Only O - Massachusetts Permit No. BLDE-21-006698 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:5/19/2021 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) 13 FLUME CT Owner or Tenant Duane Crea Telephone No. Owner's Address 13 FLUME CT,WEST YARMOUTH, MA 02673 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 ❑ 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: Wiring for bathroom fan/light. 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 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 Siens 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 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: $60.00 0.6{}46a4 C.7 (zif to c4-e___ 7fi/ 2( re $4 Cowrmetures[ak o 1?/ieswcltweerre Oiiciaal^l//Use Only ��/j 2e�.1i„s Permit No. ' C.ti . .. ,,' J' ^ BOARD OF FIRE PREVENTION REGULATIONS and Fee Checked [Batu.i/07J (lestieWmk) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All wet to be performed a accordance with the Massachusetts Electrical Code (MEC).527 CMR 12.00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: s .—` 1 -2 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 d n'bed below Cv Localism tisu(Street&Number) 1 ; F` Urn e L T' �,1/.cS r Yd/2 m - a Owner or Twat D 0 Cf✓I L, 6 (' z-' Telephone No. Owner's Address Is this permit V with a permit? , Yes No 0 (Check Appropriate Boz) 6.�' Z/-Cb5 4/3- \ Purpose of g i Y 77/ I' I/O G Utility Authorization No Service U Amps / Volts Overhead 0 Uudgrd 0 No.of Meters New Service Amps I Volts Overhead 0 Uadgrd 0 No.of Meters Number of Feeders and Amps dty / / f � Location and Nature of Proposed Electrical Work /A (+Z t 21//7 f —^ 7L Lt-117-- 6 s C y /sF COMPieNoa colds*he_ fi16Je+7 be waived by the hotoector No.of Recessed Luerares No.of CA.-Soap.(Paddle)Fans Tr of of Wires. Transformers KVA _ A No.of Luminaire Outlets No.dad Tubs G KVA -t _ No.of maatiaaireo Peel/aid. ❑ I out ❑ r Battery units Emergency Lighting No.ofReceptacle Outlets No.000 Burners FIRE ALARMS (No.of Zones 4.1Neto No.,of Gas Burners Neat of Detection asd -/ I L+ Devices No.of No.of Air Cond. �j Mo.of Alerting Devices No.o Waste Dlappgs I Number'Tons [KW No.oS , evices No.of Dishwashers Space/Area Heating KW Local 0 M� 0 Other No.of Dryers H Appliances No.of WaterWiring: _ Beaters KW im.of No.ofd Security °O or Equivalent Signs Bad No.oDeviw or lhairrt ,, No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or t OTHER: az) AMA addbiorwidekdl Bird oras required by the!Iupecror of Wires. Estimated Value of Electrical Work: (When by mu policy.) Work to Star --1 7 7-1 ,,-;,. , , to be requested in accordance with MHC Rule 10,and upon conviction. INSURANCE COVERAGE: Unless 'vel by the owner,no permit for the performance of electrical work may issue unless the lic undersigned provides es that suchfliability ,ism,. including operation" or its substantial equivalent. The force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE I1 BOND 0 OTHER 0 (Specify:) I ender theP�sl / , on this ,. , ; Is tree and c (3g 6 FIRM NAME: L G C 2 C.NO.: 7 / Licensee i ' . (/f atter• _ LIC.NO.: a Address: a i hs > C/ Wes% �7i(44e L n .Td.No• ,76 i Fs 7 *Par M.G.L.c.147,s.57-61,security work „S„License: -TeL No.syL j��% requires Depart of � �.� is Safety 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,1 hereby waive this requirement, I am thecheck one))❑owner 0 owner's agent. Sigruiture Telephone No. I PERMIT FEE:$ I