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Home My WebLink AboutBLDE-21-004975 Official Use Only or 7 Commonwealth of 1't` Massachusetts Permit No. BLDE-21-004975 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:3/3/2021 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) 63 PARK AVE Owner or Tenant RICHARDS DOUGLAS J Telephone No. Owner's Address RICHARDS ANNE L,2 ADARE ROAD, MENDON, MA 01756 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: Wiring for diningroom, office, bedroom, &kitchen. 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 ,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: $100.00 .,f14Z Lommoawtaw.o`r/Iaddae Official Use Only - ... _ ,.,SZ's 2�4 Jd m ccs. Occupancy Permit No. � a 7� BOARD OF FIRE PREVENTION REGULATIONS [Rev. anti Fee Checked (leave blank) 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: /'14iC// 02 -2a-2, / City or Town of: YARMOUTHTo the Inspector of Wires: et By this application the undersigned givesyrof his ox anto dextbed 6elo�t. Location Street&N ,E , r (gyp /G'�Q_ �� `/� � /Acme m l/j17/ aOwner or Tenant A O (I G 100 Cit..4 F't�r elephone No. SOwner's Address iIs this permit in conjunction with abuiiding permit? Yes No ❑ (Check Appropriate Box) Purpose of Building 4 Dv/7-7 0 nS Utility orization No. `'' 1 Existing Service ROO Amps /N/AP difotts Overhead Undgrd 111 No.of Meters ' ( New Service Amps I Volts Overhead 0 Undgrd 0 No.of Meters I Number of Feeders and Ampacity • S Location and Nature of Ppposed Electrical Work ‘4,,%/0'e 1J IA✓/n t:. '`gemOF i c e, . 4t v e �DDi�7 it j I2he i /��.s�c�/t e , . �u{s� Completion of the followinktabk m be waived by the f of Wires. Total '.2; No.of Recessed Luminaires No.of Cell.-Sasp.(Paddle)Fans No.of �; Transformers KVA CI No.of Luminaire Outlets No.of Hot Tubs Generators KVA Na of Luminaires Above In- No.of Emergency LightingSig grad. ❑ erne. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of ecInitiating De vices 1.1 No.of Ranges No.of Air Cond. Total No.of AlertingDevices Topa Na WasteHeat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 MuniciPCo on 0 Other DryersHeating Appliances KW Seco Systems:*No.offiances Na of D� or Equivalent No.of Water KW No.of No.of Data Wiring: HeatersSigns Ballasts No.of Devices or ' , ;, No.Hydromassage Bathtubs No.of Motors Total HP Tdeco of Devices r ' ` „ • No.of Devices or EQ , _ OTHER: IAttach additional detail IIf desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: I�ea./ (When required by municipal policy.) Work to Start:f yl/Lea f-/ A; lions to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waiv s .,the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability•1 •, including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov- is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE U BOND 0 OTHER 0 (Specify:) I cerdfy,under the 7rIndpew o perjury,that the' n on this application is tree and complete C� FIRM NAME: e - / SG IStOY'4 LIC.NO.: /41., < `1? Imo: SignatureYC,L/..- l'r--- LIC.NO.: lflaPPlicabk- .fie!' nro»ber l' Bas.Tei.No.; Address: �� pt! i� ' r 6 �'Ts ��v�l�� if/G �� < �' *Per M.G.L.c. 147,s.57-61, workArt.Tel.NN ..: security requires Department of Inc Safety"S"License: Lid.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 Signature Telephone No. I PERMIT FEE:S • •... • 1 „ - • ... .2 • . . • • • • - . . 1 . . . •