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Home My WebLink AboutBLDE-22-003826 Commonwealth of0 Official Use Only likMassachusetts Permit No. BLDE-22-003826 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:1/10/2022 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 wo de ri glow. Location(Street&Number) 76 ASTOR WAY IS�I((j/� Owner or Tenant Jim Troup Telephone No. Owner's Address 76 ASTOR WAY, SOUTH YARMOUTH, MA 02664 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: Install bathroom fan&relocate laundry. 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 i,, Initiating Devices No.of Ranges No.of Air Cond. ons TotNo.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p 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:* ry No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Stens 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 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: $75.00 Ri et{ (i (/ / Y' ,,Q., 9/817,,,,,g Commonweal o`Maddachudstid Official Use Only ^-='B'=" cc�� cc77 nn Permit No. E.-2�-3 E2L /I•:„,; �C.lspartmsni 01 J`irs Jsrvu:ed }'1 17 a Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK VAll work to be performed in accordance with the Massachusetts Electrical Code( EC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: —10 7-02 2- \ City or Town of: YARMOUTH To the ector of Wires: By this application the undersigned give n his or her to perform the electrical work described below. Location(Street&Number) —2 Co A S -r- -------ye (,j two Som . "fm-otu:.rif V Owner or Tenant 1t gi'r't • —T,i Jf Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building !4-0 slv Q Utili uthorization No. `— Existing Service j()() Amps P j7-0 / )Volts Overhead Undgrd 0 No.of Meters I '\' New Service i�-- Amps / Volts Overhead 0 Undgrd ❑ No.of Meters V Number of Feeders and Ampacity e Location and Nature of Proposed Electrical Work: /t}-DD �i1i RIO * Aitioase re/ate , z,4v41,4 A Completion of thefollowingtable m be waived by the Inspector of Wires. CI! No.of Recessed Luminaires No.of Cell:Sasp.(Paddle)Fans No.oto Total Transformers KVA ick'=1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA 't" No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grad. ❑ Battery Units � No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones ` No.of Switches No.of Gas Burners No.of Detection and iInitiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number 1 Tons .1 KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal , Connection ❑ °ther No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent Heaters ' No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:'#,2-6240 (When required by municipal policy.) Work to Start: [-11- 7-0 22 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 liabilityi Lance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify,under the p ins and penalties of perjury,that the information on this appli anon is true and complete. FIRM NAME: ea_( Sa p r....-1a r- -----j LIC.NO.: -3' Licensee: �/ Signature LIC.NO.: (If applicable,entgr;:exempt"in the livens_ enymberlin v Address: uev , Bus.TeL No.: VY-776 j8�2 *Per M.G.L.c. 147,s.57-61,security work requires Departm t of Public Safety"S"License: Alt.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 a,ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ .