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Home My WebLink AboutBLDE-23-001545 Commonwealth of Official Use Only " ' Massachusetts Permit No. BLDE-23-001545 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:9/23/2022 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) 181 &183 RIVER ST . Owner or Tenant JOE GILMORE Telephone No. �e,t it • Owner's Address (*I'0 (ii Is this permit in conjunction with a building permit? Yes 0 No 0 (Cherck /fo�� i 73(17 Purpose of Building Utility Authorization No ', 1 WV 'k Existing Service Amps Volts Overhead 0 Undgrd 0 f. New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Temporary servic -A50004_ Ke Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting No.of Luminaires grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Ton Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Municipal 0 Other: No.of Dishwashers Space/Area Heating KW Local ❑ Connection Appliances KW Security Systems:* No.of Dryers Heating pp No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required bymunicipal policy.) Value of Electrical Work: (Whenq p p y') 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 LIC.NO.: 13949 Licensee: Neil Schoener Signature (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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. (PERMIT FEE: $50.00 I r n fc12- Prole - -rtic0 i —7g ,Qtt`c -s% )- ,p/ ive„&v 1 Commonwaatth el IllaimaLlumaito Official Use Only • ..z.:*i Permit No. �Z�-' IS ' / y- 1112". .,i_'.oas,ns nJ of Jigs�H uw.O I i Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. (leave blank) I, APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK an All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 v (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: q "` 2 — () 2 2 City or Town of: - YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention toperform the electrical work described below. Location(Street&Number) / 6-0 ,S p tJ 1'67 Sr S 6 , V At2 C)val Owner or Tenant `T-oe 6 t I Md_ I e 'Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ErNo ❑ (Check Appropriate Box) Purpose of Building 1400 A Otleflteia kw/. ('U1 t. Utility Authorization No. le, 6-? 0 ii 7 NI Existing Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters `---- 2° 2(10 New Service /�� Amps / / o Volts Overhead�Undgrd 0 No.of Meters c Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: /o Q%LAI/niter/44X de.e. Se dl.Ce. o, Completion of thefollowing.table nay be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans Troansformers Total 1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting 47 No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units '1 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners "No.of Detection and 4 Initiating Devices 1 k! No.of Ranges No.o)'Air Cond. Total No.of Alerting Devices g Tons No.of Waste Dht ra Heat Pump limber Tons .__KW•_. No.of Self-Contained 1 Totals: Detectlon/Alerting )evices No.of Dishwashers Space/Area Healing KW Local 0 Municipal ❑ Other Cyyossnnection No.of Dryers Heating Appliances KW Security ec ofDevices 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 TelecommunicationsNo.o evices or Equivalent Wiring: OTHER: ,� Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Works` 0® (When required by municipal policy.) Work to Start: 9-21--401-2- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless w:' 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 yG BOND 0 OTHER 0 (Specify:) I certify,under the pains pnd penalties of perjury,that the information on this application is true and complete. FIRM NAME: "-t# L- S C r�-mot_'t-/ - �" LIC.NO.: /V` p 19 Licensee: Signature)6 LIC.NO.: (if applicable,enter Eefem t"k the license numj)ye.) / Bus.TeL No.. )4, je Address: 4G`i /`4 -)' `''- 7 ` Alt.TeL No.: r D� *`Per M.G.L.c. 147,s.57-61,security work requires Department of Public 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)0 owner ❑owner's agent. Owner/Agent PERMIT FEE:$ Signature Telephone No.