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Home My WebLink AboutBLDE-23-000026 Commonwealth of A or Official Use Only ttt Massachusetts Permit No. BLDE-23-000026 AA 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:7/2/2022 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) 36 PROSPECT AVE Owner or Tenant Mike Sprague • Telephone No. Owner's Address 36 PROSPECT AVE, 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 �T Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Miscellaneous work per attached 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 grnd. ❑ In- ❑ No.of Emergency Lighting rnd. 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 I Tons I KW No.of Self-Contained ITotals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Municipal Local ❑ Connection 0 Other: No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: Signs 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: (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 I certify,under the pains and penalties o (Specify:) f perjury,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.: 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/Agent ) 0 owner 0 owner's agent. Signature Telephone No. PERMIT FEE:$75.00 l/ /ll/7 ice' (746z /M07-71Q0k 30_6-ci, et_ ac )4rctswu st-AjO --C('N)o-c__- 6 Cal 1e-e__, Commonwealth Official Use Only o�///aaeac�iuealfa _- -Al h l.}i„s Jsrvicsd Permit No. 2-3 2sparfmsni o k. ' ` ; ' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked Rev.! 1/071 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 v (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of: v^ R n u Date: `"� l ,Q Z 2 e By this application the undersigned gives notice O her n intention to perform the elTo the ectrical work des ri Location(Street&Number) l' PO S. eG y bed below. Owner or Tenant j y.( T t? ale No.T- Iy¢� U��f c f Owner's Address S` tau. Telephone No. y Is this permit in con junction with a building permit? Yes No Purpose of Building A'tree-4 P)Q4S ❑ (Check Appropriate Box) Existing Service Utility Authorization No. T Amps / Volts OverheadNwCe ❑ Undgrd ElNo.of Meters Amps / Volts Overhead Number of Feeders and Ampacity ❑ Undgrd 0 No.of Meters Location and Nature of Proposed Electrical Work: k �A� Cl�`clrl7 s D u T/Lss e t-ec ass It k� e4 ti►ot/vopr-/geP., atrht=, co,,,r6-14lv ��! Com,kilon o the ollowin' table m 9f off' No.of Recessed Luminaires be waived b the In .ector o Wires. No.of Cell.-Soap•(Paddle)Fans T o•o ota No.of Luminaire Outlets Transformers KVA �\ No.of Hot Tubs Generators KVA `'i No.of Luminaires Swimming Pool rode [- n- 0 '0.o mergency g m �` No.of Receptacleg ' d. Bette Units Outlets No.of Oil Burners No.of Switches FIRE ALARMS No.of Zones No.of Gas Burners `o.o r etec on an t`` No.of Ranges Initiatin, Devices c. No.of Air Cond. ota `eat 'ump `um er Tons No.of Alerting Devices No.of Waste Disposers Totals: ............_..__-.......... o.o e - ont: n No.of Dishwashers Detection/Ale Devices Space/Area Heating KW0 'un c a No.of Dryers Heating Appliances Local ty ystemsp: Other `o.o "a er KW ystems: Heaters KW 'o.o .o.o No.of Devices or E uivalent Si,us Ballasts Data Wiring: No.Hydromassage Bathtubs No.of Devices or E,uivalent No.of Motors Total HP a,common ca I one " r g: OTHER: ,�( No.of Devices or E E.uivalent Q a 0 Attach additional detail ifdesired,or as required by the Inspector of Wires, Estimated Value of Electrical Wot k Work to Start: �_•.- Zo2 2 (When required by municipal policy.) INSURANCE COVERAGE: Unless waived by pections to the requestedwner nopermit accordance the performance of ule d upon completion.ass the licensee provides proof of liability i ranee including"completed operation"coverage or its substantial equivalent. The electrical work may issue unless undersigned certifies that such cove e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND I certify,under the pal s and OTHER 0 (Specify:) FIRM NAME: g penalties of perjury,that the information on this a plication is true and complete. sr- C J Ci' 6ena T Licensee: LIC.NO.: 1 ` ` 7 (Ifapplicable,enter"exempt"in the license number line.) Signature Address: LIC.NO.: 'Per M.G.L.c. 147,s.57-61,security work requires De Bus.Tel.No.Lic. r�� OWNER'S INSURANCE WAIVER; I Department of Public Safety"S"License: Alt.Tel.No.: / gmred law. mysignature am aware that the Licensee does not have the liability insurance overage normally madly reOwner/Agent gnature below,I hereby waive this requirement. I am the(check one Signature owner • owner's a:ent. Telephone No. PERMIT FEE:$