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Home My WebLink AboutBLDE-20-006476 Commonwealth of Official Use Only or Permit No. BLDE-20-006476 '€� Massachusetts 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:6/30/2020 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 ork described below. Location(Street&Number) 33 CREST CIR Th'up v li 1 �-f" 1 GQ. Owner or Tenant WALSH MARGARET R(EST OF) Telephone No. Owner's Address C/O NANCY GULLBRANTS,45 CAMBO ST, BROCKTON, MA 02401-5862 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: Permit to close out expired pemmi j 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 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 cru- 7/4w cig x;,, .- f: Win` .. - - - .IN '„ . t , rat'` l�omnsont sr{ o4 auc,,ad tid, ' Official Use Only U Permit NoL&PVCsdOccupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: 6 r 30 28 20 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intentiorl to perform the electrical work described below. Location(Street&N ber) 3 3 C r-i r Cr ft(e. w''S! az..ne Owner or Tenant 0# f 14/M e/ Tele one No. I Owner's Address Is this permit in conjunction with a building permit? Yes "No ❑ (Check Appropriate Box) Purpose of Building3✓�V �k�diUtility Authorization No. •�V Existing Service a l) Amps /.�/2V�oits OverheadlbJ� f❑ Undgrd No.of Meters E New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters VI Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: it)/f`G �1 �/2 hbs2 Completion of the followinktable may be waived by the Inspector of Wires. Qs No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total K �- Transformers VA C.1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.of Zones c. No.of Switches Na.of Gas Burners 'No.of Detection and Initiating Devices 11,` No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons KW No.of Self-Contained Totals: ...._ ........._.._...._. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal other Connection ❑ No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Heaters KW Signs Ballasts Data Wirin No.of De ices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wlring. No.of Devices or Equivalent OTHER: �� Attach additional detail if desired,or as required by the Inspector of Wires. J/� Estimated Value of Electrical Work: T (When required by municipal policy.) Work to Start: 6--30-Zo2O 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 liability in ce including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove 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 pal nd penalties o P f p rjury,that the information on this application is true and complete...A FIRM NAME: C 4JQC�er- , LIC.NO.: /W3 9 I Licensee: Signature (If applicable,enter;gttempt'�in the li arse num &ne LIC.NO.: Address: /t' t ��+ �' ��/9 D DOGBus.Tel.No.: 7/8S7 No.: *Per M.G.L.c. 147,s.57-61,security work requires Department f Public Safety"S"License: Lic.Tel.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 II owner's a_ent. Owner/Agent Signature Telephone No. PERMIT FEE:$