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Home My WebLink AboutBLDE-22-000544 Commonwealth of Official Use Only IA4\4 Massachusetts Permit No. BLDE-22-000544 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:7/30/2021 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) 11 PRINCE RD Owner or Tenant JOSELOW PETER Telephone No. Owner's Address JOSELOW ALICE C, 38 SUNSET DR, OSSINING, NY 10562 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Power to dock&EV charger station . 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 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 ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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 ❑ BOND ❑ 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 Cortt 7/ 0r Oa' z7l r ck- - 33(p RECEIVED JUL 2 9 2021 Maddachttialli Official Use Only DING DEF AR _TtJA _/ CS Permit No. ��2 -C L `t' . —vs ' r '7 Serviced , OF ARE PREVENTION REGULATIONS • 1,071 Occupancy Fee(decked ------__. APPLICATION FOR PERMIT - ,, Allwain nt performed hr TO PERFORM ELECTRICAL WORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATIO with the N)Electrical Code(MEC),527 CMS 12.00 V City or Town of: YARMOUTHDate: -� 2; _ Z �� By this application the undersigned -- _.T— To the I�r o Location(Strut do Number) tad given notme oflns or be intea tiaa to perform the electricalf k d described j I P r J ,� a work described below. Ownmr or Tenant p e f e j-v S e/G,.,J - G��Sr /Lrtii v r__.a X')� Owner's Address Telephone No. Is this perms In conjunction with a biddingpit? Yes Purpose of _ �d 1^e I�CG�'T L t ! No (Check Appropriate Box) Utility Authorization No.viers �Ps l Zo/ ` Vasoverl 0 U' ❑ No.of Meters Amps / Vohs Number of Feeders and Amy Overhead Uadg�,d 0 No.of Meters Location � Cof Nature of ProposedElet ial Work: 41�I sly 141N-.� /1/1/ ec ' CA,�'. c. brit -- , S�cy,-�l i(� - �'(i'C?72ic,(%l�t`D r 6, �` - (//!/: )..)ere ?� �� !/�� the: table doe I .,_-, '4 Na of f,_ ,, . �: be ' N"r+es ail A e Tranafatmers taw No.of Swimming Foot i I ❑ a- o. r No.ofR,ecO� 1 � ❑ ,. " �� E�: ,gig No.oftH Burners ARMS s FIRE A t + 'fin -_ihmainion o.o ► _r No. Air Coed,Waste I Durkee No.of Toes I o.of AID Devices T otsa ,- No.of Minimarket: No.of Dryers ' e Devices Spaoe/ Heating o. Heating KW t,".1. sa ❑Otter Beaters KW 'o. , No. Data Wes: orNo.ofDeviees t OTHER. snge BathtubsNo.of Mots Z• RPor _ No.of Devices or , � Estimated Value of Electrical Work: 34e) -- add,nal:kliTtaire4Wi tGraiINSURANCE rqutredbdle, ,of rims.w«kto 74to be inwoe with MEC Rule 10,and I • c0v6R� Unless by the owner,undersignedthe licensee certilms Proof of liability„., :,, . including«c oo pe( r the n c of is Ibcat wok that such ., � d operation" may• unless CHECK ONE: INSURANCE is inpermitor its 1 BOND 0 OTHERproof of same to the issuing office. The FIRM NAME: �-of d erl �n on Mk is mare complete (If applhabk enter,� p L[C.NO.: /��3Cf Signature Address, �license member,� /Ur LIC.NO •Per Address: >~a I47 a s�-61, ywort avrnee/7t Bus.Tel'N • ' 6 i 7S r/ OWNER'S INSURANCE WAIVER: 1 es Department ofSafety»S,.License Art.Tel.No.• required by law. R my INSURANCE below,Iaware that the Lich does not have the i Lie.No. Agent hereby waive thisrequirement. I am the(check oII ne insurance coverage normally owner I owner's Sittnature°waeriTelephone No. PERMIT FEE:$ 7S-=