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Home My WebLink AboutBLDE-23-004868 or Commonwealth of Official Use Only TAMassachusetts Permit No. BLDE-23-004868 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:3/6/2023 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) 40 GRANDVIEW DR Owner or Tenant KEVIN MANZOLINI Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 150 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: Emergency repairs to service. 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 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 Gas Burners No.of Detection and No.of Switches Initiatinn 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/Alertine Devices Municipal 0 Other: No.of Dishwashers Space/Area Heating KW Local 0 Connection Security Systems:* No.of Dryers Heating Appliances KW Security of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent 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. requiredo Estimated Value of Electrical Work: (When b y 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 LIC.NO.: 13949 Licensee: Neil Schoener Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:44 TRADERS LN,W YARMOUTH MA 026733333 *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: I $50.00 D-C & 3Ifzz r Commonwealth ofMassachusetts Official Use Only - Permit No.: C Z-5--tkee*4127 ft\ Department of Fire Services Occupancy and Fee Checked: 1°=-,il BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] .— APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 City or Town of: YARMOUTH Date: 3 — G - 2cj23 To the Inspector of Wires:By this application,the undersigned gives notices of his or her Intention to perform the electrical work described below. Location(Street&Number): y 0 G/2.c 'f'Vet t<,.v D iav"'t Unit No.: Owner or Tenant: V' ,..--1 On A A) - -0 I, ..t t Email: Owner's Address: Phone N • Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No ermit No.: Purpose of Building: rt e l a t.e e44_4-crs o c t t St C 4"sce Mil' uthorization No.: Existing Service: / Sf7 Amps /V)/ Zy 0 Volts Overhead Underground❑ No.of Meters: New Service: Amps / Volts Overhead ElUnderground ElNo.of Meters: 4 Description of Proposed Electrical Installation: E.,e ! `¢c.e ®ve(- e -t om e a -r- 1` ` 'E Completion of the following table may be waived by the Inspector of Wires. No.of Receptable Outlets: No.of Switches: Generator KW Rating: Type:. No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices: Swimming Pool:In-Grnd.❑ Above-Grnd.❑ Hot-Tub 0 No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount 0 Ground-Mount❑ Level 1 0 Level 2 0 Level 3❑ Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: +$ / .5 d 0 (When required by municipal policy) Date Work to Start: 3,4, 201-3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: A)611 Cc G o e 4 e r A-1 ❑or C-1 0 LIC.No.: Master/Systems Licensee: LIC.No.: A 13 q Y q Journeyman Licensee: LIC.No.: C -7 'y I Security System Business requires,a/Div_ision of Occupational Licensure"S"LIC. S-LIC.No.: Address: q l i2 4(2,S Csx) ` l�'s Email: 4 ..eC t (( II i Q Cv Lto r. /Le Telephone No.: 5-d D 7 I certi un r the pai and penalties of perjury,that the information on this application is true and complete. Licensee: Print Name: lk L, 1 S LI-u' c�`J Cell.No.: ,-0®'1-7i `I757 INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability including"coin ed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of s e to the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER 0 Specify: 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 agent 0 Owner/Agent: Tel.No.: Signature: Email.: