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HomeMy WebLinkAboutBLDE-22-001845 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-001845 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:10/1/2021 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) 13 FLUME CT Owner or Tenant Duane Crea Telephone No. Owner's Address 13 FLUME CT,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 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of N eters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel 1wst floor bathroom. 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- 13No.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 ❑ 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 Signs 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 UT 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 g4 Commonwea&o`ri/adeachueettte Official Use Only r B, C cc�� n Permit No. n A,. t spar1m.rd 4 ire Serviced 1�M- Occupancy and Fee Checked ' �fi Yam.. BOARD OF FIRE PREVENTION REGULATIONS ''� 0' [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code EC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: — 3 D —2 C e I 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) f 3 Pi_ U r1 l c I W ej 7`‘1 Q,c e; Owner or Tenant 7). U c /i P G r ?G--- Telephone No. 4 Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) ,2 i— c70Se f3 7 Purpose of Building Utility Authorization No. ` Undgrd g Existing Service Amps / Volts Overhead❑ Und E 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: /S j Float__ ,' ce,v-toe �ei� Completion of the followinvable may be waived by the In vector of Wires. Lb No.of Recessed Luminaires No.of Cell.-Soap.(Paddle)Fans No.of Total Transformers KVA '4 No.of Luminaire Outlets No.of Hot Tubs Generators KVA (CA t" No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting grnd. grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones •c No.of Switches No.of Gas Burners No.of Detection and 1 r Initiating Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump I Number 1 Tons f RW 'No.of Self-Contained Totals: I l Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municppa Connection ❑ other No.of Dryers Heating Appliances KWSecurity Systems:* No.of No.of D No.of Water evices or Equivalent Heaters KW No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent CO Attach additional detail if desired,or as required by the Inspector of Wires, Estimated Valu of Electrical Work: © ""` (When required by municipal policy.) Work to Stan: 30 -7-tl2i( Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waiv s by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability i ranee including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cove.':e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE L BOND 0 OTHER 0 (Specify:) I certify,under the p i 'an,d p�Wallis per ry,that the in ormation on this ai(jA,,,? pplica 'on is true and complete. FIRM NAME: /G;� e2 t -cc� �} LIC.NO.: ljl �7 Licensee: Signature (If applicable,ent gxf mpt"in a lie use number Jin .) `2--tIC.NO.: Address: Z-Y 9- wis 0(1_04, Bus.Tel.No.. Gr 7 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public S fety"S"License: Alt.Lic.No. OJ 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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$