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Home My WebLink AboutBLDE-23-03173 -"' Commonwealth of Official Use Only �. , " Massachusetts Permit No. BLDE-23-003173 . ;" 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:12/8/2022 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) 18 SCALLOP RD Owner or Tenant BETTY POWERS 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 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: Remodel 2 bathrooms&laundry room. 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 ❑ 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 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 ❑ 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 Signatur2e_ / 7 Telephone No. y PERMIT FEE: $75.00 S ;t l S+ tf V - ( ,. Gal z,.J ;2l /Z✓ R E CEr - E ® p a' €C 0 8 2022 nwaaGth o/Maeaarlaudstfe Official Use Only x.-. `j 2-"j -79 ('7.-' l 4.4 l't c� e7 Permit No. � t, yi,ING 1-C.PrkRTMF a imam of ire arvicsd Ir __BOARD-eFPfRE PREVENTION REGULATIONS [ e .Occupancy/00 (leavd e blank) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfonned in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: f' z v - :0 2 "iA - City or Town of: YARMOUTH pof To the Inspector Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. i Location(Street&Number) ), S S 6 . l c. L i. I t,t) , i,ce .l y (.,_441,2t../7/ Owner or Tenant 1 z H i / a 1,ve/LS Telephone No. ,,, Owner's Address Is this permit in conju,f tion with building permit? Yes No ❑ (Check Appropriate Box) L Purpose of Building t' / 'U' Utility Authorization No. ,. Existing Service -2b t Amps f 2-, / 2 4°Volts Overhead 0 Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: - /74-771.46.4'tS Lt'2 6 . L4if'? Aa y dirce'u V) Completion of the following1table may be waived by the Inspector of Wires. is No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total rvi Transformers KVA C;1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA C try No.of Luminaires SwimmingPool 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 c: _ _ Initiating Devices 11•I No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers eatPump um NumberTons o.o e onto ne p Totals: Detection/Alertin g Devices No.of Dishwashers Space/Area Heating KW Local 0 Co nunnnection p ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts Ncommunications g: o.of Devices or Equivalent Hydromassage Bathtubs No.of Motors Total HP TeTeNo.of Devices or Equivalent I OTHER: e-/l;t 6; , 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: / - e 2"'2 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' urance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov ge 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 pains and penaltiesofperjury.that the information on this application is true and complete. `( FIRM NAME: ,/� t',C. 3 C Gt d t''?t' LIC.NO.: / Licensee: Signature LIC.NO.: (If applicable,ler'exert if in the license number line.) .,T...... ;t Bus.Tel.No.: ref; `7(� f � 7 Address: 4 r 2 A-l2,,,,L' G 4/ ` 2 S/ /44.4'l G C�4 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department o Public Safety"S"License: Lic.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)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.