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Home My WebLink AboutBLDE-23-002970 Commonwealth of Official Use Only -4 Massachusetts Permit No. BLDE-23-002970 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:11/30/2022 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 describe be ow. �,n,�j Location(Street&Number) 5 NEW HAMPSHIRE AVE Ci�1P.;� 1g4- NaJC_1`'-l 1 _, Owner or Tenant FEAliiiceicbtlAAVILEVIP Telephone No. Owner's Address ,S1A-VIII2f, 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: Completed wiring on street level of house in flood zone. 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiative 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 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 0 BOND 0 OTHER ❑ (Specify:) I certify,under the pains and penalties ofperjury,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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 cMO/L 7 /ii, t g4 Commonwealth of r/taeeachaeette Official Use Only ^a:Y�,••-[t Serviced Permit No. C�2-3'7-5 /Q • - at.,,h apartment of give - I e Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK U All work to be performed inaccordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /1' 3 0 - 2 b z Z 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) .S N' '' N esm p s,+tz c 2✓c t Owner or Tenant S)I''i l,)q j rJ /\),,4 ILA If A P., Telephone No. Owner's Address v Is this permit In conjunction with a building permit? Yes ErNo ❑ (Check Appropriate Box) Purpose of Building 6AI C(O$(,d U/iIk-e f 4semen Utility Authorization No q Existing Service 2--0() Amps J 2 p/ /0 Volts Overhead❑ Uodgrd No.of Meters / New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampaclty Location and Nature of Proposed Electrical Work: aOM/ICie i.s i'9 {-p e,,c(o5-e d Wp[I(-OUT ., 5"ill o ho'7 :0,75P,17 id- x4.'r5 a Ara IX s :1 o49 rFlm ,2->v4'cs I-/yl ea r;7.e/rcr//2 v) Completion of thefollowin&table may be waived by due Inspector of Wires. lh No.of Recessed Luminaires Na of Ce6.-Susp.(Paddle)Fans No. al Transformers KVA KIN No.of Luminaire Outlets Or No.of Hot Tuba Generators KVA h' No.of Luminaires 7 Swimming Pool sAtbuodv ❑ Igrnad. ❑ Naott.oefr yE mnertgency Lighting — No.of Receptacle Outlets / No.of OB Burners FIRE ALARMS No.of Zones ▪ No.of Switches 0 No.of Gas Burners 'No.of Detection and Initiating Devices 1 t_) No.of Ranges No.of Air Cond. Tons No.of Alerting Devices / Na of Waste Disposes Heat Pump Number Tons",.KW"_ No.of Self-Contained Totals: "" "" Detection/AlertingDevices Na of Dishwashers Space/Area HeatingKWMunicipal P Local 0 Connection 0 Other No.of Dryers Headug Appliances KW Security o.of Devicese or Equivalent No.of Water No. No,of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Tel Na of unica ioor Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of E ectrical Work: -di 3 0 0 a (When required by municipal policy) Work to Start: /I L q Z Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RA Z E: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability in ranee including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coy a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND❑ OTHER❑(Specify:) I certify,under the paps and penalties of perjury,that the information on this application is true and complete. ae FIRM NAME: /V e,( St:tia{%tC," n� )) LIC.NO.: CT��9 ? /v/ Licensee: Signature -VC h pe'l e LIC.NO.: (If applicable,e�n{{eerr e�e�rypt"in Ih Peens number lint.) Bus.Tel.No.. Address: r(u 1 it A+u�� W i,v 65 i /61A--rrcu7J /lt.}"0"L4)2 Alt,Tel.No.:C�1771 f4 7 °Per M.G.L.c.147,s.57-61,security work requires Department of 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 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$