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Home My WebLink AboutBLDE-23-002076 Commonwealth of Official Use Only k-` !Ii ` Massachusetts Permit No. BLDE-23-002076 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:10/18/2022 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) 217 SOUTH SHORE DR Owner or Tenant KOKORAS CHRISTOPHER Telephone No. Owner's Address P 0 BOX 790,WINCHESTER, MA 01890 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: Install generator. 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 1 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 Initiatine 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/Alertine 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 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 (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 c 1 71/s/ v fi (6Liv41446,_ 24 /Z1i0 RECFIVED 1 �^' Commonwealth ///aedachuseifa Use Only OCT 8 r.w� c Official BUILUIN:;. 0;---)T 3e/oarlmanl o/Jie.Jaraices ay`— II OARD OF FIRE PREVENTION REGULATIONSOccupancy 1/0 ] (I mwankFee )ked su -•`\.!t:� [Rev.I/07] (leave bunk) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK S All work to be performed in accordance with the Massachusetts Electrical Code(M ),527 CMR 1 00 L (PLEASE PRINT IN INK OR TYPE ALL INFORMATIOM Date: 1D —/ fie—04 Z a u City or Town of: YARMOUTH To the Inspector of Wires: s. By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) V IZ(LC- Owner or Tenant (-()2( Ode?4 4 S' Telephone No. Owner's Address • S Is this permit in conjunction with a building/y-pe"rmit? Yes ❑ No El (Check Appropriate Box) ! Purpose of Building .416 IC C_s -ll F. 1i'r rp.Z Utility Authorization N . , �" ExistingService ACC) Amps /LD l p Zc/D Volts Overhead❑ Undgrd No.of Meters t New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters 41 Number of Feeders and Ampacity i Location and Nature of Proposed Electrical Work: t, l f004n f B„Ica-c.' G•2:te(-etr . a, ' Completion of the followinglahie may be waived by the Inspector of Wires. ill No.of Recessed Luminaires No.of Cell:Snap.(Paddle)Fans No.of 7 otal VA • ;,A Transformers KVA n No.of Luminaire Outlets No.of Hot Tubs Generators KVA d- Na.of Luminaires • Swimming Pool Above 0 In- 0 No.01 Emergency Lighting grod. trod. Battery Units • No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones T No.of Switches No.of Gas Burners No.of Detection and t Initiating Devices it! No.of Ranges No.of Air Cond. Tool No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW_ �No.ofSelf-Contained Totals: ..... ........,...._......_.... ��-�� Detention/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑Municfpa er Connection 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 No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP felecommunications 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: 1 30c70 (When required by municipal policy.) Work to Start: J0 -/E3.-2 ctt Inspections to be requested in accordance with MEC Rule l0,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 i ce including"completed operation"coverage or its substantial equivalent The undersigned certifies that such cove a 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 pltqs and penalties of perjury,that the information on this application is true and complete. dd FIRM NAME: /V ss L '5 C if 0 e-'c2 LIC.NO.: rt f 9LC? Licensee: Signature e�-C LIC.NO.: (If applicable, T ens r"exem t"in the license number line.) Bus.TeL No: Y. Address: lot{ oG2S Cm-0 (.t�2Ssf felku-p-r7( Alt.TeL No.. 5D0 -7-X/e -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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$