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Home My WebLink AboutBLDE-22-002721 or ttp4 e,1,�I\ Commonwealth of Official Use Only fE ti ii Massachusetts Permit No. BLDE-22-002721 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:11/10/2021 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) 34 CREST CIR Owner or Tenant PALMER DAVID Telephone No. Owner's Address PALMER MELISSA A, 63 PROSPECT ST, MELROSE, MA 02176 40 Is this permit in conjunction with a building permit? Yes 0 No 0 (C44, .pro „):ox) Purpose of Building Utility Authorization • , Existing Service Amps Volts Overhead 0 Undgrd 0 volirr. i7 New Service Amps Volts Overhead 0 Undgrd 0 a et •. �A Number of Feeders and Ampacity O 17D Location and Nature of Proposed Electrical Work: rewire kitchen ? 1° Completion of the following table yft i i.•,•, , Spector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle) !Fans No.of O 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 0 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 Signature Telephone No. PERMIT FEE: $75.00 1 A- 1 gill L (Q1,' 64) a()cal 0-1(412( 1 � I " Commonwealth of/rlandae(iadettd Official Use Only ^r:y�,�.: cc-77 � Permit No. C?- -it Z I r— oparinurnt of. irs Jeeuiced �I Occupancy and Fee Checked V '' BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) -41 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: ` — — Zi)Z City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives anti a of his or her intention to perform the electrical work de.s3cribed below. Location(Street&Number) 3 t4j C_ nC C L�l� IN GS( � yt""r1T/ { Owner or Tenant 1 -v-Q f e'l(�wL. L. Telephone No. Owner's Address / jIs this permit in confurct,ion with a Building permit? Yes ❑ No (Check Appropriate Box) .rlt Purpose of Building L'(Zye.', C•Ciew e.L . Utility A orization No. Existing Service fGO Amps )' / 20 Volts Overhead Undgrd❑ No.of Meters 1 r New Service Amps / Volts Overhead ❑ Undgrd g ❑ No.of Meters �• Number of Feeders and Ampacity .. Location and NatureNature of Proposed Electrical Work: k_cooi/`C (,(..�;-z6.— CO�,,t^'r P(�S- f� r y' ✓'S S�i - /Q I�I tQ n ' �t 1 J Completion of the followinkiable may be trained by the Inspector of Wires. U No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.or Total Transformers KVA (r No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above 0 In- 0 No.01 Emergency Lighting A No.of Luminaires Swimming Pool ¢rnd, 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 r 1 No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Rest Pump Number Tons KW No.of Self-Contained Totals: .._............... ........_............ --- Detection/Alertint�Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipnnection al 0 Other Co No.of Dryers Heating Appliances KW Security Systems:' No.of Devices or Equivalent No.of Water , No.of No.of Data Wlrin ns Ballastse' Heaters Si ¢ 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{Mires. Estimated Value of Electrical Work: 5 (When required by municipal policy.) Work to Start: L I. e Z074 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO GE: Unless waived 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 BOND 0 OTHER 0 (Specify:) ertify,under the atirtsand penalties oj.p,erj ry,that the information onon this application�t is true and complete. A q® II ._... p RM NAME: p/r/�4J c.1LU C Ae-.��-- �/ _q Zl/ LIC.NO.: ,e M 1_3 qt l Ui -7 L cenaee• Signature IIns g el. NO.: z( applicable,enter"exempt"in the license number line.) Bus.Tel.No.• /'"/7 G -?� ]P�7 CV a A.dress: Alt.Tel.No.: .]V 1 is s--7 •'er M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. Lis' 2 Ci NER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally U, > Z r.,aired by law. By my signature below,I hereby waive this requirement. I am the(check one)D owner 0 owner's agent. o 116 ner/Agent (j,1'L� _,S nature Telephone No. (PERMIT FEE:$ pr