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Home My WebLink AboutBLDE-23-002720 Commonwealth of I Official Use Only ri Massachusetts Permit No. BLDE-23-002720 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked -[Rev.l/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:11/16/2022 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) 5 CAPT NICKERSON RD Owner or Tenant KAREN DELANY Telephone No. Owner's Address 5 CAPT NICKERSON RD, SOUTH YARMOUTH, MA 02664 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: Replacement of meter socket 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 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 0 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 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 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: $50.00 <<1(7(� g4 Commonwealth of/r/amachise.iie Officialci One Only k cy� �i Permit No. - -./—[.72J9 i1Jspartm.nl.Biro Serviced Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank)ank) •y APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK /= Al work to be performed in accordance with the Massachusetts Electrical Code(MEC)527 C R 12.00 - (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: // II, 7 O Z City or Town of: YARMOUTH To the Inspect of res.- By this application the undersigned gives notice of his or her intention to erform/the�meson e d electrical work escrib belosyyy... V S CA �7' C cu Location(Street&Number) / ,/ • A2.4,u.l. Owner or Tenant //.4 r" /1 0,e,/a,--) Telephone No. Owner's Address l Is this permit in conjunction with a building permit? Yes ❑ No ti (Check Appropriate Box) y, Purpose of Building / p/q It IG /- S OcdC 4t Utility Authorization No. /// er t/3/, ,I ExistingService .�,I Amps / Volts Overhead❑ Undgrd❑ No.of Meters "_ New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters , Number of Feeders and Ampacity C.f Location and Nature of Proposed Electrical Work: (� Pitt C` !(7c 4 eve./xsrd Me.kr Socc4T vi Completion of the followingtable mD,be waived by the Inspector of Wires. ?!r No.of Recessed Luminaires No.of Cell:Soap.(Paddle)Fans No.or Total Transformers KVA ,C.2 No.of Luminaire Outlets No.of Hot Tubs Generators KVA f'` No.of Luminaires Swimming Pool Above 0 In- No.01 Emergency Lighting Jtrnd. grnd. 0 Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No,of Gas Burners 'No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals:I.......... .._..�_...............�........ ........_. Detection/Alertin Devices No.of Dishwashers Space/Area Heatin Municil B KW Local0 Connection 0 Other No.of Dryers Heating Appliances KW Security SDyyyystems:* No.ofNo.of Water HeatersSigns Ballasts KW No.of No.of Data Wiring: es or Equivalent No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: 1 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: AI.S• ! (f t/ (When required by municipal policy.) Work to Start: I lilt,'20 bL Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERAGE: 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 covee 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 pairs and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Aie l L_ Sc ii o e,e — A / LIC.NO.: ir/ 3yy9 Licensee: Signatur ��t LIC.NO.: (If applicable,ente enspt"in the license dumber liner) o. Address: ��`Ire I f'ttC Lf,t l/ G(/J pS I `/Sh.'2 "r'tGt.rH OZG)3 Bus.Tel.N • "Per M.G.L.c.147,s.57-61,security work requires Deparitifent of Public Safety"S"License: Alt Lic1 No. �� /�S 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:$