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Home My WebLink AboutBLDE-23-002025 Commonwealth of Official Use Only ft4) Massachusetts Permit No. BLDE-23-002025 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:10/17/2022 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) 29 LAKEWOOD RD Owner or Tenant CARDONE THOMAS A Telephone No. Owner's Address CARDONE DENISE M, 86 WHITTAM AVENUE, SPRINGFIELD, MA 01118 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: Enclosed farmers porch. 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 ❑ 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 4411Ir �3 w(l 1 N p..,-r l !-;-, E i V E D I i O(..1 1 `1 &42� 1 C Official Use Only Commonwealth O{ aedac udattd rim_ r E--2.--3 _�, �� Ye e T- cc�� c�7'] Permit No. —;2-L-07---‹ .- 3 U 1 t_U 1 i,i G . . .� - 2 partmant o/Jirs Serviced I ,IY --------.--."-. .t 17..7 -._- _-.! Occupancy and Fee Checked - BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07] 1 �' f` (leave blank) :IC: APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORKAll 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: �� a L_ City or Town of: YA R M O U T H To the Inspector of Wires: By this application the undersigned gives notice of.his or her tention to perform the electrical work described below. Location (Street& Number) �� e i. )C't! �cY - 5 J�/�_' 14 �f� Owner or Tenant MO/144-S CAQ-17P�C. Telep one No. - ! Owner's Address ,, Is this permit in conjunction with a building permit? YesVioEl (Check Appropriate Box) 22 -Cci 3y2,,i_ il Purpose of Building Utility Authorization No. '� Existing / Volts Overhead Service Amps p Li Undgrd n No. of Meters New Service Amps / Volts Overhead E Undgrd ❑ No. of Meters v ,---. Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: j. t re. ,e A. el oSf4 Pm_,;vi-c Po re-k o. v) ' - Completion of the following table may be waived by the Inspector of Wires. otal No. of Recessed Luminaires No. Ceil.-Susp.ofTransformersNo KVAVA 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. Tons) No. of Alerting Devices 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 ❑ �, Connection thb 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 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:J.2-J0() (When required by municipal policy.) Work to Start: /p 1 i'f 2 k-- L- 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 ' surance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such cove ge is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify, under the pai s and penalties of perjury, that the Informatfo on this appl. atian is true and complete. FIRM NAME: U • 1/ (;,/, . - �r LIC. NO.: /t (3 qu Licensee: Signature 1a' - 1.-1------- LIC. NO.: (If dAdress plicable, enter "exempt"in the license number line.) Bus. Tel. No.: Alt. Tel. No.: - 76 ft.; 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 ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $ 7,5— I • Cif 7-7s