The URL can be used to link to this page

Home My WebLink AboutBLDE-23-003734 Commonwealth of Official Use Only I% Massachusetts Permit No. BLDE-23-003734 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:1/10/2023 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) 19 TURNER LN Owner or Tenant LISA WHITE Telephone No. Owner's Address 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: Wiring for mini split condenser. 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 grnd e ❑ grnd. ❑ No.offEme Emergency Lighting Baty 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. 1 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 ❑ 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 (Il<< . Commonwealth el rr/aedacLotto Official Use Onlynl Q`p f cy� /cc�7 Serviced Permit No. Z5 ✓73 _.,�:;,y fi �(Jr/oartment o .}in Jirvicra -,;II as Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) 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: I /0' -2 3 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 electric work described below, Location(Street&Number) 'I C 'l� RZ_A) z /Z. 201!. , O `I Q.0 i✓lU v7-11 Owner or Tenant 1 j S Cc_ tN k t t t; Telephtne No. AJ Owner's Address c Is this permit In conjunction with a building permit? Yes ❑ No 5 (Check Appropriate Box) °y Pu' U utborization No. rPuse of Building I'-C r'vl to t 5 f'(.*Ci�mrRSSat' Existing Service /I'll Amps j20/l NU Volts Overhead Undgrd❑ No.of Meters ( V New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters v Number of Feeders and Ampadty , Location and Nature of Proposed Electrical Work: L(f f(6. If d 4„,i f' vvl/0, S 1°i,/- Co 42?r-SS6/ b‘ Completion of the followinglable may be waived by the Inspector of Wires. iit No.of Recessed Luminaires No.of Cell,-Seep.(Paddle)Fans No.of 7 otal n,/ ,Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA d" No.of Luminaires Swlmmin pool Above In- No.of Emergency Lighting g grud. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and < Initiating Devices 1l i No.of Ranges No.of Air Cond. Tons) No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons KW No.of Self-Contained ��" � Detection/AlertinyyDevices No.of Dishwashers Space/Area Heating KW Local❑Municipal nnection ❑odim No.of Dryers Heating Appliances KW SecurityNo. Co Devi es 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:' ! w 0 (When required by municipal policy.) Work to Start: 1 -/0-26,23 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless w' ed 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 cov ge 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 painsN and penalties of perjury,Mat the information on this application is true and complete. q FIRM NAME: /v i:1 Z SC/1 o e n(/' .--1/ /j LIC.NO.: ,9'13/ / Licensee: Signature //L//,./1/ ,,QAP ita .._---- LIC.NO: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.' z?f-/if Address: Alt.Tel No.: 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. 1 am the(check one)0 owner 0 owner's agent. Owner/Agent Signature Telephone No, I PERMIT FEE:$