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Home My WebLink AboutBLDE-23-002149 _ Commonwealth of Official Use Only v Permit No. BLDE-23-002149 � Massachusetts 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:10/21/2022 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) 138 BAXTER AVE Owner or Tenant BOLLIGER LINDA A TRS Telephone No. Owner's Address BOLLIGER GLEN A TRS, 3 INWOOD LN,ANDOVER, MA 01810 Is this permit in conjunction with a building permit? Yes ❑ 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 24 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 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 LW.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 cx ,�c(w L.ommonwaalth o/rt/mdaclradatld Official Use Only'lI `"�' Permit N ZZj� "'C5 ki ty;_a c//, ��7'i �a-- 2spartnwsi a ise Serviced IIOccupancy and Fee Checked S BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07J (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: /0— 7-/--ZO 2 2 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his r her intention to perform the electrical work described below. CJ Location(Street&Number) 1 3 S /�x.k.r._ P1-rje_ wesr fRiZatot-/K 3\ Owner or Tenant 1...rrida. 100((r e Telephone No. , Owner's Address VV I Is this permit in conjunction with a building"'permit? Yes ❑ No Ell (Check Appropriate Box) 9', Purpose of Building /'�/4-(GC-vD CcnQAcvty r- Utility Authorization No. a I Existing Service Z-oJ Amps i 2.0/21W Volts Overhead❑ Undgrd No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity -- Location and Nature of Proposed Electrical Work: a/i('e. �tf ku) ('4 c k- v Q r. (J2.'l��a fo Completion of the jol/owing,table nury be waived by the Inspector of Wires. 0, No.No.of Recessed Luminaires No.of Ceil:Sosp.(Paddle)Fans No.of 7 otal Transformers KVA '`'.i No.of Luminaire Outlets No.of Hot Tubs Generators KVA rt` No.of Luminaires Swimming Pool and.Above 0 In- No.of Emergency Lighting and. Itrnd. 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. Tone No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons IKW No.of Self-Contained Totals:)._....... !Tons Detection/Alertln Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Other Connection No.of Dryers Heating Appliances KW Security Systems:" ' No.of Water No.of Devices or Equivalent No.of No.of Heaters KW Signs Ballasts Data Wirin No.of Devices or Eq4uivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: �(��Q Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: �]I (When required by municipal policy.) Work to Start: /0-2D-2,2L 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' urance 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 0 OTHER 0(Specify:) I certtfy,under the pains and enalties of perjury,that the information on this application is true and complete. FIRM NAME: n e I z- $C Is o.eq Q-- `y LIC.NO.: /¢l3q 9 Licensee: Signature ,.,elitir.L_ LIC.NO.: (If applicable,eptFr"etgprpt"in he license number line.) Address: "1 1 i j a h h� 1.number n�_ (4)-63..ye)4-q,MI,,d-y, Bus.Tel.No.• pr-�-� _ *Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lic.No.• �a0 //6 �S OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)El owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 4 ..m.. i