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Home My WebLink AboutBLDE-23-002832 Commonwealth of Official Use Only �.,or r Massachusetts Permit No. BLDE-23-002832 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:11/22/2022 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) 179 RIVER ST Owner or Tenant JOE GILMORE 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: Re-bar grounding 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. ,T000nal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 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: $50.00 ts: esz jte) ((7 1 gCommonwealth of tt/aee11chiu4ada Official Use Only '1171 cc-77 (� Permit No. -23 '7-63Z- apartment/,tiro Je o ced 11— BOARD OF FIRE PREVENTION REGULATIONS [ e .Occupancy/00 and Fee blank)k)ked tt t;� Icave S ( Q APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK c., All work to be performed in accordance with the Massachusetts Electrical Code(MEC), MEC), 7 CM 12.00 V (PLEASE PRINT IN INK OR TYPE ALL INFORMAT/ON) Date: 1 1 Zp Z 7-- City or Town of: YARMOUTH To the Inspector f Wir : By this application the undersigned gives no ice of his or her intention to perform the electrical work described below. , Location(Street&Number) ) 0 _ge)Li/-itr s—t-- S. Y If4'4t OL f�/ Owner or Tenant 70-e h/ C i) (A'10 Q� Telepho e No. ti; Owner's Address 1 Is this permit In conJu ction with a building permit? /- ❑ (Check Appropriate Box) - 1 Purpose of Building LJQ r �(,(d I/ A- Yes No Utility Authorization No. �'1 Existing Service Amps / Volts Overhead ❑ Undgrd g ❑ No.of Meters t New Service 14(3O Amps a`l� ( p )�/ Volta Overhead❑ Undgrd❑/Na,of Meters t., Number of Feeders and Ampacity c 1 Location and Nature of Proposed Electrical Work: K-t bQ/Z 94t p7•.I `-, Completion of the followingtable may be waived by the LTotal r of Wires. U. No.of Recessed Luminaires No.of Ceil:Sosp.(Paddle)Faos No.of Total Transformers KVA '`t No.of Luminaire Outlets No.of Hot Tubs Generators KVA rt` No.of Luminalres Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting ¢rnd. grnd. Battery Units No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.Inidatlng Devices No.of Ranges No.of Air Cond. TOM ,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 0 Monnectiounicipa n ❑Other C No.of Dryers Heating Appliances KW Security Systems:. No.of Water KW No.of No.of Devices or Equivalent _ No.of Data Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin: No.of Devices or Equivalent OTHER: — Attach additional detail if desired,or os required by the Inspector of{Mires. Estimated Value of Electrical Work:' , i1D (When required by municipal policy.) Work to Start: ln,"t i(Ca(I Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived y the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability in ce 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❑ (Specify:) I certify,under the pain^s a�nd penyhie,s�sT4-�!j�perjury,that the information on this application is true and complete. FIRM NAME: ZV . c/a - •fie!'_ g• LIC.NO.: f//i 3�T6{ Licensee: Signature of ,6Lt,---- LIC.NO.: (lJgoplicable,enrgr�" emPr"in lhe�Iicerrse nup+barline. Address: `-I Y T/fit cG!_e (Jv/ �esr\inn,,,to Li7/ Bus.Tel.No,• L---a_2 X ley Tel.No.: Per M.G.L.c.147,s.57-61,security work requires Deparlm t of Public SafetyS"License: Alt 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 a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$