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HomeMy WebLinkAboutBLDE-22-001215 Commonwealth of Official Use Only r -------4) Permit No. BLDE-22-001215 ' Massachusetts tit:§ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f 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:9/2/2021 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) 27 GRANDVIEW DR Owner or Tenant Peter Quinlan Telephone No. Owner's Address 27 GRANDVIEW DR, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap p . .riate Box) Purpose of Building Utility Authorization No. Q Existing Service Amps Volts Overhead 0 Undgrd 0 'o.o' New Service Amps Volts Overhead 0 Undgrd 0 i o k`,.• r� Number of Feeders and Ampacity (;;:t) Location and Nature of Proposed Electrical Work: Wiring for sunroom addition. • Completion of the following table ma , ••, . n for or W ires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of < tal Transformers / ` A No.of Luminaire Outlets No.of Hot Tubs Generators A Above In- No.of Emer enc Li*htin — No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units y k g 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 hi 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: $75.00 r .�tt'' yyt , ,I Official Use Only Cammamoaaflh of sr/aeexMWRa B 't cy� cc77 Permit No.IiZZ-- (�'" � `�raparlmnf of.fir.�.rvicaa . .t1). Occupancy and Fee Checked I` 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).52�77CMR 12 00 (PLEASE PRINT IN INK OR TYPE ALL INFORM,TIONI Date: q-,2 - e-( City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her'tention to perform the electrical work described balo i ' Location(Street&Na r) & 7,) V e/) 2 / - Owner or Tenant je jG t� (f/✓► L.f►/y Telephone No. �i Owner's Address Is this permit In conjunction with a building permit*-- Yes No ❑ (Check Appropriate Box) 1� Purpose of Building .tJ n I Ud A4 a pD rT7 v/1 U tborization No. `-f Existing Service 2 c('7 Amps /2o l 2` )Volts Overhead Uudgrd❑ No.of Meters r 74 New Service Amps / Volts Overhead E Undgrd El No.of Meters 1?i Number of Feeders and Ampacity 1 Location and Nature of Proposed Electrical Work: 1,,,t) �(� 6 C/n V94'1. / T no/j NCompletion of the followin table mg be waived by the Inspector of Wires, titW No.of Recessed Luminaires No.of Cell.Sosp.(Paddle)Foos To.ot Total Transformers KVA cs:t. No.of Luminaire Outlets No.of Hot Tubs Generators KVA n Above In- fro.of emergency Lighting 'k' No.of Luminaires Swimming Pool grad. ❑ 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 Z Initiating Devices ill No.of Ranges No.of Air Cond. Toost No.of Alerting Devices No.of Waste Heat Pump Number Tons KW No.of Self-Contained Disposers Totals: _._....-------- Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑Co nnectionicrpat ❑Other Con No.of DryersHeating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: m Heaters Signs Basts No.of Devices or Equivalent ns Wiring: No.Hydromassage Bathtubs No.of Motors Total HP Tel communicatNo.of Devices or Equivalent OTHER: ,,,,//1� Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value ofElectrical Work: 3C)W (When required by municipal policy.) Work to Start:C—/^2©2-1Inspections to be requested in accordance with MEC Rule 1.0,and upon completion. INSURANCE OVERAGE:Unless wai by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability' ranee including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such cov e is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER❑ (Specify:) I c7 Fce Nf,underAME:thepp�airs and perwfNe rJ that the Informall°ff,hh ihhis app//1, rs true and complete. ,?p� /V Q cm D ig ature L(4 �r1� T LIC.NO.: Licensee: Signature LIC.NO.: �] (If applicable,ant p 'n th f ease numbsrt!tie.) ] , /ai py�i,�,y,Bac TeL No.�i l 9j�I Address: I /- � VI i 0/�f �(P!["`` ""y Alt.TeL No.: /�j p °Per M.G.L.c.14,s.57-61,security work requires Department of Public ty"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I ant 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 0 owner's agent. Owner/Agent PERMIT FEE:$ Signature Telephone No.