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Home My WebLink AboutBLDE-23-003448 \V1 Commonwealth of Official Use Only ft",t Massachusetts Permit No. BLDE-23-003448 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:12/21/2022 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) 181 &183 RIVER ST ( >e (j re) S",,,,—rI s r) Owner or Tenant BASS RIVER FIVE LLC Telephone No. ,e},}kk� A 737 Owner's Address 155 ELM ST, DENVER, CO 80220 t91":"1"r Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec ppropriate Box)/ Purpose of Building Utility Authorization No. 0 / 1 ("7 78 /L! 1 Existing Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd 0 No.of b ters`fi^, , - Number of Feeders and Ampacity "' o Location and Nature of Proposed Electrical Work: New house, service, generator and pool. Completion of the following table maybeavaived by th0'Inspector fires. 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/Alertine 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 Siens 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: 12/21/2022 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 ❑ (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 (II 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: $180.00 e----- kc t1x7. iF - $ 411173 +�(t7(zr - , a 7(2-4 0-3 l� c'-2v 11 -•--4 ks, -� &V ti or p z r fQ 4�k1(Ccwo r (1,Ado ore- t')r"' 2CE (ommonweaR o/VIcusdachwelb p Official Use Only "'z:lit << Permit No, Z3 - 3'Ng._ „ez s/vartnunf oi irs -Serviced :t1 ' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS {Rev. 1/07] (leave blank) ,s APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfonned in accordance with the Massachusetts Electrical Code(MEC), 527 CMR I2.00 (� (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: � City or Town of: To the In/ � � D �'� 12 YARMOUTH Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Q Location (Street& Number) / CO -,..)0 U 17i Owner or Tenant J c (, , / l yt,o a_ Telephone No. Owner's Address C L r.Is this permit in conjunction with a building permit? Yes No El (Check Appropriate Box) ' Purpose of Building /V (i,N.i IV O'S. Utility Authorization No. Existing Service Amps / Volts Overhead Li Undgrd No. of Meters 'v / , ` New Service `/ 1; /0 Amps 0 / .�'Ll CVolts Overhead E Undgrd IllNo. of Meters / -- Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: L 7 /'rev?rf U (- A•4,c,,,1 Si f cit cA? tit) i -c- S c / Completion of the following table nary be Svai ed by the Inspector of Wires. Ilk No. of Recessed Luminaires No. of Cell:Susp. (Paddle) Fans No. of 1 oral ,/ Transformers KVA _ 47,l No. of Luminaire Outlets No. of Hot Tubs Generators KVA r~\ -t No. of Luminaires Swimming Pool Above ❑ In- 0 No. of Emergency Lighting 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 c _ Initiating Devices 11.1 No. of Ranges No. of Air Cond. Tons No. of Alerting Devices No. of Waste Disposers Heat Pump Number ions KW 'No. of Self-Contained Totals: ,Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local El Connection Connection ❑ Other No. of Dryers Heating Appliances KW Security Systems:* No. of Devices or Equivalent No. of Water No. of No. of 9 Heaters KW Data Wiring: Signs Ballasts No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: 1 No. of Del ices or Equivalent OTHER: 1 . 3 7 e�A G G Attach additional detail if desired, or as required by the inspector of 1Vires. i_,j Estimated Value of Electrical Work: . - -When required by municipal policy.) Work to Start: I:2 - Z C--Z tfl-Z 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 insurance 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 C7 BOND ❑ OTHER El (Specify:) I certify, under the pains and penalties of perjury, that the Information on this application is true and complete. ,¢ FIRM NAME: /1 C I I )C I i 6 `':.,� - LIC. NO.: / (' c ` l Licensee: Signature LC' i.t „I/Si,- LIC. NO.: (If applicable,,e a ewript"iik the license umber line.) , Bus. Tel. No.; �,,Address: / l�s (�i l/�t'Si V €rncj?f Alt. Tel. No.: /6} 7 4, l(J *Per M.G.L. c. 147, s. 57-61, security work requires Dcpartmen 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. PERMIT FEE: $ I