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Home My WebLink AboutBuilding Permitsd Commonwealth of OfricialUse Only Massachusetts Permit No. BLDE-15-002513 �—' 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 (NIECL 527 CMR 12.00 (PLEASE PRI.VTIN LVK OR TYPE ALL 11WO)UM770N) Date: 11/4/2014 City or Town of: YARMOUTH To the hupector of blurs: By this application the undersigned gives wtice or his or her m cn on pe arm c cc r � work described below. Location (Street & Number) 53 LEWIS BAY BLVD Owneror Tenant DAMICO JOSEPH A TRS Telephone No. Owner's Address DAMICO ZABELLE G, PO BOX 41, HOLDEN, MA 01520-0041 Is this permit in conjunction with a building permit' Yes O No ❑ (C Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd O New Service Amps Volts Overhead ❑ Undgrd ❑ No. of Sitters No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wring for addition Completion of the following table may be waived by the Inspector of Wires. No. of Recessed Luminaires No. of Ceil-Susp4Paddle) Fans No. of Total Triin4omers KV No. of Lumimire Outlets No, of flat Tubs Generators KVA Na. of Luminaires Swimming Pool Above ❑ ln- ❑ rod. rod. No. of Emergency Lighting BattBattery I frilti Na. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Iftitistivir Device% No. of Ranges No. of Air Cond. Tool No. of Alerting Devices No. of Waste Disposers heat Pump Tmale: Number I Tans 1 KW No. of Self -Contained Detectiont.4lersin Devicn I I No. of Dishwashers Space/Ares heating KW Local ❑ Municipal ❑ Other. Connection No. of Dryers heating Appliances KW Security Systemr• ulv kn No. of Water KW Hasten No. of No. of isignq Ballsqts Data Wiring: No. of Devices or Favivilent No. Bydromassage Bathtubs No. of Motors Total IIP NTeleco of evmmiuoicatiruiv oos W IringI: o. n OTHER: Atmch additional detail (/desired or at ngwmd by the /rtryector of Wars. Estimated Value of Electrical Work: (Wben 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 ❑ BOND ❑ OTItER ❑ (Specify:) f certify, andn the pains and penafties of perjury, that the Information on this application Is true and complere. FIRM NAME: NEIL SCHOENER Licensee: NEIL SCHOENER Signature LIC" NO.: 13949 (Ifapplicabk. enter "exempt" m the license timber hne.) Bux. Tel No.: Address: 44 TRADERS LN, W YARMOUTH MA 02673 Alt TeL No.: *Per M.G.L. c. 147, s. 57.61, security work requires Department of Public Safety "S" License: OWNER'S INSUk4,NCE WAIVER: I am aware that the License does not have the liability insurance coverage normally required by law. But signature below, I hereby waive this requirement 1 am the (check one) ❑ owner O ownces agent Owner/Agent Signature Telephone No PERAIITFEE. S/25.00 l oau ones as a cli7 /�a�, or cW U=c..o�@7 2 "UaPa,Gaaatof.YinJarvicee. :Pamitxo._ �(s, -, 1 3 BOARD OF FIRE PREVENTION REGULATIONS 0" and Fee Checked M7] em blank APPLICATION FOWPMMIT TO PERFORM ELECTRICAL WORK All work to be pm mmed in accordance with the Massachusetu Electrical Code � W' C111 zoo (PLEASEPM ATEVA OR YTPEALLINFORMAT70NJ Date: / ._ — Y- City or Town of: Y LRMOUTH To me lnspeca6r of Win BY this application the lmdetsigaed gives nogceof his qr ha� ;ro rm the a work described below. Location (Stint & Number) e L � v^� OWaer'orTenant TC%' -e_ Ci M t O Telephone No. Ownees Address Is this permit In COU103ctlwn M as trmldiag Yes No ❑ (Check Appropriate Box) Purpose of Building e-dt Vrs n UtIIity A rmtion Na Sefflce �� ps i Volts Owerhad t� unnard ❑ No, of Meters New Service pmP= i Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Namre of Proposed Electriod Work: /1 No. of Recessed Luminaires w rea°n Of the IbUawfn tabs m be watmd bythe f r a . No. of CeflrSusp. (Paddle) Fain a o Na of Laze t, dra 0ua� Na of Hot Tubs Transformers KVA Generators IiVA' No. of Luminaires Swimming Pool °� ° ° esreQCY ^ n°r d. arnni B IIaits Na of Receptacle 00� No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners a a oa an No, of Ranges . No of Air Cond. Otal Tour Iaitlatin w Devices No. of Alerting Devices Na of Waste Disposers rxczrump Number Ions Totak:I o o ontat No, of Dishwashers Space/Area Hating ICW' DeterriontAlertina Devices Leal 13 aP Connection Other No. o[ Dryers Ha • APP�� KW ernrity yyss� o. o ester Heaters KW °' ° °• ° Na of Devices or E cot Data Wiring - Signs Bahia Na of Devices or uivilent No. Hydromassage Bathtubs No. of Motors Total HP eeommumeauous trmr..• OTHER: Na of Devices or uiva7ent Estimated Value of Electrical work: Work to Start L! — b INSURANCE COVERAGE: Unk the licensee provides proof of liabM undersigned Certifies that such covg CHECK ONE: INSUR 1N I ccrg under the p f r pey FIRM NAME: zz Licensee: —•. a -- r v W myauaa °) ale mspWor of Fr. cr. LU (When rtquired by municipal policy.) spections regaesmd is accordance with MEC Role I fl, and upon txnnpletion. ss by the owner, no permit for the performance of electrical work may issue Unless Y a inchUding "wuapleted operation"coverage or its substantial egeval rot The is in force, and has arhrbited proof of same to the permit issuing office. BOND ❑ OTHER ❑ (Specify,) I Address. fl' "CtAj W TNA J 'Per M.G.L. e. 147, s. 571, security work requires Department of G OWNER'S INSURANCE WAIVER; I am aware that the Licensee doer requir by law. By my signature below, I hereby waive this requirement. IVer/Arent _— S[r°aNre Telephone No. r this appUff don is n ere and eoanplda LIC. NO.: 131 �7 L[C. NO: Bus. Tel NoMe �-w1.9 t yk Alt. Tel No 00 Safety "S" License: Lic. No, pf not have the liability insurance cmafl �J 7 I am the (check onel rl oamer rl na,....-.._y . PERMIT FEE. S Commonwealth of Massachusetts r Sheet Metal Permit Date: —ifs — / J Permit #��Siy� �dTi�Sv�7 Estimated Job Cost: $ 7 SOD,0y Plans Submitted: YES NO Business License # 1/ S S 7 Business Information: Name: 004 `%w Me r-tr Street / `f -3 %-" , e-T �r Le City/Town: Luc- If- t 1 aw [A vt Telephone: SOB 2 y/ G/ 7 d Permit Fee: Plans Reviewed: YES NO Applicant License # Property Owner / Job Location Information: Name: V 05 fgAI D AAl,;f O /tl Street: 53 Lek„'r chy/fown: lvtt7— /Hai.-soa%�i Telephone: PhotoI.I.D.. required / Copy of Photo 1.D. attached: YES _✓ NO _ J-1�('M 1}tnrestricted license sartrnw J-2 / M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. fL / 2-stories or less Residential• 1-2 family t/ Multi -family _ Condo / Townhouses— Other_ Commercial: Office Retail Industrial Educational Institutional er Square Footage: under 10,000 sq. f over 10,000 sq.11 _ Number of Stories: Sheet metal work to be completed: New Work. _ Renovation: HVAC J,,,-"MeW Watershed Roofing _ Kitchen Exhaust Metal Chimney / Vents _ Air Balancing _ Provide detailed description of work to be done: .bb hor— T aJ JAN 0� ?01S HTNESS AL IS T. o c. — /Zt c 7— o TEST REQUIRED S S - ,s j, ;�, Section 403.2 of the Energy Code requires leak testing ces. Two options are provided: Post -construction Test or Rough In Test. An App;Qvsl Cg.rn�ar,n k repilmd fmm an authorized testing agency before the Building Dept. will Issue a Ceain.,ra of nfn1pnmy nr final anproyal of the work Inspections shall be called for prior to the frame inspection on building INSURANCE COVERAGE: I haw a current liability insurance policy or Its equal and which meets the requirements of 111.0.1- Ch.112 Ya No ❑ If you haw checked XM indlu��ttherlyInof rage by checking the appropriate box below: A tiabgity insurance policy Indemnity ❑ Bond ❑ OWNER'S INSURANCE WAIVER: I am aware ffut the llama does not hew the Insurance coverage required by Chapter 112 of the laassachrsetts General taws) and that my signature on this permit application walls this requirement. Cheek One Only owner ❑ Agent ❑ Slum re of Owner or Owner's Agent By ducking lire boxCL I h8mby dray Odd as of On detsas and kdor naaon I have manned (or anered) ngwding this applicoftn we hve and accuse te the butt d my bwwedge end flat as cheat rrwel work and Iroerladons pwfmwd underthe permit' for the appOptlon will be e compamce with all pernnsM provision of the ttastsch a Bulldkng Code and Chapter112 of the Oerural taws. M e By Too tlyrromr In$ Duct Inspection required prior to Insulation Installation: YES _ NO Proems Inaoections ,1,1.11< Final Inspection �� I1111 IIA ❑ MestaaRestrkiad Ceram' Signature of Ucansee 13imneyPersOn-R88tricted License Number '9-ss% ❑ Check at www.mass.aovIdol Impactor algnshrre of Penns Approval _ A I NOTE: THE DWELLING LIES WITHIN ILI In I V `r FLOOD ZONE'AE', BA5E FLOOD ELEV. 1 1.0 e0G� W �S IL F e9� L�9 Y O IL < i 1 O ' ' a EXI5TING FOUNDATION EX15TING DWELLING --/ 'ay LOT 3 A 27000 5. F. ± FILE COPY Foundation Location Approved -� U NO. u gFCT(� LND BUILDING LOCATION PLAN FOR 53 LEWIS BAY BLVD., WEST YARMOUTIi, MA PREPARED FOR Trwerx PC 6=15 SlfpGen- Portal Hone Uv 1 Lik Town of Yarmouth Template [Building Dept] rg Slipsheet Identifier [sg26394] Document Category Building Permits Map -Block Number 016.47 Street Number 0053 Street Name LEWIS BAY BLVD Department Building Parcel ID 359 Backfile Batch Scan No Document? Additional Naming Info Index Operator Operator, Yarmscan Date - Time 2015-06-02 - 12:04 tMAaserflchelnipGen 1/1