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Home My WebLink AboutE-19-2607 r Commonwealth of Official Use Only : Massachusetts Permit No. BLDE-19-002607 �r:•� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/07j 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:10/30/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonu the electrical work described below. Location(Street&Number) 1 RIDGEWOOD DR Owner or Tenant JONES CHRISTINE M Telephone No. Owner's Address HENRY STEVEN A, 1 RIDGEWOOD DR,YARMOUTH PORT,MA 02675 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 ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for hot tub and bonding. 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 1 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/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 Data Wiring: Heaters Signs Ballasts 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 ofperfury,that the information on this application is true and complete. FIRM NAME: WAYNE B SCHMIDT Licensee: Wayne B Schmidt Signature LIC.NO.: 33699 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:222 WILLIMANTIC DR, MARSTONS MLS MA 026481929 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 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 S I ( N,6 a0Datia ftrapp m ret(C0°(1 Cil<G° __ _ Cn/� yyyy am nonarenh o/ngsmac Official Use Only t� cc77 �r-� A. tl 1JaPorfavat e/.Yi,v (aolri[H Penni'No. f _I�-( �•/] n ill= ., .: : . . , .• .. .:.. ., Otxupaocyand�eeChecked :. ''' . BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/01 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK d„,...,\ ) All work t bbe performed in accordance with the Massachusetts Electrical Code( IDC),527 CMR 12.00 ikj (PLEASE PRINT IN INK OR76„,,,,(NFOR ONJ Date: 1,Q �C{, l I g City.or Town of: � To the Inspector of Wires: tt By this application the undersign1not ce of his or her intention to . win the electrical work described below. r Location(Street& mber) ` �o.. a r 1 - —H".r ��/ r' rTenant Ve. E ' ��a vti et_ Telephone No. 77 '7.2 e s Address ,ermit in conjunction with a building permit? Yes 0 No (Check Appropriate Box) 'se of Building D\/.J�\\ \, Utility Authorization No.. ng Service " Amps - I Volts Overhead❑ ' Undgrd 0 No.of Meters CD ,ervlce Amps / Volts. Overhead 0 Unttgrd 0 No.of Meters ber of Feeders and Ampadty _ tion and Nat of Proposed Electrical Work; UM .1.". I� ,�jl_____ � .i ��ZY,.,tl \' `*+tv ^- Comp/erica ofthafotfowfn&table awry be waived by tilee IntnetoerorofWirer.===. No.of Recessed Luminaires No.of CeILSusp.(Paddle)Fans No.of I Val � Transformers KA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No.of Luminaires Swimming pool. ave Q In- O No.of Emergency Lighting •' . taro grad. Battery Units . No.of Receptacle Outlets No.of Oil Bunters FIRE ALARMS No.of Zones No.ofSwitehes No.of Cas Bnroers 'No.of Detection and Initiating Devices Total No.of Ranges No.of Air Cond. .Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained " - Totals: Detection/AleWig Devices No.of Dishwashers SpacriArea Heating KW LConnMunicipaleetioo 0 Other No.of Dryers Hating Appliances KW NSecurity yyfssnontemDevices or Equivalent No.of Water KW No.of No.of Data Wiring: • Heaters Signs Ballasts No.of Devices or Equivalent • No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: �n (� �� (� ��N�o.offDDe�v�iiccceAs�orE9]uiivvalent OTHER: , V\�)\,y •w- {\ k �-cf e`l�. -Fir '✓J'DIY `C!I lk/' ` T I ii A 4 Attach addJiotd detail if desired oVVas required by the bispector of Wi Estimated Valu lee 'cal Work: (When required by municipal policy:) ..- U./t Work to Start: 1 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no perniit 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 ❑ OTHER 0 (Specify:) I certify,ut • ' the information on this application is true and complete. FIRM NAI WAYNE SCHMIDT LIC.NO.:f5✓'vii ELECTRICIAN �r �,. �(J� Licenser. 222 WIWMANTIC DRIVE Signature pCb CLIci LIC.NO.: n �/ MARSTONS(50MILLS,MA 02648 t :_____ l"f _f!1 (lfapp/tcnbf + Address: • (508)428-7747 Bus.Tel.No.: Alt.Tel.No.. "Per M.G.L.c. 147,s-57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hove the liability insurance coverage normally required by law. By my signature below,l hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/AgentPERMIT FEE:$ `j Signature Telephone No.