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Home My WebLink AboutBLDE-19-002500 VZ/ Commonwealth of Official Use Only .�, l�E�.T,+� Massachusetts Permit No. BLDE-19-002500 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/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:10/29/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pert onn the electrical work described below. Location(Street&Number) 26 CANDLEWOOD LN Owner or Tenant CONNORS GEORGE R Telephone No. Owner's Address CONNORS PATRICIA A,26 CANDLEWOOD LN,WEST YARMOUTH,MA 02673 Is this permit in conjunction with a building permit? Yes ❑ 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: Split NC. 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- 0 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, 1 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 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,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 [ifl6 (Li - ice ckd s_� t..ontenunmeald oil///ateact ueet! ,al Use Only `�-� �(4 W arrested /c7_ Swine Permit NoeC- ��v I.� _ Occupancy andFee Checked kttosei BOARD OF FIRE"PREVENTION REGUTATlONS [Rev. 1/D7) ' (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordant*with:the Massachusetts Electrical Code 7C),527 CMR 12.00 (PLEASE PRINT IN INK OR LINF ONJ Date: d f[ 3 I[ 1 g' City or Town of: To the Inspector of Wires: . By this application the undersi noti f his or intention to orm the electrical work described below. Location(Street&Number) -� �f VJ Ltd . G 17 OwnerbrTenant �jl-y,/l pn Telephone No. r, Owner's Address U p�7 [ • ��rrrrrrr� a Is this permit in conjunction with a4 Ming permit? Yes 0 No (Check Appropriate Box) �Purpose of Building V"-vl4 6 V\.,.... Utility Authorization No.. _ _ --Existing Service - - Amps - / Volts Overhead Q Undgrd 0 No.of Meters • New Service Amps I Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity r Location and Nature of Proposed Electrical Work: 1 A 1 [-p, ;"'��I�vius4 i V\ ci UiTt -r0C . . omplethm 0tautfollowlnktable maybe waived by the Inc turafWirer No.of Recessed Luminaires No.of Cei1.-Susp.(Paddle)Fans Trani Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires • Swimming Pool Above Q In- .Q No.of Emergency Lighting . - - gra grad. 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 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/AlertluR Devices No.of Dishwashers Space/Area Heating KW' Local Q Monneetiounictpa a 0 Other C 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 Na of Devices or Equivalent • No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additiotid detail ifdesired.or as required by the Inspector of Wires. Estimated Valu ofllgctri (When required by municipal policy:) Work.to Start: 1D/'O t 1rk: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERAGE: 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 co erage is in force,and has exhibited proof of same to the permit issuing office.... CHECK ONE: INSURANCE BOND Q OTHER 0 (Specify:) I certify,ur the arjormarion.on this application is true and eompletg�� ^ FIRM NAI WAYNE SCHMIDT LIC.NO.:TT1►+i+% MI ELECTRICIAN Licensee: 222 WIWMANTIC DRIVE Signature L1C.NO.: 4faPPlicabf MARSTMILLS, 02648 _�1/ (508) L8.7 4747 Bus.Tel.No: 1 Address. - Alt.Tel.No.. *Pa 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 have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owners agent. Owner/AgentPERMIT FEE: S SignatureturaTelephone No.