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Home My WebLink AboutBlde-20-001862 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-001862 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _ [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:10/7/2019 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) 1 HOMER AVE Owner or Tenant RYAN DIANE BENOIT TR Telephone No. Owner's Address THE DIANE BENOIT RYAN REV TRUST, 1 HOMER AVE, SOUTH YARMOUTH, MA 02664 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 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: Install split NC system. 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- ❑ 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 Initiatine 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 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 cc -(, & 1 a ( (ctlam. _ ----0 Fer- e-_ C....RG-1 . Comntonwea�of Vassacheits Official Use Only '2=-;i. ='/ cc :.. 'Permit Noe_ (.Ur (per - ,,t 1)aparfmant o/..yire Jerviced - !� `; Occupancy and Fee Checked • BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) • (leave blank) r _ APPLICATION .FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code e C), 7 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 0 J C City or Town of: YARMOUTH To the Inspector of Wires: . By this application the undersign d gives ' e of his or her intention to perform the electrical work described below. Location(Street&Number) • e? S Owneror Tenant t CLJ' Gk.FA Telephone No. Owner's Address -.S7If,, C �� Is this permit in conjunction with a bui ding permit? Yes 0 No 11R1 (Check Appropriate Box) Purpose of Building 1) W Z\A\ T ) Utility Authorization No. Existing Service Amps / Volts Overhead ❑. Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters _ _ Number of Feeders and Ampacity tt _ Lofation and Nature of Proposed Electrical Work: I �./�' 1 r- 1 ' t1ViS k NE 3� IN\ - 1 Completion of thefollowin table may be waived by the Inspector of Wires.,No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans • Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting g grnd.. � Qrnd. 0 Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones tection and - No.of Switches C No.Initif ating Devices No.of Ranges No.of Air Cond. TOmI l No.of AlertingDevices • Tons No.of Waste Disposers Heat Pump Num c Tons ...__._ No.of Self-Contained Totals:l -T -' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Munne nicipalcti on ❑ Other Co No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water Heaters KW No.of No.of Data Wiring: Si ns Ballasts No.of Devices-or ivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunic'atrons it ng: No.of Devices or Equivalent OTHER: - • Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of ,flex Work: (When required by municipal policy.) Work to Start: I Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE • E' G : 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 X BOND 0 OTHER$ (Specify:) WO I KerS Icertify, under t"---=--- -•--'-----'-'-- - ..- -•. WAYNE SCHMIDT 7,that the information on this icati n is true and complete. FIRM NAME:_ ELECTRICIAN LIC.NO.: qq Licensee: 222 WILLIMANTIC DRIVE Si natu Licensee: : -entMARSTONS MILLS, MA 02648,... g LIC.NO.: (Ie (508)428-7747 'rte.) Bus.Tel.No.: �'7) Address: Alt.Tel.No.: / j "Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. �t 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 0 owner's a ent. Owner/Agent 1____-- '`i Signature Telephone No. I PERMXT FEE: $