The URL can be used to link to this page

Home My WebLink AboutBLDE-22-002299 Commonwealth of Official Use Only •E Massachusetts Permit No. BLDE-22-002299 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:10/21/2021 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) 46 LOOKOUT RD Owner or Tenant DOHERTY RAYMOND E Telephone No. Owner's Address MCCLOY LYNETTE E, PO BOX 136,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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace existing generator 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 1 KVA 14 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. 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 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: 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 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 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: $50.00 Feet . So ckG - Lf77 . . . Commgnava M I.r 1Jt'`. . o f ii/Qssachuseflfi :r$r..;. IOtB ae ORIy '^ = Ze arfmwrE o Permit No._� `�Zq�' Poorvkee 1 Y BOARD OFFIRE PREV,�NTION REGULATIONS Occupancy and Foe Checked APPLICATION tRev.1ro71 Dave blank N FOR'PERMIT TO PERFORM ELECTRICAL W o All work to be performed in accordance with the Massachusetts Electrical Code C),S27 CM O R K 112.00 (PLEASE PRINT IN INK OR TYPE ALL INFORkfAr City or Town of: O•UT� To the Inspector of Wires: • Date: By this application the lmdmigned gives no a of his or her mt�°n to . dorm the electrical workdescribed below. Location(Street&Number) • OVA Owner'orTenant L i . i . Owner's Address l-1�r Telephone No. .` e Is this permit in conjunction with a kuilding permit? Yea % (Check Appropriate Box) Purpose of Building N0, h Existing _------ Utility Authorization No. _ - _ g Seen�ice Amps .._„_( Volttt Overhead New Service Q Undgrd❑ No,of Meters Amps -,�.._Volts Overhead 0 Undgrd 0 No, Number of Feeders and Arapacity of Meters Lotion and Nabarepf Proposed Electrical Work: e • a E sT iv o[A • i (U---- rii t'iI VP0, • ' . P....Ihrr No.of Recessed Luminaires r , *iLfil1 tab e` be waived• the In a'actor o Wires.No.otCetl.-soap.(Paddle)Fans • `o.o No,of Lamiaairo Outlets Transfo •en KVA No.of Hot Tubs Generators _ KVA ' No,of Luminaires Swimming Pool rnd 0 a� ' .o ,merger .+g ng • Na of Receptacle Outlets d' Bette Untts No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches • 'o.o' tlatl. 'n an e No.of Ranges ' tattlat3n: Devices Na of Air Cond. °' No.of Waste Disposers Tana No,of Alerting Devices `ea mp `um er ....k r " 1 o.o a Totals: --Jon ne, star De No.of Dishwashers 'teMionJAlertin. Devices Spacei'Area Heating KW' Local C 'un c pa No.of Dryers Heating Appliances KW ecu Co tt r car' r, y ems: Heaters KW o.o No.of Devices or E.uivalent `o.o Si_ s Ballasts Data Wiring: No.Hydromassage Bathtubs _ No-of Devices or E.trivalent No.of Motors Total HP a eco of ens '' r n .t� gg OTHER: l p er , Pv I ,� a of Devices or • •uivalent • Attach addiltanal detail(fdesired or as required by the Inspector of Wires, Estimated Na o of Electrical Worla Work to Start: Inspections required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VBG : 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 operador coverage or its substantial e undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEequivalent, The I cerdjL__ _. BOND 0 OTHER (3pociFy,) � g undert WAYNESCNMIDT 1b K ICI FIRM NAME; y,that the Infirm on an th calf`n Is true and e m lets - ELECTRICIAN p �,��i• Licensee; 222 WILLIMANTIC DRIVE G1C.NO.: f+ 5('�C` Licensee: e" MARSTONS MILLS MA 02648,,...Signatu Address: (508)428-�/747 'ne.) -- LIC.NO.: J "Per M.O.L.c, 147,sY 57-61,security Bus.Tel.No.. .a,' i r ry work requires Department of Public Safety"S"License; Alt.Tel.No.: _I .i �I OWNER'S— INSURANCE WAIVER: I am awareLie.No. ed by law, R my signature that the Licensee does not have the liability insurance covers a nnoo ally gnature below,I herebywaive this requirement. i am the{check one Zl nnally Owner/Agent a�g -- eq Signature owner owner a a ant '�� ' Telephone No. P RM'rT go or