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Home My WebLink AboutBLDE-22-006746 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-006746 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:5/23/2022 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) 35 PAINE RD Owner or Tenant MCKENNA ANN MARIE Telephone No. Owner's Address 35 PAINE RD, SOUTH YARMOUTH, MA 02664-2214 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 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 grn . 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine 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 Ballasts Data Wiring: Heaters Signs 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 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: $100.00 4 i Q WI.,.. 4r3sC9 ?....XCAk-- 9___, dr\S, • & , Commonwea&a of riladdachadatid Official Use Only 4.,1ii 2epartment of giro serviced Permit No. —(a-7-t C.P I fBOARD OF FIRE PREVENTION REGULATIONS Occupancy 1/07] (leave blank) __and Pee Checked �,�'";� .. _ ; APPLICATION. FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the assachusetts Electrical Code ),527C0.00 (PLEASE PRINT ININKO' I' ` :► I , « �i I Date: 5 i I City or Tarn of: To the Inspector of Wires: By this application the undersign-.. v no co of is or her ;,- don to perform the electrical work described below. • Location(Street&Number) 2,l c\re., • Owner'or Tenant.6nl(1 r Vt A-r l � Telephone No.a —� - �. .- Owner's Address ' Is this permit in coadi:Al n with b �ildirrg permit? Yes 0 No ► (Check Appropriate Box) Purpose of Building ILI\ Utility A thorizatien No. .Existing Service Amps . / Volts Overhead Q. Undgrd 0 No.of Meters New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampacity , _ Location and Natur: � Proposed ctrical Work: V�' I IIA IFf(V� (�� wo As , sW, r Com'lesion o the ollowln: table m, be waived 6 the Ins-actor o Wires No.of Recessed Luminaires No.of Ceil.-Susp,(Paddle)Fans �nsformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.• of Luminaires SwimmingPool Above In- No.or Emergency Lighting srnd. 0 grnd. 0 Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS ,No.of Zones No.ofSwitches No.of Gas Burners o.of Detection and • • Initiating Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers 'Heat Pump aurBiler"; ong„•"•,•,,,BCW,,,•,", No.of Self-Contained Totals: '”""" iDetection/Alerting Devices� . No.of Dishwashers Space/Area Heating KW' 'Local 0 Mnn C�nnacloctio n 0 Other No,of Dryers Heating Appliances KW 'ecu s ems:' __No.o r evices or equivalent -- - KW Data Wiring: Heaters o. Signs Ballasts No.of Devices or Equivalent • No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER re.h \.O 1 k.i Attach additional detail(Idesired,or as required by the lnspector'of Wires. • Estimated Value of trio 1 orki (When required by municipal policy.) Work to Start: peotions to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RA E: 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 eo erage is in force,and has exhibited proof of same to the permit issuing office, CHECK ONE: INSURANCE BOND 0 OTHER. 0 (Specify:) I oort*,eu rm :at the information on this application is true and comple FIRM NAI WAYNE T ELECTRICIAN LIC.NO.: Licensee: 222 WILUMANTIC DRIVE Signature f r LIC.NO.: ( appltc' MARSTONS MILLS, MA 02648 • Address: (508)428.7747 Bus.Tel.No.• ai� . *Per M.O.L.c, 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Leel.Noo.. ' 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).❑owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ !od