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Home My WebLink AboutBLDE-2-006745 Commonwealth of Official Use Only � _, Massachusetts Permit No. BLDE-22-006745 Hiy 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) 28 SOUTH SEA AVE Owner or Tenant PACHECO STEPHEN J Telephone No. Owner's Address PACHECO BARBARA E,28 S SEA AVE,WEST YARMOUTH, MA 02673 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 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. Ton l No.of Alerting Devices 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 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 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 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 fix,y_ Ovr 3:5--c? ,. • .. .•• _ . :,„„ ComtrmnweattL a////ansa ha atte O cial Use Only ''' y 2epar�nt o/glre Servlcoe Permit No. •� BOARD OF FIRE PREVENTIONREGULATIONSOccupancy and F08 Checked E [Rev. 1/07] (leave blank) APPLICATION. FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the assaohusetts Electrical Co ,MrP (P.LBASE IIT INMrK 0• f j; r . a „ �i i,l Date: . �2f R2.00 Ci or Town of: ��, 0 I To the Inspector of Wires: By this application the undersign-J1 ves no.ea of is or or nten+on to perform the electrical work described below. , Location(Street&Number) ,� e , .iia. • Owner'or Tenant L tit 1111111111M1 , / 'r/ff No. — T®lephon Owner's Address Telephon —F,„2 • Ts this permit in conju i ion with a .; , n r � � g Permit? Yea 0 No ► (Check Appropriate Box) Purpose of Briliding It 's, 4` Utility Authorization No. Existing Service OO Amps • / • olts Overhead 0 Undgrd 0 No.of Meters 0 5e ce Amps / •Volts Overhead Undgrd Number of Feeders and Ampacity g ❑ No.of Meters III Location and Nature of 'reposed Electrical Work; ri ,' ; �— • r<,. , om'legion' the ollowln: table m, be waived the Ins,actor o Wires; No.of Recessed Luminaires No.of Ceii.-Susp,(Paddle)Fans `o.o o Transformers KVA.No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No.of Luminaires Swimming Pool Above ❑ In- Pio.of LmeIgency Lighting • No.of Receptacle Outlets d' - nd. � Bette Units No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners `o.o )e ec`on an No.of Ranges Total Initiating Devices • No.of Air Cond, Tons .No.of Alerting Devices • No.of Waste Disposers II'oafPump r,„,,,,,,o,» .1 -No.of Self-Contained Totals;I"'"' o W»'»"»'Detection/Alerrng Devices No.of Dishwashers Space/Area Heating KW Local Municipal No.of D ars ❑'Connection ❑ uwer t'Y Heating Appliances KW security Systems:* o.o er K'VY o.o; o.o No.of Devices or E uivalent Heaters Signs Ballasts beta Wiring: No.Hydromassage BathtubsNo.of Devices or Equivalent • g No.of Motors Total HP Telecommunications Wining: OTHER— LA�� 1 ( ` No.of Devices or Equivalent • Estimated Value of lactrioal Work: Attach additional detail[desir ,or as required by the Inspector'of Wires, Work to Start; (When required by municipal policy.) in INSURANCE CO GE: ;Unlesswaivedby the to be owner,no permit accordance th the of electricae 10,and l wcompletion. rk m lytics the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equiivalent. These undersigned certifies that such co erage is in force,and has exhibited proof of same to the permit Issuing office, CHECK ONE: INSURANC BOND ❑ OTHER 0 (Specify;) FIRM NAI W'AYNE SCHMIDT 'tat the information on this application is true and complet ELECTRICIAN LIC.NO.: �° Licensee; 222 ONS MILLS, DRIVE Signature ({Jappitcabl. MARSTON8 MILLS, MA 02648 LIC.NO.: • Address (508)428.7747 Bus.Tel.No: ww., • *Per M.G.L.c, 147,s.57-6I,security work requires Department of Public Safety"S"License: Alt.Lice No,�� +�� " OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage none— ally required by law. By my.signature below,I hereby waive this requirement, I am the(check one . owner Owner/Agent owner's a ant, Signature Telephone No. Eiir FEE: