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Home My WebLink AboutBLDE-20-005399 Commonwealth of Official Use Only ii*Mr T Permit No. BLDE-20-005399 Massachusetts BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.I/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'4/13/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 12 WHISTLER LN Owner or Tenant SMITH KAREN M ONEIL Telephone No. Owner's Address 12 WHISTLER LN, 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 0 No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Correct improper wiring to shed &power existing flood lights. 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 2 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 No.of Gas Burners No.of Detection and Initiating 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 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 Data Wiring: Heaters Siens 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 j Telephone No. PERMIT FEE: $50.00 0$/21/>2-& 500 LT5 tl\ NoT (Z441 PPILl 044te- orsixItceo4 010e-rti oecc3 f42,c,ed.:L.) Ci<G24- .3" I-/ . Commonweafh of Maddacltudeltd Official Use Ont /` ='t c� c7 Permit No. 45;2- 39�' r �i 2.)epartment o/.tire serviced - i f- '-� Occupancy and Fee Checked %.- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cod C),5 7 CMR 12.00 (PLEASE PRINT IN INK OR TYP 4.1fL INFOR TION) Date: I-' 7 9 C City or Town of: X ' -V C CI\4j To the I speeector f Wires: . By this application the undersigrkd •ives n•tice o his or her ntention to perform the electrical work described below. ;� - _, Location(Street& umber) ! 1 -e ', \,A-e_ —pc, Owner*or Tenant .X e. y\ 0 N e t L. Tele.h flit Eo.ti► ��".I: i Owner's Address • S-70r^f Is this permit in conju ction with a building permit? Yes ❑ No X (Check p ropA 1 2020 Purpose of Building U \.J`e_-\\\V\ Utility Authorization No 1 J Existing Service Amps / Volts overhead 0 Undgrd 0 No. .: IVi EsqG uPT. New Service Amps / Volts Overhead❑ Undgrd ❑ `o.o Number of Feeders and Ampacity Location and Nature otProposed Electric Work: U c. 111=101111 1 V X -5Th (OA CI(CM ru Td � e 'ower i „ ' GSI Om( z Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans Tf Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets t No.of Oil Burners FIRE ALARMS No.of Zones n No.of Detection and No.of Switches C7'� No.of Gas Burners Initiating Devices Total No.of Ranges No.of Air Cond. Tons .No.of Alerting Devices .t 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 o Other Connection HeatingAppliances Security Systems:* No.of Dryers pp Kms' No.of Devices or Equivalent -- No.of Water No.of No.of Data Wiring: �� Heaters K�'�' Ballasts Signs No.of Devices or E uivalent Telecommunications Wining. No.Hydromassage Bathtubs}� No. �of�Motors { Total HP No.of Deviices oojr�E�quivalenrt OTHER:h- �h S 11�'tk i- J l—la _:4 41 S )ie r 5-is-Obi-I) f 'w 7G' tJ rj_ Attach additional detail if desirea or as required by the Inspector of Wires. E timateli Value El ctric,�a,l Work: (When required by municipal policy.) e Work to Start: 71 9-..0 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE VERAGE: 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 tti the remit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Specify:) I cern ,ea `� _� —Fiat the in ormation on this a licatio int yItcomplete.r fY f pp Ti It" d 3309 Ct FIRM NAI WAYNEEC RICIAN T LIC.NO.:G' ELECTRICIAN Licensee: 222 WILLIMANTIC DRIVE Si nature LIC.NO.: MARSTONS MILLS, MA 02648 g ICr (If applicabl (508)428-7747 Bus.Tel.No.: 7-"j r`7. Address: Alt.Tel.No.� tJar *Per 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)El owner ❑owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE:$ SO �� Commonwealth of Official Use Only dvato' AIr� tt mil, Massachusetts Permit No. BLDE-20-005399 i ARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked tip [Rev.1/07] PLICATION 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:4/13/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 12 WHISTLER LN Owner or Tenant SMITH KAREN M ONEIL Telephone No. Owner's Address 12 WHISTLER LN,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 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: Correct improper wiring to shed&power existing flood lights. 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 2 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 2 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons 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 Data Wiring: Heaters Siens 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: $130.00