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Home My WebLink AboutBLDE-22-005991 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-005991 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:4/19/2022 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) 45 NAUTICAL LN Owner or Tenant RODRIGUES J ELVIO TRS Telephone No. Owner's Address RODRIGUES E JUDITH TRS,45 NAUTICAL LN, 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 ❑ 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: Replacement HVAC. 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- ElNo.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 1 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 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 Eauivalent 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:$50.00 (0/4/ l,4- r6 (J1zt 4,�) git(w ca.-3 6c4 ._ r.! c..,ik.)-_-__ __5510,__. .F-e-e: -5° Commonwealth o!�f e __'- / "r`dsac ath Official Use On r=An - Permit No. i `7--1 Apartment n��l,a Scrvit•1 �Y:, ;r.` BOARD OF FIRE PREVENTION REGULATIONS Occupancy• and Fee Checked ev. 1/07] cave blank -- APPLICATION FOR'PERMIT TO PERFORM ELECTRICAL WAll work to be performed in accordance with the Massachusetts Electrical CodICA.0 WORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: (ME �'527 -C 1 z.00 City or Town of: YARMOUTHoe • �Z . By this application the undersigned gives notice of his or her intention to perform the electrical work spector of des ribed below. Location(Street&Number) Owner'or Tenant ht VIC) Owner's Address Telephone No 7 l Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building \` �S � .. (Check Appropriate Box) ` Utility Authorization No. Existing Service- Amps __®� _ P / Volts Overhead U. Und rd New Service g ❑ No.of Meters _ Amps / Volts Overhead 0 Undgrd Number of Feeders and Ampacity 0 No.of Meters — Lotion • mmi •and Nature of Proposed Electrical Work: • �� --- L Com•Fe on o the ollowin_ table m• be waived b the Ins•ector o Wires. No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans o•of Total No.of Luminaire Outlets Transformers KVA .. No.of Hot Tubs Generators KVA, No.• of Luminaires Swimming Pool Above ❑ In_ 'o.o mergency g 'lag :rind. arnd. ❑ Batte • Units No.of Receptacle Outlets _ No.of Oil Burners _ n No.of Switches FIRE ALARMS No.of Zones 'No.of Gas Burners 'o.of Detection and No.of Ranges --- o Initiatin: Devices No.of Air Cond. No.of Alerting Devices No.of Waste Disposers eat PumpTons umber Tons o.of elf-Containe Totals: - Detection/Alertin• Devices No.of Dishwashers Space/Area Heating KW' Local Municipal No.of Dryers Connection ❑ Otha' Heating Appliances , Security Systems:* No,of eater No,of Devices or El uivalent No.o o.of Data Wiring; Heaters KW Si•ns Ballasts No. Hydromassage Bathtubs No.of Devices or E#uivalent No.of Motors T3ta7 HP Teleco of DevicesNo. or E uiva�ent Estimated Valuetof Attach additional detail ijdesired or as required by the Inspector of Wires. trical Work (When required by municipal policy.) L- Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C ERA E: Unless waived by the owner,no permit for the performance of electrical work may issue unle the licensee provides proof of liability insurance including"completed undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing oaliicgeuivalent. The ss CHECK ONE: INSURANCE`(' BOND 0 OTHER ►: ( ��,I certify, under e----= - ---'--- -- -r- _. (matio 5") is' IU�Ke ', l`a' l FIRM NAME: WAYNE SCHMiDT 7',that the information on[his icati n is true and complete ELECTRICIAN • Licensee: 222 WILLIMANTIC DRIVE LIC.NO.• Nam'-`'ShjC� —MARSTONS MILLS, MA 0264R Signatu Addplicable,ente (508)428- 747 ne.) LIC.NO.: ress: j *Per M.G.L.c. 147,s.57-61,security work requires De Bus.Tel.No.: r`"- cense: Lic. No. OWNER'S(NSURANCE WA q Partment of Public Safe S•• Alt.Tel.No.: 7� WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally o- S e law. By my signature below,I hereby waive this requirement I am the(check one 0 , required qOwner/Agentdbylag rurally 1 Signature '� owner ❑owner's a:ent t� Telephone No. PERMIT FEE: $ r� w