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Home My WebLink AboutBLDE-22-006599 p- Commonwealth of Official Use Only LIN. Massachusetts Permit No. BLDE-22-006599 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:5/17/2022 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) 31 ASPINET RD Owner or Tenant DOOLAN GRAHAM J Telephone No. Owner's Address DEMPSEY MARY, 31 ASPINET ROAD, 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 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: Two Split NC systems 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- ❑ 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. 2 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 Ballasts Data Wiring: Heaters Sirens 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:) 1 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. I PERMIT FEE:$50.00 I Z- C71 t4-T iV 3 Wc S(! 2)(l / to LIVI..35 _ • 14 QQ'' • „_� ( Commonweaa of aaac efts • Officis!Use Only , . t el - ' 7Jepartinwrt`o/ ire Serviced Permit No. ZZ-- (0 1r BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Pee Checked APPLICATION. FOR PERMIT TOPERFORM Ieavabiank) All work to be performed in accordance with theass chhusetEO ELECTRICAL WORK (PLEASE PRINT IN INK 0' r - 2 C14�12 City or Town of: � • e ; , " L I Dater ;� By this applicationitorthe undersign�1 , r 0 TA ilk To the Inspector s no a of is or her ntention t perform the electrical work desc bed below. , Location(Street&Number) Owneeor Tenant �' Owner's Address • Telephone No. Is tlti�perinIt in conLun Lion with a nn . Purpose of Building e�cmi�- �! No (Check Appro�riate Box _ Utility Authorization No. Existing Service Amps / ' olts Overhead ❑,/ Undgrd 0 No.of Meters o Se ice Amps g Number of Feeders and Ampa Volts Overhead El El ElNo.of 1Vl eters 4 y Loca and Nature of Proposed Electrical Work: IIPAIIIMIrr At4,I ear No.of Recessed Luminaires Com'lesion o the ollowln; table m- be waived b the rns,ector o Wires No.of Ceti.-Soap.(Paddle)Fans `o.o Ota No.of Luminaire Outlets Transformers No,of Hot Tubs Generators KVA No.of Luminaires Swimming Pool _•rude a n- ❑ `o.o •Unitsmerg cy g - g • No.of Receptacle Outlets = nd. ❑ Batter Units No.of Oil Burners No,of Switches i ° No.of Zones No.of Gas Burners.. ; `o.o t e ec`on an No.of RangesYnitiaHn Devices • . • No.of Air Cond. ° a ump . 11 1111 No.of Alerting Devices No.of Disposers Tons A-eat ump•er"....ons,.".... 0.a e :- on a`ne No.of Wasteashers Totals: """"' `Detection/Alertin! Devices Space/Area Heating KW' • No,of Dryers !Local Q.C nnectian ❑ �a' Heating Appliances KW ecur s ems: `o.o "a er No.of t evices or E E.uivalent Heaters KW o.o `o,o Data Wiring:Sins Ballasts No.of Devices or E t uivalent • No.Hydromassage Bathtubs No,of Motors Total HP a ecommun ca ons "'r ng: OTHER: No.of Devices or E t uivalent • E$timatod Value o'f' egctr' a Work; Attach additional detail fdesirec4► or as required by the inspector of Wires. • Work to Start:_'/c1 inspections to be requested n(Whn accordance requiredby with M municipal policy.) EC Rule 10,and INSURANCE COVERAGE; Unless waived by the owner,no permit for the performance of electrical work mayy issue the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent, undersigned certifies that such co erage is in force,and has exhibited proof of same to thepermit i sue unless CHECK ONE: INSURANCq alert, The I RcertifiP,CK to _N . RA..- .. ...BOND 0 OTHER 0 (Specify:) suing office, FIRM NAI ei WAYNE$CH MI D7 -- "'fat the information on this application is true and complete, ELECTRICIAN Licensee: 222 WILLIMANTIC DRIVE L'IC.NO.: ;. EJ,� (I appitcab7 MARSTONS MILLS, MA 02648 Signature �^��_,� • Address; (508)428.7747 LIC.NO.; *Per M.O.L.c, 147,s.S7-6I,security work Bus.Tel.No,' w., ^ �� OWNER'S INSURANCE WAIVER: I requires Department of Public Safe «S" Alticense: .Tel.No.. a +jam required bylaw. Bym s' am aware that the Licensee does not have the liability insurance cLic. overage normalI Owner/Agentla y ignature below,I hereby waive this requirement, I am the(check one . owner Y Telephone No. owner's a ent, PERMIT FEE:$ v -