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Home My WebLink AboutBLDE-23-002663 Commonwealth of Official Use Only A �� Permit No. BLDE-23-002NI 663 ilialpik Massachusetts 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•11/15/2022 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) 43 ASPINET RD Owner or Tenant UMAR AKHTAR Telephone No. Owner's Address 43 ASPINET RD, SOUTH YARMOUTH, MA 02664-5106 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: 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- ❑ 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 1 No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. 1 Total 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 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: $50.00 (l 5(z /z3 / (99oiji, L( ) £L (23 tg -el-C. L-50 cl<Cr3C1101 . Official Use Only iml= _ e adamant ot J Permit No. _ Y ' .-,----_;• BOARD OF FIRE PREVENTION REGULATIONS 1 Occupancy and Fee Checked ev. I/07j • cave blank �`— APPLICATION •FOR:PERMIT TO PERFORM ELECTRICAL WORK C All work to be performed in accordance with the Massachusetts Electrical Code(PLEASE PRINT IN INK OR TYPE ALL INFO C).s C-i 12.00 • City or Town of: �,,� D�� TRMATION � �Z By this application tion the undersigned iA noti U TH ) Date:o the Inspector ofWires Location(Street&Number) h e of hi or her intention dorm the electrical ork described below. t • Owner'or Tenant �� ,�F.'� � hit_ �a Owner's Address Telephone No. • ' Is this permit in conjunction with a u'ding permit? Yes 0 No• Purpose of Building � / Utility (Check Appropriate Box) Authorization No,Existing Service Amps / Volts Overhead D Undgrd 0No.of Meters New Service Number of Feeders and Ampacity Amps �/ _Volts Overhead f-�- — u Undgrd No.of Meters _ Lotion and Nature of Proposed Electrical Work: • -- At Apia- , _ �.— Com•letion o the ollowin• table m t � s><ir s ('! ►No.of Recessed Luminaires be waived b the Ins.ector o Wires. Na.of Cell.-Susp.(Paddle)Fans • o,of Total No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA ' No.of Luminaires • Above In-Swimming Pool `o.o Units mergency g ng No.of Receptacle Outlets grnd. ❑ mod' Batte • Units No.of Oil Burners • No.of Switches No.of Zones 4 No.of Gas Burners -`o,of Detection an. No.of Ranges _o� Initiatin Devices No.of Air Cond. Tons No.of Alerting Devices eat •ump - No.of Waste Disposers , umber ors o,of elf-Containe. Totals: `" """- Detection/Alertina Devices No.of Dishwashers Space/Area Heating KW Loral Q Munictpa No.of Dryers : C_onnection 0 other Heating Appliances KW Security Systems:*o.of "ater No.of Devices or E.uivalent Heaters KW o,o o.of Si•ns Ballasts Data Wiring: No,Hydromassage Bathtubs No.of Devices or E.uivalent No.of Motors Total HP Telecommunications Wiring: OTHER: ininp No.of Devices or E.uivalent TcivrA hJId ' (I ,�^ Estimated Value of ElectricalAt ac additional detail if desire f i ��{��► Work d or as required by the nspec[or'ojWires. tt d Val ( �� (When required by municipal policy.) rer c WorkSURANCE COVE Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE y e IL RAGE: Unless waived by the owner,no permit for the performance the licensee provides proof of liability insurance including"completed operation"coverage or its substantial undersigned certifies that such coverage is in force,and has exhibited proof of same of electrical work may issue unless CHECK ONE: INSURANCE to the equivalent, The ers I rtif rder --:--- - )gf BOND CI OTHER ► (Specify:) (Jo C• permit issuing office. Pe •fS"•) FIRM NAME:_ WAYNE SCHMIDT Y that the information on this ELECTRICIAN tcah n is true and complete, Licensee: 222 WILLIMANTIC DRIVE LTC,NO,: � ��q` (If applicable,enteMARSTONS MILLS, MA 02648__ Signatu "_,____-_�, l • Address: (508)428-7747 ne/ LTC.NO,: J "Per M.G.L.c. 147,s.57-61,securityBus.Tel,No.: �`"` S OWNER'S INSURANCE WAIVER:work requires Department of Public Safe Alt.Tel.No,: �'7� 1VER: I am awareP Safety"S"License: ---- nall required by law. By that the Licensee does not have the liabilityLin.No. t Owner/Agent my signature below,I hereby waive this requirement. I am the(check one 0 ,� insurance coverage n - a Signature _ owner Telephone No. owner' _ ent —__ PERMIT FEE: $ 6