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Home My WebLink AboutBLDE-23-001218 ... Commonwealth of Official Use Only :.....,_ _` Massachusetts Permit No. BLDE 23-001218 °.-0 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:9/6/2022 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) 320 NORTH MAIN ST Owner or Tenant WHITE J GRIFFIN Telephone No. Owner's Address WHITE DANIEL, 320 NORTH MAIN ST, 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install generator&transfer switch. 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. Total No.of Alerting Devices Tons 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 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 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 u ; - - • Commonwealth.of Ma4saoht4datto Official Use Only __-rt+l- 2epartment o� s Permit No. �� 'y l 2 � _ cra Serviced �_�V BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev, 1/07] (leave blank) APPLICATION. FOR PERMIT TO PER4 FORM ELECTRICAL WORK All work to be performed in accordance with the assachusetts Electrical Co (PLEASE PRINT IN INK 0 L Date: C ,1,2.o0 City or Town of: / To the Inspector of tres: By this application the undersig 'ves notice of his or her ntention to perform a ele trical work described belo • Location(Street&Numbe 0 't\(, � OH.1 • w. Owner•or Tenant M. W W\ I Telephone No. 3R -/—03 Owner's Address S Is this permit in conjunction wit a building permit? Yes ❑ No , Purpose of Building t (Check Appropriate Box) Utility Authorization No. Existing Service NO Amps . / Volts Overhead ti ❑. Undgrd❑ No.of Meters New Service ,°, fs / Volts Overhead Undgrd U g 0 No.of Meters Number of Feeders and Ampacity Location and Natu ,re of Proposed Electrical Work: 1 . K J �) Gein.ered-or—ct Y• ,, _ 1 :,\A, -- sS' t.iU �. rl .a Completion of thefollowingtable may be waived by the Inspector of Wires; No.of Recessed Luminaires No. f Cell;Susp,(Paddle)Fans No.of Total • Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA •• No.of Luminaires enc Above In- No.of Emergency swimming Pool grnd. ❑fiend. Battery Units y Lighting g No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No,of Switches No,of Gas Burners No, ot`betection and Total Initiating Devices No.of Ranges No.of Air Cond. Tons .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 o Municipal Connection ® Other No,of Dryers Heating Appliances KW ecuray Dev ices No,of sices e v--or E No.of Water No.of No,of quivaient HeatersKW Data Wiring: Signs Ballasts No.of Devices or Equivalent • No.Hydrotnassage Bathtubs No.of Mnrn�g ao Tciecomm nieiitions Wiriil : ttas nr' yj No.of Devices or Equivalent OTHER: Attach additional detail f desired, or as required by the Inspector of Wires. • Estimated Value of Elec ical Work: (When required by municipal policy.) Work to Start: 9 I it ZZ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERAGE: U 1 n ess 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 co erage is in force,and has exhibited proof of same to the permit issuing office, CHECK ONE: INSURANCE BOND ElOTHER 0 (Specify:) I certify,al _....._ ...W.... .. _ AYNE SCHMIDT :at the information on this application is true and complete.. FIRM NA1 ELECTRICIAN LTC.NO.: � �� Licensee: 222 WILLIMANTIC DRIVE Si nature Licensee: MA ON MILLS, MA 02648 gW 0 LTC.NO.: • (I,fapplicabi (508)428-7747 Bus.Tel.No.:- cm v. oar Address: Alt.Tel.No.:_ ' �� *Per M.Gr,L,c, 147, a, 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)0 owner 0 owner'' ent, Owner/Agent Signature Telephone No. I PERMIT FEE: