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HomeMy WebLinkAboutBLDE-23-04502 or Commonwealth of Official Use Only 1'�� Massachusetts Permit No. BLDE-23-004502 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:2/14/2023 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) 85 CURVE HILL RD Owner or Tenant MAFFEI LORRAINE R TRS Telephone No. Owner's Address MAFFEI THOMAS F TRS, 11 MARMION RD, MELROSE, MA 02176 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: Exterior hot tub and grounding. (Expired permit E22-2301) Completion of the following table may be waived by the Inspector of Wire 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 g bovend. ❑ grnd. ❑ No.of Emergency Lighting r 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 To No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: Siens _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 Win 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 operjury,that the information on this applications true and complete. FIRM NAME: WAYNE B SCHMIDT Licensee: Wayne B Schmidt Signature LIC.el NO.: 33699 (If applicable,enter"exempt"in the license number line.) Address:222 WILLIMANTIC DR, MARSTONS MLS MA 026481929 A Tel :: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Allt.t.Tel.Noo..: 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 -r:IVP-6- BSc 4"420 R ,Du ,11,Q-°-, Ui_i . I trstwrtana of ii/a�dac�' ��' . ' "" Baia ao Only t j__ , Zspapinu,, i f. 1rc 67ervlaie Permit Na. �2 —'L BOARD OF FIRE PREVENTION REGULATIONS May 1/07 and Pee Checked APPLICATION 'P'0�,,'pRtev. Uo7" --....._ oavo blank All work to be MIT TO PEI4FORM ELECTRICAL WORK performed In accordance with the Massachusetts Electrical Cody mean . (PLEASE PRtNTIN INK OR TYPE ALL INFORM T N) Date: S City or Tom of: (�'�,� \ 3 y this application the},nder�igoed notio of h s or her intention t perform ii. TO St Inspector of Wires: Location(Street&Number) work described below. Owner'or Tenant Owner's Address Telephone No. a' I Is this permit in conJunct[on with a building permit? y Is Purpose of in cog �� yes 0 No / � (Check Appropriate Box) Existing Service Utility Authorization No. Amps —...... Volts Overhead��••••�� Ne Service Amps / �..1. Undgrd CI No.of Meters �� Numb;:' ; ts Overhead i :E 9' ❑ No,at Meterse of Proposed Eleatr[caI'Vt+orkt T . • No,of Recessed Luminaires � Coat,letlan o the allowin. tab a at- be waived b the bts,eater o Wires, No.of Ceil.-Susp,(Paddle)Fans -,o o No•of Luminaire Outlets Transf• .ers ICVA a g ng No.of Hot Tubs Generators KVA No.of Luminairesnalres S�ntmiug Pool :rnd e ❑ no , '• ' ',the •(sic No.of Receptacle Outlets d• $$its Units • No,of Oil Burners No.of Switches PIRX Na,of Zones No.of Gas Burners 0•pp e eC Am an. No.of Ranges Inds a ee_ Devices No.of Mr Cond. TnAMIMMIltis No.of Alerting Devices • No.of Waste --� Disposers as ump No,of Dishwashers °n °he Detection/Ale n: Devices Spacearea HeatingKW' No.of Dryers Y.ocal[ un pa — -�., Heating Appliances C anactton ❑ tea' o,o ��a or CM y . ... Heaters K `� o.a KW No.of Devices nr E uivois,t o'o. Data VSlirtn . Sins Ballasts $•No.Hydromassage Bathtu• � No,of Devices or E•uivalent No.of Motors Totalit'IP a Nommon cat ono v r n OTHER: No.of Devices or E.ulvilen _ Estimated Value o Elf; Attach addillaltal detail tr10 W• i••wired eras required by .peator of Aquas, Work to Start: y, (When required by municipal policy,) Work COVERAGE: peedons to be requested in accordance with MEC Rule l0y and upon completion. RAGE• n ess waived by the owner,no permit for the performance of electrical work may itis the licensee provides proof of liability insurance including"completed operation"covemgc certifies that such coverage is in force, or'its substantial equivalent,e less CHECK ONE: INSURANCE and has exhibited proof of same to the permit Issuing office, The C ONB: rN __•... .C., BOND ❑ OTHER%(Specify') c" C� WAYNE SCHMIDT '�•' form an on tls 1 ` C FIRM NAMLr.. ELECTRICIAN ' ',that the In lc y Is true anti a mplete;Ltcenseer 222 WILLIMANTIC DRIVE ------ Licensee: 1.1C•NO•: it lUapplicable,eARSTONS MILLS, MA �32648..,..Stgnatu "�.____ Address: (508)42t3• 74y rue.) _._..,.._...._ Tel. NO.: j Per M,O,1r,e, 147,s.57-61,seautity work requires Department cf Pnb Public Safetya ," •Bus, No.• I OWNER'S INSURANCE WAIVER: Yarn aware that the Licensee aloe S License; Alt.Tel.No.�x���� OWNER'S by law, Byrac,No. my signature below,I herebywai�,s s nae have the liability insurance covers o normally�' '"," t Owner/Agent ,� this roqutremcnt, I and,!re(ahc sk ane owns Slgnahtre (�owner .�� ,.w..,....,......+...,_,. ....._. •'slant,...Ain r►�,,,.t...�..,,,,.,,, .."�'r..._agent,