HomeMy WebLinkAboutBLDE-23-15901 L /1/\Commonwealth of Massachusetts of . .
* Town of Yarmouth
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U44-
ELECTRICAL PERMIT '
Job Address: 31 ASPINET RD Unit:
Owner Name: DOOLAN GRAHAM J DEMPSEY MARY
Owner's Address: 31 ASPINET ROAD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-15901
Existing Service Amps/Volts Overhead 0 Underground ❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground 0 No.of Meters:
Description of Proposed Electrical Installation: wire mitz AC system for new addition, install GFI (508-428-7747)
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW:
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool: In-Grnd.❑ Above-Grnd.0 Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount 0 Level 1 0 Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 0 Work to Start: May 17, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: WAYNE B SCHMIDT License Number: 33699
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: 222 Wilimantic Drive Marstons Mills MA 026481929
Email: wayneschmidtelectrician@yahoo.com Business Telephone: 508-428-7747
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.
INSURANCE:
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..� ._ Commoawon th of rr/aeda.L.4attJ
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_3.s'fIl��t [7
-7 Mr: 0 2aPartmant o 5tra..JarvtcaJ Permit No,/ Li) 23'/ 1C�
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
(Rev.1/07) (teavo blank
APPLICATION.FOR PERMIT TO PErtFORM ELECTRICAL WORK
All work to be rfo r din accordance with the essachusette Electrical Code C 5 7 C R 00
(PLEASE PRIIIr IN Town f 0• ,':'' Date:�7 ��
City or Town of: L �'"lt��milk 11�`��V 7 I♦ To the Inspector of Wires:
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By this application the undersign,: :I -s ;tfee• his or her nt..to to perform the electrical work described below
Location(Street&Number) s j,W _
Owncr'orTenant � A "y
Owner's Address �` � S Telephone No. 3 I
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Is this permit in conjun Hon tv th a b tilding permit? Yes ❑ No Purpose of Building �, �! \(tart ❑ (Check Appropriate Box)
Utility AuthorizationNo,
Existing Service Amps / N
volts �.,..-
Overhead❑, Undgrd 0 No,of Meters
New Service Amps /
Number of Feeders and Ampaci — Volts Overhead 0 Undgrd❑ No.of Meters
kld
Lo lion nd attire of Proposed Ekeetrical Wes:
Com•lellon o the ollowin;table ma be waive Melee eater o Wires.
No,of Recessed Luminaires No,of Cell.-Susp.(Paddle)tans
No.of Hot Tubs T o•o 'Co a
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No,of Lusninatre Outlets Transformers EVA
Generators VA
No,of Luminaires Swhmning Pool 'bove 0 n- 0.o mergency tg t mg
rind. :rind'. Batter Units No,of Receptacle Outlets
No.of Oil Burners FIRE ALARMS No.of Zones
No,of Switches No,of Gas Burners j o,o s etec son and
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No.of Ranges Tons Initiaths:Devices
No,of Air Coed, o No,of Alerting Devices
r No,of Waste Disposers cat amp �(itpber„,,,o,Rs,,,,,,,,, ';+! �o.o e . ontatne.
\ Totals:
"' iOetectfan/Aiertl0.Devices
No,of Dishwashers Space/Area Heaths KW'
,Local p
unc a
No,of Dr ers O'_Connection ❑Other
y Heating Appliances KW ecnrsty,ystetns:'
`o,o 'titer ICW '0.of ,o 0• No,of Devices or Equivalent
HeatersData Wiring;
Si:Sins Ballasts
No.H omassaea Bathtubs rr, o _,,-,_ eeeNo of Devices or E.ulvnlent •
f°• wia Total HP -e ec• nnon.cat oar wiring;
1�r . of Devicesvi�or E.IINalentt
iW
VP
Estimated,slue of Electrical Work:t),
Attach additional detail ifdesired,or as result.• the 1 ecru s/W r
Work to Start; -- —__ (When required by municipal policy.) �r �� �'
Inspections to be requested in accordance with MEC Rule 10,and •on comp et n, r. 'UM
'fir,
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 co :rage is in force,and has exhibited proof of same to the permit issuing office,
CHECK ONE: INSURANCE BOND ❑ OTHER❑ (Specify:)
FIRM NAI WAYNE SCHMIDT
at the Information on this application is tree and complete.
ELECTRICIAN LAC,NO,: W
Licensee: 222 WILLIMAN7IC DRIVE 1
Licensee:- MARSTONS MILLS,MA 02648 Signature LIC,1\"O.:
• Address: (508)428.7747
Bus.Tel.N.o.i, ''
*Per M.G.L.c,147,s,57-61,security work requires Department of Public Safety"S"License: Alt LTel.ie.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(cheek one.❑owner 0 owner's a:ent,
Owner/Agent
Signature
Telephone No. rei I �/
L uR yA)es C/- pi 1 r7 7 t[.E G7ic./cr e y' IJ.CG�'�1
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