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Home My WebLink AboutBLDE-23-03011 ,. 0 ` V, Commonwealth of Official Use Only �` t44 Massachusetts Permit No. BLDE-23-003011 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:12/1/2022 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. C� Location(Street&Number) 41 CAPT WRIGHT RD ;iS-776--8 9 ( 2j Owner or Tenant CHRISTINA CURHAN Telephone No. Owner's Address 41 CAPT WRIGHT RD, 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 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 ❑ 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 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 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 A -71 , 6.(73 -tiVald 1ik (4w' fet5L___- CV4` 4t- --- . . _= Commonwealth,o/ r/addachudettd c� Official Use Only C 7, in_- 2opartmant o/giro Serviced Permit No. �2j ' 11 ' ¢ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and pee Checked [Rev, 1/07] (leave blank) �� APPLICATION.. FOR PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the assachusetts Electrical Code y (PLEASE PRINT IN IN.K O .� L . , . . ,t C)• 22-Z R 12,ao City or Town of: I v �� Date: By this application the undersign-. • AI i To the Inspector g ves notice of his or her tention to perfo the a trical w deWirscribed below. Location(Street&Number) Owncr'orTenant k / �� • � S• • .4--. Owner's Address Telephone No, 7 .21,.... • Is this permit in conjun tion with a building permit? 'Yes Q No Purpose of Building p �� 6 •• _(Check Appropriate Boy) Utility Authorization No. Existing Service Amps • / •— olts Overliead Q• Undgrd ❑ No.of Meters _ New---Service Amps / Number of Feeders and Ampacity �'—`dolts Overhead[� Undgrd No,of Meters • Location an t Nature of Proposed Electrical Work; �� 1, lira,r �• L. ► 4 _ ..._. r am,lesion o the ollowin; table ma be waived by the Iris actor o f Wires. No.of Recessed Luminaires No,of Ceil,-Susp.(Paddle)Fans • o.o 'Iota No.of Luminaire Outlets Transformers KVA of Hot Tubs Generators ( No, , K VA lVo,of Luminaires Swimming Pool ' Dove n- r`y rg t mg i _ No,of Receptacle Outlets :rnd. ❑ :rnd', ❑ Batter Units`o.o merge No.of Oil Burners tin ALARMS No.of Zones No.of'Switehes No.of Gas Burners o, o etection and • No.of Ranges Initiatin: Devices No..of Air Cond, ota No,of Waste Disposers eat ump umber onsTo r, :No, of Alerting Devices Totals: o,o e : 'ontaine. No,of Dishwashers • iDetection/Alertin: Devices Space/Area Heating KW' ❑ Munic pa No,of Dryers Heating Appliances Los al Connecion ❑ Other o.o 'ater KW ecNo, ' steinsi E — Rectors KW No,of Devices or Ei uivalent o Si:ns Ballasts Data Wiring; ; No.Hydromassage BathtubsNo.of Devices or E i uivalent • No.of Motors Total HP Teieco of Devi at ons .' firing: OTHER; No,of Devices or E uivalent Estimated• Value of ectr;cal Worki Attach additional detail if desired, or as required by the Inspector of Wires. (When required by municipal policy.) Work to Start; 2_ ((= Inspections 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 mayissue unless the licensee provides proof of liability insurance including"completed operation"coverage or its sub undersigned certifies that such co erage is in force,and has exhibited proof of same to CHECK ONE: INSURANCE BONDthe permit issuingntial equivalent, The !certify,ut __ .._ �.•_.... .. ... 0 OTHER ❑ (Specify:) office, FIRM NA1 WAYNE SCHMIDT 'gat the inforrnution on this application is true and complete ELECTRICIAN Licensee: 222 WILLIMANTIC DRIVE (lfappltcabl MARSTONS MILLS, MA 02648 Signature LAC.NO,: '- 4.i) • Address; (508)428-7747 LIC.NO,; • *Per M,G,L,c 147,s.57-6I,security Bus. Tel.No,: " • OWNER'S INSURANCE WAIVER; Iraraeawaresthatphe Licensee Publicartment of Safety not haveAlt.'I'el.N�. .' ._ 2I'7 OWNS by law. Bymto the License; Lin.e c �+t� Owner/Agentd my.signature below,I hereby waive this requirement. I am the(check one insurance owner cosa y Signature be normally Telephone No, ❑owner Q owner's a ent, PERMIT FEE: