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Home My WebLink AboutBLDE-22-002301 Commonwealth of Official Use Only r ' Massachusetts Permit No. BLDE-22-002301 '''t ,..--' 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:10/21/2021 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 I 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 ❑ eters New Service Amps Volts Overhead 0 Undgrd AI 1' S Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Hot tub wiring. Completion of the following table 4 ?jctor of Wires. i No.of <✓ Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans TransformersKVA No.of Luminaire Outlets No.of Hot Tubs 1 Generators cAp KVA No.of Luminaires Swimming Pool Ab"d e ❑ 1rnd. 1:1 No.of Emergency g l 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 Initiatine Devices No.of Ranges No.of Air Cond. T otal No.of Alerting Devices 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent 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: ,S50.00 c,kG--- /„. - ,.....e.e,.. • i ..... i, '`` +., Corrnoiuuva of a.�sac�cu�af i v..1. fficia) =: ': Use Only �] Z fZ t..='.T: afar scrzE al J'lro �orvccve Permit No, -: BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ONS [Rev. 11o7j ea" bunk APPLICATION P.O.R•PER All work to be performed in accordanjce withIT TO PERFORM ELECTRICAL ,ern (PLEASE PANT INK the Massachusetts Eleotzical Code WORK R K OR TYPE ALL INFORMATION7 r 12.00 City or Town of; Orj• Date: By this application the undersigned i notic of hisTo the Inspector of Wires: Location (Street& Number) orherintention t perform the et cve � ' 1 work described below. Owner or Tenant Owner's Address �� Telephone No, Is this permit in conjunction with a building permit? Yes Purpose of Building '''L\� N0 {Check Appropriate Box Existing Service --___. _ Amps / �` Utility Authorization No, ) Volts Overhead �, Undgrd'D No, of Meters New Service �, Amps 1 'Volts Overhead , .1. Nuinber of Feeders and Ampacity r�.' ' El NO, of Meters -4y"—• i Lotion and Nature of Proposed Electric: ` No, of Recessed Luminaires \; Com letion o the ollowin table rrr be waived I) the the Ins ector o Wir . No, of Cei1.-Susp, (paddle) Fans Tra r of No, of Luminaire Outlets nsformers KVA.No.Hof Hot Tubs • No, of Luminaires Generators KVA Swim pool 'rnd.'ove ❑ n. `o, o ' mergency mg nng No. of Receptacle Outlets No. �rnd. $attery Onus of Oil Burners No, of Switches FIRE ALARMS No, of ZonesNo, of Gas Burnerso, of else`on an• No. of Ranges -------.........r . ' • Ynitlatl>n_ Devices No. of Air Cond, ota No,of Waste Disposers Toss No, of Alerting Devices eat ump umber ans Totals: '" "..~_ .-r•.------•-. o. of a f-. on a ne • No, of Dishwashers Detection/Alertin: Devices Space/Area Heating ICV/ nn ce No, of Dryers HeatingA Local [.� Connection ❑ C?tfier o, of Ater Appliances KW ecurity ystems:* - .- Heaters KW �o� o o, of No. of Devices or E.uivalent Si ns Ballasts Data Wiring: 1NHydromassagPRhL Na ..r Devices a - . L• Devices or E uivalent No. of Motors Totai Hp Te ecommunIc'ations ring OTHER; No. of Devices or uivalent ti'iC W Estimated Value o EleAttach additional detail if desired or as required by the Inspector WorkWork to Start; (When required by municipal poIicy,) of Wires, NC�E COVERAGE pections to be requested in accordance with MEC Rule 10, and upon completion, n ess waived by the owner, no permit for the performance of electrical work the licensee provides proof of liability insurance including "co undersigned certifies that such coverage is in force, and has"completed operation" coverage or its substantial e u ac issue unless exhibited proof of same to the permit issuing office CHECK ONE: INSURANCE 0 OTHER1 nt, The �' - --. BOND X(Specify:) WO C KaS C-CNvf I can*, l'-- -_�.__ .-,,_ _'-» FIRM NAME: WAYNE SCHMIDT y, that the Inform on on this ,"alma, ELECTRICIAN tcah•tt is true andlee. Ci _ A Licensee: 222 WILLIMANTIC DRIVE .;, ,i►�i LIC. NO,: Licensee:applicable,- enr--MARSTONS MILLS MA 02648....__ Signat'u Address; e (508) 428-�747 'ne.) LIC, NO,: j *Per M.G.L. c, 147, s. 57-61, securityBus. Tel. No.: OWNER'S INSURANCE work requires Department of Public Safe S Alt. Tel. No.:aigo.2' 7 RANCE WAIVER: I am aware that the Licensee doe:not have „ License: r Lie. No. required by law. By my signaturethe liability Owner/Agent below, I hereby waive this requirement. I am the (check one insurance coverage normally Signature "-' ��' TeIephone No. ❑ owner °wner's a ent^ PF,RMIT PPP'. e b 4-