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Home My WebLink AboutBLDE-22-003029 Commonwealth of Official Use Only i`. , Massachusetts Permit No. BLDE-22-003029 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.1/071 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:11/24/2021 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) 28 COTTAGE DR Owner or Tenant Landon Laverty Telephone No. Owner's Address 28 COTTAGE DR,WEST YARMOUTH, MA 02673-3514 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization Existing Service Amps Volts Overhead 0 Undgrd ea No.of Meters New Service Amps Volts Overhead 0 Un• . ■ of Meters Number of Feeders and Ampacity O Location and Nature of Proposed Electrical Work: Replacement furnace&add on A/C. �\ Completion of the following)� he Inspector of Wires. No.of Recessed L mi Luminaires No.of Ceil:Sus . Paddle Fans No.of VVV < Total u n P( ) Transformer KVA No.of Luminaire Outlets No.of Hot Tubs Generator 40 KVA No.of Luminaires Swimming Pool grnd e ❑ grnd. ❑ No.of • Battery U er ser Ve No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.W1 ones No.of Switches No.of Gas Burners 1 No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. 1 'Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number , Tons KW No.of Self-Contained Totals: Detection/Alertine 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 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:$50.00 _ Ct( !33 Commonwealth of 2 isulaf Official Use Only p • a sac • _,4-------. ---:--_:-.0_,---_,:: Apartment l�`' S Permit No. CV2_7,(�z- __ v o cra arvica9 `_-� Occupancy and Fee Checked >- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07j • (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical C e C),5 7 C 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ' City or Town of: YARMOUTH To the Inspector of Wires:By this application the kmde g Agiv noti f h's r her intention to perform the electrical work described below. Location(Street&Number) '- Dr- Li.Owner or Tenant L7 Telephone No. ) Owner's Address -PI--Mt Is this permit in conjunction with a bu ding permit? Yes ❑ No [� � �n (Check Appropriate Box) W Purpose of Building D t,.X \ / 3 Utility Authorization No. Existing Service Amps / Volts Overhead ❑. Und rd g ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity )L omtion and Nature of Proposed Electrical Work: 11 (( ..",, kS ftir N N -e, 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 KVA No.of Luminaires Swimming Pool Above ❑ In- No.of h mergency Lighting arnd. 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 - Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons'�KW No.of Self-Contained Totals:I �'-`- -- Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Q Municipal Connection ❑ � No.of Dryers Heating Appliances KW Security Systems:* No.of Water No. of No.of No.of Devices or Equivalent Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Tels`° of De ices ns =,tir iae: OTHER: No.of Devices or Equivalent Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: rr (When required by municipal policy.) Work to Start: b 4 k%\ 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 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 X BOND 0 OTHER -s(Specify:) WO cK I certi , under t' --'--- ---'-----'-- '- COWe WAYNE SCHMIDT S'' that the information on thisicati n is true and complete. FIRM NAME: ELECTRICIAN • 1 • �'{��,(�� 222 WILLIMANTIC DRIVE A J(� LIC.NO..�'"" Licensee: MARSTONS MILLS, MA 02648— Signatur /""" `" (If applicable,ente (508)428-7747 'ne.) LIC.NO.:—_ Address: Bus.Tel.No.: 02/71 j "Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety`S"License: Alt.Tel.No.: Lic. No. — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n — S required by law. By my signature below,I hereby waive this requirement. I am the(check one ❑owner 0 owner's a•a t. u Owner/Agent __ t_I Signature Telephone No. PERMIT FEE: $