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Home My WebLink AboutBLDE-22-007449 Commonwealth of Official Use Only I.. ,,� Massachusetts Permit No. BLDE-22-007449 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/N INK OR TYPE ALL INFORMATION) Date:6/28/2022 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 eiectncafwork described below. Location(Street&Number) 23 DAMARIS DR Owner or Tenant MCGRATH THOMAS J Telephone No. Owner's Address MCGRATH HELEN E, 23 DAMARIS DR,YARMOUTH PORT, MA 02675 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: Replacement A/C system. (Attic) 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 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 lnitiatine Devices No.of Ranges No.of Air Cond. 1 Ton l No.of Alerting Devices 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 ❑ 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 Signs 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:) 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: $50.00 f F.P i0. 0‘41. AS - - Commonwealth.of MadmacLudatto Official Use Only V�'_-1 t cx /ci S Permit No. %-LZ - 7 Li L( �+l= ePartment of ira erviced c �f. °-�- BOARD OF FIRE PREVENTION REGULATIONS [Revc 1 07c y and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the assachusetts Electrical Cnd ( E ) 527 CMR 12.00 (PLEASE PRINT IN IN.K 0 L 6 �. . Date: (L /�i l [..-•- B City or Town of: To the Inspector of Wires: y this application the undersig fives n ' e of his or her ntention to perform the electrical work described below. Location(Street&Number) _ � -S y-ftti+Owner•or Tenant I Q fv\ -t a � Telephone _ Owner's Address • C� P e No. (1 �7. , .. • Is this permit in conju n N ith uilding permit? Yes ❑ No`� (Check Purpose of Boildin ( �-�+ Appropriate Box) -� N. Utility Authorization No. Existing Service Amps • / Volts Overhead E. Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd g ❑ No.of Meters Number of Feeders and Ampacity I otri-t...Location and Nature of Proposed Electrical Work: ( C LI.L r4---c._ Completion of the following_table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil;Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No,of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones • No,of Switches No.of Gas Burners o.of Detection and Initiating Devices Totallo.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.• of Waste Disposers Hcatpump Number„ Tons KW No.or$eli=Contained Totals;1,,., ,••, �•..,••�•.,,..••••,,..,,.I 11 Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW 'Sec No. Systems:* No,of Water No.of Devices or Equivalent No.of No,of HeatersKW DatSigns Ballactq 1a� Wiring; — - No.Hydrotnassage Bathtubs No, of Motots Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: J O b-SS PO C ), i 4,Attach additional detail I d ifesired, or as rree'quVk4,17k-111 by the Inspector of Wires. Estimated Value f e trical Worki (When required by municipal policy.) Work to Start:6, Z_ Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE OV RAGE: 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: INSURANCEX BOND ❑ OTHER 0 (Specify:) I certify, ta -- "•' -- •- '-' " ' -'tat the information on this application is true and complete. FIRM NAI WAYNE CHMI RICIAN T ELECTRICIANcl.-- LIC.NO.: Licensee: 222 WILLIMANTIC DRIVE Signature hid LTC.NO,: Licensee: � MARSTONS MILLS, MA 02648 (If• Address: (508) 428.7747 Bus.Tel.No.:C/07137 Tel.No.P.Ala *Per M.O.L. c, 147, s. 57-61,security work requires Department of Public Safety"S"License: Alt.L c.No, ��7' 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(check one).[] owner ❑owner's ent. Owner/Agent Signature Telephone No, I PERMIT FEE:$ "L