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Home My WebLink AboutBLDE-23-005267 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-005267 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:3/24/2023 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) 156 BLUE ROCK RD Owner or Tenant PECORARO PAUL A Telephone No. Owner's Address 156 BLUE ROCK 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: Replacement boiler. 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 1 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 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:) 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 1-4,.....__. OtiP',3cp , t�j� • Commonweath o////asdachuealts • Official Use Oni , i � artmant ot lra Serviced Permit No. '�2 3 ' 7 e P - s BOARD OF FIRE PREVENTION REGULATIONS (Rev Occupancy, 1/07] and Pee Checked '" (leave blank) APPLICATION-FOR PERMIT TO PER' FORM ELECTRICAL WORK All work to be performed in accordance with the assachusstts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK O•. i Are, L . • • / lie Date: City or Town of: Maki. : ''•0 �i By this applioation the undersi g n : �t` To the Inspector of Wares. notice of his o r ntention lo,prfotm the electrical work described below. Location(Street&lumber) )) 11�1 • Owner'or Tenant r C. li L. {,( ( . Owner's Address • f C�(` i Telephone No. / Is this permit in conjun tion with a b tilding permit? yes ❑ No Purpose of Building f' (../ (C heck Appropriate Box) Utility Authorization No. Existing Service Amps • / ' olts Overliead ❑. Undgrd ❑ No,of Meters New Service Amps ,,,_ /_�yolts Overhead Number of Feeders and Ampacity ❑ Undgrd 0No,of Meters — Location an Nature of proposed Electrical Work: I i i 1r • Com Milano the ollowin table ma be waived by the Ins ector of Wires. No.of Recessed Luminaires No,of Cell;Susp.(Paddle)Fans • o.o Tota No,of Lutninaire Outlets Transformers KVA No,of Hot Tubs Generators KVA • No,of Luminaires Swimming Pool bone ❑ n- o.o mergency tg t m No.of Receptacle Outlets rod. rod. � g Batter Units No.of Oil Burners FIRE ALARMS No,of Zones No,of'Switches No,of Gas Burners I ) No. of Detection and No.of Ranges Initiating Devices No,of Air Cond. No,of No,of Wastee Tons Alerting Devices Disposers• -Heat-Pump Nrtmber Tons KVV No,ofSelY Contained" Totals: "' Detection/Alerting No.of Dishwashersip Devices Space/Area Heating KW" Local Muiticipal No,of Dryers 0 Connection ® Other Heating Appliances KW ec5 it No. •gyysteia s:'^rEq v No,of Water No.of of r.g; es or E uivalent Tinter? KW No.of D:.�: !x'iri Signs Ballasts rg: No.of Devices or Equivalent • No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Estimated Value of El c "i 1 Work: Attach additional detail(fdesired, or as required by the Inspector of Wires. (When required by municipal policy.) Work to Start: --j :A 12.3 Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVE GE: 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 erage is in force,and has exhibited proof of same to the permit issuing office, CHECK ONE: INSURANCE BOND 0 OTHER El (Specify:) I certibf,ui "•'""' -- —••• •- - •'•'' ^ '•-••- "'rat the information on this application is true and completes. FIRM NAI WAYNE SCHMIDT ,y ELECTRICIAN LTC.NO.: - Licensee: 222 WILLIMANTIC DRIVE ' ° 4 MARSTONS MILLS, MA 02648 Signature LIC. NO,: (Ifapplicabi (508) 428.7747 ' Address: Bus.Tel.No.:•-_ 1•�i • *Per M.G.L.c, 147,s. 57-61,security work requires Department of Public Safety"S"License: LiAlt c.No,el. `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 0 owner' gent. Owner/Agent Signature Telephone No. [PERMIT FEE:$ - 1