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Home My WebLink AboutBLDE-22-007339 Commonwealth of Official Use Only CMassachusetts Permit No. BLDE-22-007339 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:6/22/2022 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. Location(Street&Number) 7 COPPER BROOK RD Owner or Tenant Kathleen O'Dea Telephone No. Owner's Address 7 COPPER BROOK ROAD, SOUTH YARMOUTH, MA 02664-4332 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 HVAC. 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- I: 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 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 ❑ 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 c. -t r 3 66,(2,3 . . ...e.:e:-..:-. -5) „, Ci(G-'1.59-. . .- ak-- _ (.ommoruura �/�// of ,_ Official UseOnl �! ='=• may) `� ='�t=/ C/(ice. if _40_ , `� [ L c7 Permit No. 3 (//�� i eparGmen(.of ire�crvice3 J • . 1. Occupancy and Fee Checked -:,; ,r,. BOARD OF ARE PREVENTION REGULATIONS {Rev. 1/07] (leave blank) APPLICATION FOR�°PERMIT TO PERFORM E ECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical C 5 7 12 00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Cityor Town of: YARMOUTH To the Inspector of Wires: . By this application the undersigned gives notice of his or her i tention to perform a electrical work described below. • Location(Street&Nu ber) gb Owner•or Tenant i � �� Telephone No. Owner's Address �/'/ M L Is this permit in conjunction with a bu"din r ,, g permit? Yes ❑ No (Check Appropriate Box) Purpose of Building D w \Y\____g Utility Authorization No. Existing Service Amps / Volts Overhead ❑. Craig(d❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ NO.of Meters Number of Feeders and Ampacity Lotion and Nature of Proposed Electrical Work: ) t .AAritg 1 0 I: p/Kr Completion of the following table may be waived by the Inspector o 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 - ernd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.of Zones No.of Switches No.of Gas Burners — No.of Detection and Initiating_Devices No.of Ranges No.of Air Cond. '" Tons 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 Municipal ❑ Connection �'� No.of Dryers Heating Appliances , Security Systems:* No.of Water No.of Devices or Equivalent No.of Heaters KWNo.of Data Wiring: Signs Ballasts No.of Devices or Equivalent f No. Hydromassage Bathrobe INo,of Motors Total HP Telecommunications Wiring: j No.of Devices or Equivalent OTHER: Attach additional detail if desired or as required by the inspector of Wires. Estimated Value f lee ' l Work: (When required by municipal policy.) Work to Start: ,._5 2-2— 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 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 ❑ OTHER X(Specify:) WO C KerS C.ChNT I certify, under t'----°--- --- WAYNE SCHMIDT y, that the information on this icati n is true and completes FIRM NAME: ELECTRICIAN �ij� �C�' 222 WILLIMANTIC DRIVE LIC.NO.:-y= l Licensee: ---�":ARSTONS MILLS, MA 02648_ g /3 LIC.NO.: (If applicable,ente SI Hato (508)428 7747 ne.) Bus.Tel.No.. )Address: �/ j "Per M.G.L.c. 147,s.57-61,security work requires De artment of Public SafetyAlt.Tel No.: P "S"License: Lic. No. ,t 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 agent. 7 Owner/Agent _ I Signature Telephone No. I PERMIT FEE: $ ‘.414, _ __ . • • _ _ _