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Home My WebLink AboutBLDE-23-005268 Commonwealth of Official Use Only /CIA Massachusetts Permit No. BLDE-23-005268 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) 24 DEACON ST Owner or Tenant DUFFY DIANNE M Telephone No. Owner's Address 24 DEACON ST, SOUTH YARMOUTH, MA 02664-2915 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: New panel&install generator w/Xfer switch 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 1 KVA 14 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 Initiatine 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/Alertine 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:) 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 tjcqtcp3 f....... ).. _ at,..4. 6„4. . .. • &\ �! Commonweaem ol9 Maaaachua lid ".up y� ol22sl Uea Only e� `be artmanE e/ n Permit No. Ci2•3 —52—C f;� P giro Jervlcea r - , BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Pee Checked [Rev,1/07j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the assachusolts Electrical Cod (MEC), 27 CMR 12.00 (PLEASE PRINT IN INK O City or Town of: L Date: �. By this application the undersign To the Inspec or of Wires: g ea no loe of h or er tentfoQ to orform the electrical work described below. Location(Street& amber) Owner'or Tenant J CA.y\y\. • Owner's Address Telephone No. Is this permit in conjun ti n w th a b:aiding permit? Tres ❑ No-Purpose of Building (Check Appropriate Box) Existing Service Utility uthorization No. Amps • / _ oils Overhead New Service 0. Undgrd No.of Meters Amps /__,Volts Overhead❑ Und rd Number of Feeders and Ampacity g No,of Meters ocation and Nature of Proposed Electrical We i ,i1 C�{� 1\i � i <� ins Fer— Completion a the ollowin;!able ma be waived h the bs Scar of Wires, No.of Recessed Luminaires No,of Ceil,-Susp,(Paddle)Fans • o.o 'rotallo,of Lwninalre Outlets N Transformers ICVA No.of Hot Tubs Generators KVA • No,of Luminaires Swimming Pool •hove n- `o.o Units cy rg t mg :rnd. _rnd. Batter Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No,of Srvitches No,of Gas Burners To,o s e ec ton and No.of Ranges Initiatfn•Devices No.of Air Cond. o No.of Alerting Devices Na.of Waste Disposers Totals: ,,'p""'° Tons Spa Arca HoatingrKW,,,,,,,,.•.,.,•„ ""' yo.et o t e A rtln.e. Na.of Dishwashers iDeteettonlAlortin Devices 'unc a No,of Dryers HeatingAppliancesLocal Cetesne: n ❑Other o, 'star PP KW . ystettis: No.of Devices or I,ul alent _ Heaters KW o'o `0•o Data Wiring: Si:ns Ballasts No.of Devices or E.uivalent • No.Hydrotnassago Bathtubs No.of Motors Total HP e ecommun eat ons"wing: OTHER; No.of Devices or E,uivalent Estimated Val f Eleq I I,Work: Attach additional detail(fdesired or as required by the Inspector of Wires. Work to Start'• (When required by municipal policy,) INSURANCE C '(+E ) Inspections to be requested in accordance with MEC Rule 10,and upon completion, 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 co erage is in force,and has exhibited proof of same to the permit issuing office, CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) FIRM NAI WAYN E SCH M I DT "tad the informationon this appllcatlan is true and complete. r� ELECTRICIAN LIC.NO,: �y �C' Licensee: 222 WILLIMANTIC DRIVE Licensee:- MARSTONS MILLS,MA 02645 Signature f (508)426.7747 LIC.NO.: • Address: Bus.Tel.No. @ *Per M.G.L.c,147,s,57-61,security work requires Department of Public Safety"S"License; Alt.LTel.No. �I�� 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)D Owner/Agentowner 0 owner's a ant. Signature Teie hone No. A, PERMIT PEE,