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Home My WebLink AboutBLDE-22-007142 .,0<iit:;),i, qr.) Commonwealth of Official Use Only Massachusetts Permit No. BLDE 22 007142 `+ 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 PRI:V1'IN INK OR TYPE ALL INFORMA no.k) Date:6/9/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice o'his or her intention to perform the electrical work described below. Location(Street&Number) 112 PAWKANNAWKUT DR Owner or Tenant Eileen Woods Telephone No. Owner's Address 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: Add on A/C system Completion ol'the f Blowing table may he 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 0 In- ❑ No.of Emergency Lighting grad. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FiRE ALARMS I No.of Zones No.of Switches No.of Gas Burners No.of Detection and initiating 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/Alerting 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 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 it clecire,( or as required by the Inspector of Wit-es. 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 BON[.) 0 • OTIIER 0 (Specify:) 1 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 menthe'.line.) Bus.Tel.No.: Address:222 WILLIMANTIC DR, MARSTONS MLS MA 026481929 Mt.Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:1 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 la-ar w=• - l.ommanweatfh ao!gl�6ach�eit3 Official Use Only n! p `�e artmenl o cc77 pp Permit No. E 21'7/. t Z/ p' �.Ytre Jaraicee ,y, BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked __ 1/07`Ve lank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AU work to be performed in accordance with the assachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK O City or Town of: �1'� 0 V~ Ir Date: By this application the undersign i s no.•.of its l•ntion to performthe electrical o k described below. Location(Street&Number) �i Owner or Tenant `�,�1 > -r" • j/— Owner's Address ` `• Telephone No. -g5/77 Is this permit in conjun a with bu Id g permit? Yes [� No G.0 Purpose of Building l�(7 `\C cr- (Check Appropriate Box) Utility Authorization No. Existing Service Amps / No. Volts Overhead n Undgrd Now Service ❑ Nu,of Meters _ Amps / Volts Overhead 0 Undgrd Number of Feeders and Ampacity g ❑ No.of Meters Loati and Natupe of Proposed Electrical Work: • s r ' Com•letion o the ollowin;table ma be waived i,, the Ins•ector o Wires. No.of Recessed Luminaires No.of Cell:Susp,(Paddle)Fans • To•o Toth No.of Lurninalre Outlets Transformers KVA No.of Hot Tubs Generators KVA No,of Luminaires Swimming pool :rnd.ove ❑ n- o.o Unite cy rg r mg _rnd. Bettor Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No,of Gas Burners ;''o.o "►etecton an. No,of Ranges Initiatin:Devices • No.of Air Cond. ota No,of Alerting Devices No.of Waste DisposersPTotals: Tons Space/Area Heating otL " `et o e = rtina ned sat'um ttmb , No.of Dishwashers "'" (Detection/'iertin_Devices g KW' Local 0 mn a pa 0 Other No,of DryersConnection Y Heating Appliances KW ecur ty ystems:* `o,o 'ater No.of Devices or E.uivalent Heaters KW °'° `0•o Data Wiring: Sins Ballasts No,of Devices or E.uivalent • No,Hydromassage Bathtubs No,of Motors Total HP e,common cat ons"r OTHER: No,of))ev9ces cr E eaen` Estimated Value 4 I r 1 orkt Attach additional detail 1/desired or as required by the Inspector of Wires. Work to Start: (When required by municipal policy.) d in e with MEC Rule 10, uon INSURANCE COVERAGE: Unless waived by the ownernspections to be ,no permit dfor°the performance of elects al work maytissue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent, The • undersigned certifies that such co,rage is in force,and has exhibited proof of same to the permit issuing office, CHECK ONE: INSURANC BOND 0 OTHER❑ (Specify:) I certify,ar- _.._ fY) FIRM NAI WAYNE SCHMIDT at the information on this application is true and complete. 222 ONWIS ELECTRICIAN MA 026 g �.„�� LIC.NO.: _- =�..1_� Licensee: MARSTONS MILLS,MA 02648 (Ifappltcabl, Signature LTC.NO.:—, • Address: (508)428.7747 Bus.Tel.No,: "' Per M.O.L.c,147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No, —"— �� OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabilityAlt.Tel.No.: required by law. By my signature below,I hereby waive this requirement, I am the(check one. Owner/Agent insurance coverage n�ottrtaily Signature ❑owner ❑own ent Telephone No.-^ PERMIT FEE:$ v • :w s. - �t __ -1 - _. _ ---- _ -- I