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Home My WebLink AboutBLDE-22-005658 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-005658 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:4/5/2022 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) 68 HATCH RD Owner or Tenant HURLEY FRANCIS H JR Telephone No. Owner's Address 68 HATCH 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 condenser&relocate disconnect. 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 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/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 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 ❑ 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 -dZ-3j Commonwealth,of rrlaaachadelti • Official Use��O--n))y ET. y� • Q ire t .JJeParEmenE o� �ervlcen Permit No. C2Z—.7t0 i'-II_ BOARD OF FIRE PREVENTION REGULATIONS [Occupancy and Fee Checked Rev,1/07] (leava blank ) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the assachusetts Electrical Coda (PLEASE PRINT IN INK 0 (MEC),527 CMR t 2.00 L Date:— (� City or Town of: To the Inspector of Wires: By this application the undersign fives notic of his or her nteRgop to perform the electrical work described below Location(Street&Nu ber) ,' Gi. A S �y Owner'or Tenant / l_ Owner's Address ' �� Telephone No. • Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building D I. (Check Appropriate Box) Utility Authorization No. Existing Service Amps / , Volts Overhead ❑. Undgrd❑ No.of Meters New Service Amps / Volts Overhead Number of Feeders and Ampacity Undgrd❑ No.of Meters )� tion and Nature of Proposed Electrical Work; �{f � �� r i c v(i Utc�--4- 'Y1 G% i lS( r v�s1�\� rim s 3� i yet c ��rt� ( /Vit 1 mpi of the following table ma be waived by the Inspector of Wires. No,of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No,off Total Na,of Lurninaire Outlets Transformers KVA No,of Hot Tubs Generators KVA No,of Luminaires Swimming Pool• Above ❑ In- No.or Emergency Lightinggrnd. grnd. 0 Battery Units No.of Receptacle Outlets No.of Oil Burners TIRE ALARMS !No.of Zones No.of Switches No,of Gas Burners No,of Detection and No,of Ranges Initiating Devices I('Z No.of Alerting Devices No,of Waste aherssers Heat Pump I Number, Tons No.of Self-Contained No.of No.of Air Cond. Dishw Totals: ... I Tons 11,4..................... Detection/Alerting Devices • Space/Area Heating KW LocalMudcipa No.of Dryers 0'Connection 0 Other Y Heating Appliances KW ecurtTy ystems:° No.of Water KW No.of No.of No,of Devices or Equivalent Heaters Si ns Ballasts Data Wiring: — No,Hydromassage Bathtubs No.of Devices orE uivalent No,of Motors Total HP elecommunications firing: OTHER: ______No.,of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value f Ele trial Work: ___________ (When required by municipal policy.) Work to Start:,. S. .2-- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE 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 opotation"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 0 (Specify:)I certify,ut -.......__...._...... FIRM NAI WAYNE SCHMIDT at the information on this application Is tree and complete. 222 WILLIMANT CELECTRICIANDRIVE �� Licensee; MARSTONS MILLS,MA 02648 LIC.NO,: �� (Ifappl/cabl� Signature .f • (508)428.7747 LTC,NO.:M.s; Bus.Tel.No,Per M,O,L,c,147,s,57-61,security work requires Department of Public Safety"S"License: Alt.LTel.ie No,:ejg" 1 7f reeEr y law, By my signatureE AVyelowl am hereby waive he Licensee does not thisrequirement. ! the k one [] Owner/Agentd liabilityo insurance coverage normally are Signature (check onea:ent. Telephone No. •