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Home My WebLink AboutBLDE-23 001844 Commonwealth of Official Use only Massachusetts Permit No. BLDE-23-001844 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:10/6/2022 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) 45 NAUTICAL LN Owner or Tenant RODRIGUES J ELVIO TRS Telephone No. Owner's Address RODRIGUES E JUDITH TRS,45 NAUTICAL LN, 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: Install generator&transfer 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 18 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 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: $100.00 �2 Cp6te to 1 w( - feli f-, i oeiGot*,--' , I LC'. • -- . ( n 1r4 Commonwealth o///Iaeeachueatfe Official Use Only 1>a artment o�.Ylra p Permit No. ei7i5 P Services e' y-,-, Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) `mil APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the assachusetts Electrical C de (PLEASE PRINT IN INK 0 )�27CMRiz.00 City or Town of: L Date: �<_? To e Inspector of Wirs: By this application the undersign vas nokice of his or her mention fo perform the electrical work described below. Location(Street&Number) L) / el j ' L^ L—.L• Owner' Tenant t,(l) f Owner's Address • or Telephone No _ 7Is Hthis permit in conjunction with a building permit? Yes (-1 No Pur ease of Building[1. (Check Appropriate Box) �----— —�i Utility Authorization No, Existing Service Amps ' / Volts Overhead Q. Undgrd 0 No.of Meters C----.( New Service Amps / Volts Overhead 13 Number of Feeders and Ampacity Undgrd No,of Meters ��ecation and Nature of Proposed Electrical Walt: I • 1L Iv' y,Tc L�it l vv ti ` AILS r5li Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No,of Cell,-Susp,(Paddle)Fans No.°f Corer No.of Lurninalre Outlets Transformers KVA No,of Hot Tubs Generators KVA . • No.of Luminaires Swimming Pool Above In- No.or Emergency Lighting grad, grad', Battery Units No.of Receptacle Outlets No.of OII Burners FPRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges Total Initiating Devices • No,of Air Cond. Tans No.of Alerting Devices No,of Waste Disposers p „( an „K , o.o e entailed Space/Area Totals: Heat bar •„orig,,,,,,,,,„ ��•�••••"" Detection/Alerting Devices No,of Dishwashers p Heating Local 0 Mmdcipal Connection ❑Other No.of Dryers Heating Appliances KWSecurity yste ms;*"""""""---•i•--- No,of(Voter 'No. t. No.of Devices or E uivalent :jeerers o n No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent • No.Hydrmnassage Bathtubs No.of Motors Total HP Telecommunications Wiring; No.of Devices orEquivalent OTHER: ` ts;, � 4 rA ��_A. ��`\\ ��\ �� \ • Egtimated Value of Electrical Work: Attach add lional detail If desired,or as required by the Inspector of'Wires. municipal policy.) Work to Start: IC I /7f Z L Inspection requested in accordance(When required y 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 0 (Specify:) Icertify,ut__._.._....,_..... __ FIRM NAI WAYNE SCH M I DT al the information on this application is true and complete. ELECTRICIAN i L LIC.NO.: �,;T �f 1 Licensee: 222 WILLIMANTIC DRIVE `"'•. Licensee:-l. MARSTONS MILLS,MA 02648(If Signature jfls'✓. ',, LTC.NO.: • Address: (508)428.7747 Bus,Tel.NJo,:• -y . °Per M.G.L.c,147,s.57-61,security work requires Department of Public Safety"S"License: Alt.L c.No. �/! OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required byg law, By my signature below,I hereby waive this requirement, I am the(check one ID (]one owner (]owner's Owner/Agent wn Ow°rrd Signature Telephone No. PERMIT FEE:$ 1(,I6'