The URL can be used to link to this page

Home My WebLink AboutBLDE-23-000661 Commonwealth of Massachusetts fici Permit No. BLDE-23-000661ofal Use Only o► �E ��- ) 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:8/9/2022 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) 49 CANTERBURY RD Owner or Tenant BRAD McCLAY 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: Miscellaneous work per attached. 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. 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 ❑ (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 cL 14-30(-0/ �6 / V.:lee,,, ) Otliktscp rr Commonwealth.o////aosacht metto Official Use Only .'M�`` cx � n Permit No. e23 -C' j�j( a _ 9 epartment o ere Jervieee "1-( Occupancy and Fee Checked - ' BOARD OF FIRE PREVENTION REGULATIONS ��` "`' [Rev, 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the assachusetts Electrical Co (PLEASE PRINT IN INK O c) 527 CMR t z.00 � � �~ l� Date: •2-� ZZ City or Town of: To the Inspector of Wires.• By this application the undersign ives no ' of his er nt ntion to perform-the electrical work descri ed below. Location(Street& mber) � A,VA \e c b u (-', � CAy-4,€), Owner'or Tenant ').C � �1 Telephone No. ' Owner's Address ' Is this permit in conjunction with a building permit? Yes ❑ No 151, Purpose of Building_ DLAt '\\ _ __ IJtility Autl►orir,.a(Check Appropriate Box) tlon No, Existing Service Amps • / �� Volts Overhead ❑. Undgrd No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity °cation and Nature of Pro osed Electrical W rk: ..V.ISCAJ2.1A Ye_IN' , Mit*. e -, Com letion o the ollow n table ma be waived by t e Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans • o•o 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 Initiating Devices No.of Ranges No.of Air Cond. Tonsl No. of Alerting Devices No.• of Waste Disposers Heat-Pump Number Tons KW 'No.of Self-Contained Totals: •..•,•.,•.,,.•,,,,•,.•„• Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' L°cal❑ Municipal ' Connection 0 Other No,of Dryers Heating Appliances KWecr►rity Systems: No.of WaterNo.of Devices or E uivalent �o.of oli Heaters KW o —" Data Wiring: SignsBallasts _ No,of Devices or Equivalent — No.Hydr°►nassage Bathtubs INo.of Motors f utal HP ^I't 117,:oi4,:-rrt 1IC :Ons Vtiririg; OTHER: � ��1 ( �No,of Devices or Equivalent Attach additional detail If desired, or as required by the Inspectowof Wires. Estimated Value Ele trial Worki (When required by municipal policy.) Work to Start: •L.a__ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COV 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 ❑ OTHER 0 (Specify:) Icertify, ur _......._ _......_..... .. _ _ _ WAYNE SCHMIDT 'gat the information on this application is true and complete. FIRM NAI ELECTRICIAN '1 •'� 222 WILLIMANTIC DRIVE � h ,, I: LIC.NO.: �,� Licensee: MARSTWIL MILLS, C DRIVE Signature l� oId ` .. LIC. NO,: (IfapplicabI (508)428-7747 • Address: Bus.Tel.No.: *Per M.G.L. c, 147, s. 57-6I,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 by law, By my-signature below,I hereby waive this requirement. I am the(check one) 0 owner 0 owner's agent, Owner/Agent Signature Telephone No. _`I PERMIT PRE, $ 50 l