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Home My WebLink AboutBlde-20-002592 Commonwealth of Official Use Only Ems, Massachusetts Permit No. BLDE-20-002592 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:11/4/2019 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) 77 LONG POND DR Owner or Tenant RYONE ALLEN E Telephone No. Owner's Address RYONE SHARON L, P 0 BOX 440, BREWSTER, MA 02631 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: Replace devices&install arc fault circuit breakers. 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 grind. grind. 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/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 Data Wiring: Heaters Signs Ballasts 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: Isaiah L Bassett Licensee: Isaiah L Bassett Signature LIC.NO.: 40515 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:PO BOX 1362, BREWSTER MA 026317362 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 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: $130.00 r Comasonwea ii o<Maimachasstitt Official Use � �C_ Only I' • n .'/ Permit No. C! ,-- - L .: Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. l/07) (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accondanc a with the Massachusetts Electrical Code ).527 CMR 2.RECEIVED (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /Cq City or Town of: Yr 1Ovl#1 To the Inspect of Wires. a By this application the undersigned gives notice of his or her intention to perform the electrical work desenbec beWg V 0 4 2019 * Location(Street&Number) 77 `any ,�Q� - I Owner or Tenant feet /eYO h L Telephone No 8 U I L D I N G DEPARTMENT F9, �") Owner's Address n4Fkd d= get Is this permit in conjunction with a building permit? Yes No 0 (Check Appropriate Box) Purpose of Building Ou/eJ`Aj Utility Authorization No. ti Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service .2AO Amps /A)/o?Vr) Volts Overhead Er Undgrd 0 No.of Meters ,,� u� - c` Number of Feeders and Ampadty 2 200/9,'5 z--9` Location and Nature of Proposed n i Electrical Work: /(' j L Completion of thefollowin&table ntey be waived by the I?ector of Wires. Qo No.of Recessed Luminaires No.of Ce4L (Paddle)Fans No.of Total 'gypTransformers KVA C.t No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4� No.of Luminaires Swimming Pool Above ❑ In- ❑ a of Emergency Lighting grnd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No.InDetection and Initiating Devices i`-' No.of Ranges No.of Air Cond. Tom No.of Alerting Devices No.of Waste Disposers Heat Pump Number This KW No.of Self-Contained Totals: ._ .... ._. ..__ ._ Detection/AleZ%Devices No.of Dishwashers Space/Area Heating KW Local El Connection 0 Other HeatingAppliances Systems:* No.of DryersKW No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Hydromassage Bathtubs No.of Motors Total HP TeI N 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: Inspections 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 suing office. CHECK ONE: INSURANCE [i1'BOND 0 OTHER 0 (Specify:) ,�(e, _1.. . . I certify,ander the sins and penalties of perjury,that the information on ads n is true and complete. FIRM NAME: J 54 t q 4 ei4SS $ /J-j-rt t LIC.NO.: 9UyIS W Licensee: �q,Q / ��Q�C� Signature ? LIC.NO.: ' 7s (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: Alt.TeL No.: *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lie.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)❑owner ❑owner's agent. Owner/Agent f PERMIT FEE: Signature Telephone No.