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Home My WebLink AboutBlde-20-001980 o 1�\k`l/ Commonwealth of ( Official Use Only E�or: Permit No. BLDE-20-001980 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:10/10/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 11 WINDING BROOK RD Owner or Tenant DALY KEVIN J Telephone No. Owner's Address DALY JOANNE M, 10 ROLLIE SHEPARD DR, MILLBURY, MA 01527 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: Circuits for dish washer, mircrowave,2 receptacles&2 lights. 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 2 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 3 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 1 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 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: Paul M Ryder Licensee: Paul M Ryder Signature LIC.NO.: 39762 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:210 WESTWIND CIR, OSTERVILLE MA 026551366 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:$50.00 ef(2_ 3, l I (zA(1 ram` �ommona tatl off iaisae lts Official Use Only I.- , Permit No. _ i -. 2eparement cl irs Services _-= BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked - '�'` cv. 1/07] (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK . All work to be performed in accordance with the Massachusetts Electrical Code NEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATTOI9 Date: /O//v /y City or Town of: YAR1VIOUTH To the Inspector By this a application the of Wires: PP undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) / / /"...4—n.ii e A , 4-A- Owner or Tenant V i ") Telephone No. U G 3/ Owner's Address S'Aivi Z Is this permit in conjunction with a building permit? Yes ❑ No 64ag (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service/'o Amps /20 12 Volts Overhead \ Undgrd ❑ No.of Meters New Service Amps I Volts Overhead❑ Undgrd gr ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: J K� �7i�•. /c.... 'T_S -�t i"11 ��1/�G✓-G��e cd/�rl'``� 2- �I 7 Completion of the following table may be waived by the Inspector of Wires. 7.7 No. of Recessed Luminaires No.of Cet-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above El 'Natteo.of l mergency Lighting crud. end. � Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Iaitiatin::Devices No.of Ranges No. of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons l I KW 'No.of Self-Contained Totals: _DetectionlAlerting Devices No.of Dishwashers Space/Area Heating KW Local Q Municipal ❑ OtherConnection No.of Dryers Heating Appliances KW Security Systes:* No.of Water No.of No.of Devices or Equivalent Heaters Kam' No.of Data Wiring: Signs Ballasts No.of Devices or No.Hydromassa a Bathtubs Equivalent g No.of Motors Total HP Telecommunications Wiring: - O I HER: No.of Devices or Equivalent Estimated Value of Electri al Wo /�j (J `� Attach additional detail ifdesirec4 or as required by the Inspector of Wires— to Start U (When required by municipal policy.) Work Stu E C yE Inspections to be requested in accordance with MEC Rule 10,and upon completion. GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless i 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: INSURANCEhi BOND 0 OTHER ❑ (Specify:) I certify, under the par yd penalties o u / �fP 1►y,that the information on this application is true and complete. FIRM NAME: /i v e� pp Licensee: �f7 j LIC.NO.: �--r— , Signature LIC.NO. L (If applicable,enter exempt in the license number!inc.) / Address: �� ry Bus.Tel.No ,J Per M.G.L. c. 147,s.57-61,security work requires Department of Public SafetyAlt.TeL No. Q— OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not havethe labile Lic.No. required by law. By my signature below,I hereby waive this requirement. I am the(check one 0 owner 0 ocoverage normally Owner/Agent ❑owner's a ent >>I Signature Telephone No. PERMIT FEE: $