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Home My WebLink AboutBlde-22-003722 or Commonwealth of Official Use Only re IPA Massachusetts Permit No. BLDE-22-003722 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:1/5/2022 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) 15 MOHEGAN LN Owner or Tenant MEYER GREGORY Telephone No. Owner's Address MEYER CHRISTINE, 15 MOHEGAN LN,YARMOUTH PORT, MA 02675 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: 6 Circuit Xfr switch&receptacle. 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 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 Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: 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 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: $75.00 Comnrontuta[th of�/adeac�iaatife qOfficial Use Only 1;�'� ` �tparfnunf o` �7 Permit No. 2 -37�. -_ �ir+r Jtrvittd [' J 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 Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: if/ - 2. City or Town of: YARMOUTH To the Spector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below, Location(Street&Number) Owner or Tenant y `3 l r' �U �,�� 4 ,� (-Oro"{ 'L y Telephone No:77 ' g,j•( "77 7 QOwner's Address ./M{J Is this permit in conjunction with a building permit? Yes ❑ No.® (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service/0 b Amps ijie / Volts Overhead❑ Undgrd❑ No.of Meters / New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters i Number of Feeders and Ampacity ti Location and Nature of Proposed Electrical Work: d G�s ' G ul7- Tp—a...../04', J4 .74- i `� /14.4i.) 4A ,..r/.C- 0' a L 'tV c.% .4_ Li 4 A oto. eztdn.i.z.- eiVTf- 7- .:Aa,„.1.„...E.fo Completion of the following -table m be waived by the In ector of Wires. ill No,of Recessed Luminaires No.of Cell.-Sus No.of Total es! (Paddle)Fans Transformers KVA 1:4 No.of Luminaire Outlets No.of Hot Tubs Generators KVA ' No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting Qrnd. grnd. ❑ Battery Units w:4 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and ' i Initiating Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump I [Number[Tons J KW No.of Self-Contained '' Totals: _Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 other No.of Dryers Heating Appliances KW Security Systems:* No.of WaterNo.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: ei Attach additional detail if desired,or as required by the Inspector of Wires, Estimated Value of E ectri l Work: 9 Q 0 (When required by municipal policy.) Work to Start: Z- L 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 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: INSURANCEL BOND 0 OTHER 0 (Specify:) I certify,under the pains penal'es of erjury,that e l forma on on this a plica on is true and complete. FIRM NAME: r /L/ /� / /6 le/i �t/ LIC.NO.: Licensee: At!// AY ' Signature ' L g° /h/f d� LIC.NO.: �G (If applicd6le,enter"xempt"'n the license number line.) - Bus. Address: �U (ay- /i l-/ d / /,.,a- Tel.N�.;f G j�� 66.3/ *Per M.G.L.c.T47,s.57-61,security work requires Department Public Safety"S"License: Alt.TeL 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 ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$