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Home My WebLink AboutBlde-21-006542 Commonwealth of Official Use Only ft Massachusetts Permit No. BLDE-21-006542 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:5/12/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertomm the electrical work described below. Location(Street&Number) 307 OLD MAIN ST Owner or Tenant CULTURAL CENTER OF CAPE COD INC Telephone No. Owner's Address P 0 BOX 118, 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: New lights for sign. 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 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 0 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: 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:$80.00 v/,- s731v t r 1 Commonwealth of IiiiamachueetieOfficial Use Only \- �i _�.,.. � ]� Permit No. :)epar6m nt Of giro Serviced if- 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 accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: r— // ' Z,/ 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) d 7 O/d ,41,t,„" .r7 Owner or Tenant (iv / It .-a,/ £ � O F C f Telephone No '� �'] P .� Y �/df 0) Owner's AddresC 4c,( J (11. Ai t,) f,.,t.,...c. Is this permit in conjunction with a building permit? Yes ❑ No.. (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters Number of Feeders and Ampacity le D Location and Nature of Proposed Electrical Work: ��s {� , f ,. b' t;J t'..e. 4. 2 1.y L42 a/e A re e AOA7'`s !A/il Ce-c.r ,T vi ' Completion of thefollowing table be waived by the In for of Wires. lb No.of Recessed Luminaires Na of Cdl.-Soap.(Paddle)Fana No.o l t. _Transformers KVA C No.of Luminaire Outlets No.of Hot Tubs Generators KVA �; No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting grnd. ❑ Enid. ❑ Battery Units '-I No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones Na of Switches °No.of Del cjon and 4. No.of Gas Burners t L! Na of RangesTotal Initiatlng Devices No.of Air Cond. Tons No.of Alerting Devices Na of Waste DLposera 'Heat Pub Number Tons ..K* -No.of Self-Contained Totals: " ''".. Detection/AlertingDevices Na of Dishwashers Space/Area HeatingKW Municipal P Local❑ Connection ❑ Other Na of Dryers Heating Appliances KW Security Systems:* No.of Water KW No.of No.of DataWiring:o.of ev[cea or Equivalent HeatersSigns Ballasts No.of Devices or Equivalent Na Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivident OTHER: 011 Attach additional detail if desired,or as required by the Inspector of Wires. a Estimated Value of Electrical Work: Ld (When required by municipal policy.) Work to Start:•'j I- 14 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 issuing office. CHECK ONE: INSURANCE 1►: BOND ❑ OTHER 0 (Specify:) I certify,under the pap d pena/nes of perjury,that the lnf adon on this a lkation Is true and complete. FIRM NAME: ice/ L//yi`.. / /ice'/ /�T.�o - LIC.NO.: c, Licensee:"Mil Rio st`/ Signature .--r �"-" LIC.NO.:T / 7‘L f(If applicabter'eyx�eemmpt' n the license num line.) � Address: 0 G�r< // L/ V %v�e, Z6 �r► Bus.TeL No.- Address: *Per M.G. c. 147,s.57-61,security workrequires .. Alt.Tel.No.: (� ' Department of Public Safety"S License: Lic.No. OWNER' 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 III owner ■ owner's a:ent. Owner/Agent Signature Telephone No. PERMIT FEE:$