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Home My WebLink AboutBLDE-22-004319 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-004319 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:2/3/2022 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) 17 STRAWBERRY LN Owner or Tenant PERERA LAWRENCE T TRS Telephone No. Owner's Address HEMENWAY&BARNES, P 0 BOX 238,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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: Under counter lighting 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 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 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 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 0 (Specify:) 9tg, 280 - 6og I 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: $50.00 £ RECEIVED ( :.. FEB 032022 A� / Vim;. .maim th of Mamachueatle Official Use Only ` 1'` " ?tNG UEPRTM cc�� Serviced �7 Permit No. 622,�' 19 i. to y`r, M E arlinanl o� }irs Jorvu ae t r-- . + — Occupancy and Fee Checked V BOARD 0 PREVENTION REGULATIONS (Rev. ]/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ZPe 7 Z,L City or Town of: YA R M O UTH To the Ins cto of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) / 7 fJL ,, > Le / N• /'- - / . Owner or Tenant L!d'fj✓r,��G �e ✓`c �� ,� Telephone jVj 0 71( t ,-,� . Owner's Address ,:i J 77 b ft ` Is this permit in conjunction with a building permit? Yes ,® No 0 (Check Appropriate Box) Purpose of Building ,fit eL„,04/u. Utility Authorization No. Existing Service Amps/ / Z,%-k,Volts Overhead 0 UndgpiTSI No.of Meters / New Service Amps11 / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampadty E Lo•cation• and Nature of Proposed Electrical Work: ....co,' YJ'^ Gifv..✓: 7 I) Completion of the follbwingtable may be waived by the Ins Inspector of Wires. NA tt No.of Recessed Luminaires No.of Cell:Sasp.(Paddle)Fans No.of Total 'f Transformers KVA `2` No.of Luminaire Outlets No.of Hot Tubs - Generators KVA ,-t No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting trod. grnd. ❑ 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 Initiating Devices No.of Ranges No.of Air Cond. Ton No.of Alerting Devices No.of Waste Disposers Heat Pump I Dumber'Tons 1 Tons KW 'No.of Self-Contained Totals: I _Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ "Her No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.ofNo.of Devices or Equivalent Heaters ' Data Wiring: No.of Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Estimated Value of lectrical W ��04 Attach additional detail if desired,or as required by the Inspector of Wires. (When required by municipal policy.) Work to Start: L 1,,..1• 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: INSURANCE" BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the In ormatlon on this application is true and complete. FIRM NAME: "A. �/�/ jf'V/ �d *�' LIC.NO.: •— Licensee: /In/ �.(� L ' Signature /� (If applicable,enter"exempt inIthhe license numb r line.) "/i /" �~� LIC.NO.. Address: ..V� 2 Bus.Tel.No. *Per M.G. . 147,s.57-61,security work requires Department of Public Safety"S"License: Alt Lic.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 II owner ■ owner's a_ent. Owner/Agent Signature Telephone No. PERMIT FEE:$