Loading...
HomeMy WebLinkAboutBLDE-21-0067258 1.Ai\ Commonwealth of Official Use Only 0Massachusetts Permit No. BLDE-21-006725 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.I/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:5/20/2021 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 b to Location(Street&Number) 200 SOUTH SEA AVE t 324 I Owner or Tenant REISMAN PAUL P elephone No. Owner's Address REISMAN MARIA,75 JOHNSON RD, SCARSDALE, NY 10583 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check ropriate Box) Purpose of Building Utility Authorization N.. Existing Service Amps Volts Overhead ❑ Undgrd * ,. 4;1% . ,rse// New Service Amps Volts Overhead ❑ Undgrd r. l Number of Feeders and Ampacity O Location and Nature of Proposed Electrical Work: Rewire kitchen&add 4 recessed lights. • Completion of the following table may 4 Spector of Wires. No.of Recessed Luminaires 4 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 8 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 10 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances 1 KW 2.5 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: Richard A Haarman Licensee: Richard A Haarman Signature LIC.NO.: 33511 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 18 Holmes Rd, Harwich MA 026452219 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: $75.00 2i & 6os2m)/ /A' i b ,tort f kvl ( `Ill 1 ift,11 C(1( (9.4 Commonweal o`Vin.4.4achnlette Official Use Onl f.—_-__ _ cc�� p V� ` >�I g 21.partsnent o`�rre Jervics6 Permit No. / 1 BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1 07cy and Fee Checked �,1' (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: 5/14/2021 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)200 South Sea Ave Owner or Tenant Reisman Telephone No. _Owner's Address Is this permit in conjunction with a building permit? Yes ❑■ No ❑ (Check Appropriate Box) I a° Purpose of Building Dwelling Utility Authorization No. Exist in Service 200 Amps 120 /240 Volts Overhead 0 Undgrd 1-1 Undgrd of Meters 1 New;Sevice Amps / Volts Overhead 111 Undgrd ID No. of Meters i INumbek of Feeders and Ampacity i Locatkin and Nature of Proposed Electrical Work: Rewire Kitchen,Add 4 recessed lights to Ceiling. 1 Completion of the following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires 4 No.of Ceil:Susp.(Paddle)Fans Tf Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Aboven In- nNo.of Emergency Lighting grnd. I I grnd. i I Battery Units No.of Receptacle Outlets 8 No.of Oil Burners FIRE ALARMS No.of Zones oNo.of Switches 10 No.of Gas Burners No. Initiating and on Devices No.of Ranges 1 No.of Air Cond. Tons Tons No.of Alerting Devices 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 ❑ Other Connection No.of Dryers Heating Appliances 1 KW2.5 Security Systems:* No.of Devices or Equivalent No.of Water Kam, 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: 5/13/2021 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 0 BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Snows Fuel, LLC Asa '///�� LIC.NO.•2946A1 Licensee: Richard A Haarman Signature 4��1 LIC.NO.:33511 E (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.•508-789-5410 Address: 18 Holmes Rd Orleans,MA 02653 Rick@snowsfuel.com Alt.Tel.No.:508-255-1103 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: 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)❑owner ❑owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No.