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Home My WebLink AboutBLDE-21-007476 Commonwealth of Official Use Only Fes; Massachusetts Permit No. BLDE-21-007476 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.1/071 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:6/23/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of has or her intention to perform the electrical work described below. Location(Street&Number) 14 STRAWBERRY LN Owner or Tenant WILLI '; � IN J JR TRS Telephone No. Owner's Address C/O. ;;`.1f3 BIRCHWOOD LN, LINCOLN, MA 01773 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 ❑ 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: Relocate receptacle&disconnect for condenser. 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 ❑ 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 Siens 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 ' SZk Corrurowwsaah lures Official U y el x,21- 7 g 2 sparlrnr�4 c7_ Permit No. � .tinr ' 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 Maasacbusetta Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: e— 1.- 3 - Z/ City or Town of: aI 72_ To the Inspector of Wires: By this application the undersignedyee,,,,---643. es notice of his or her intention to perform the electrical work described below. Location(Street&Number) / V f4- „J 1 '-'r /a."�. Owner or Tenant 1;411 A...--e...i-.1 ` Telephone No. Owner's Address J> ewe- Is this permit in conjunction with a building permit? Yes kg No 0 (Check Appropriate Box) Purpose of Building Xt.di 4, ., Ca. Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work:/a cr 1.s. (" ' v, ,�� -tat' if r, • 7 ,c.,' Compkteon of thefollowingtable nra/be waived by the Ingtector of Wires. lb No.of Recessed Luminaires No.of CelL-Snap.(Paddle)Fans No.of cal �/ Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA n No.of Luminaires Swimming Pool Above ❑ Ia- ❑ Ivo.a EmergencyunitsLighting grad. and. Battery Unit `J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 'No.of Detection and Infthduig Devices Total 11? No.of Ranges No.of Air Cond. TonsNo.of Alerting Devices Na.of Waste Dh�posers Heat Pump Number I Tons .___'No.of Self-Contained I KWDeteetion/Aler evkes No.of Dishwashers Space/Area Heating KW Local 0 Connection 0 Other SecuritY yy No.of Dryers Heating Appliances ' No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or aLiv tient _ No.Hydromassage Bathtubs No.of Motors Total HP Tdao of Devic tlo or No. Devices s livaIZAent OTHER: Attach additional detail if desired or as required by the Inspector of Wires. OS Estimated Value of Electrical Work:fit Q (When required by municipal policy.) Work to Start: !i. Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C V1LERAGE: 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: LNSURANC B ND 0 OTHER 0 (Specify:) I certify,under the pains of perjury,that the infomaon on this application is true and compkte. FIRM NAME: �� '( IC't t / iPAL,/ /Z y / . LIC.NO.:7 6 Licensee: Signature LIC.NO.0 �� (If applicable, "exempt"in a liicense number line.) Bas.Tel.Nei r Address: 6g s`/L., 6.44,-,.:/h Alt.Tel.Nola / *Per M.G. .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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT PEE,8 t ' , • • •••• n • , • • • \ •• •1 •• • ♦ I • • • - i • • • • .. • • • • • • ►'' • • . •