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Home My WebLink AboutBLDE-22-003389 Commonwealth of Official Use Only CHe Massachusetts Permit No. BLDE-22-003389 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:12/14/2021 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 electricaiwork 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 ❑ No.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install trac lighting&switches. 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 rnd. 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. Tonal No.of Alerting Devices 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 Eouivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eouivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eouivalent 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 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: $80.00 (cEO c r6ut � . RECEIVED .77 ;1 DEC 14 2 nw ,U„/o /,'igudaC4adsito Official Use Only Permit No. 'Zv�3 (` ;5;4'7: !, 5 DING DEPART cc77 -• ,If-,;: ~v Occupancy and Fee Checked _.• BOARD OF FIRE - -EVENTION 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 i' (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /Z/j.� /-2__/City or Town of: YARMOUTH To the Inspectorllof Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. \\- Location(Street&Number) 3 p��t 4/10;‘, •. 'T- Owner or Tenant 0 L/ � 'A, / &y,--4-- a le Ge-ipc (�GJ Telephone No. ' 41 tr —"-7/Uv Owner's Address 54,y..L (cam 4,.I, `Ne-,4-11, f '-'1 Is this permit in conjunction with a building permit? Yes 0 N`6 J / (Check Appropriate Box) Purpose of Building Utility Authorization No. ! Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity ' � Location and Nature of Proposed Electrical Work: ` h G� e - `r `C , C-� 11 0,-, i✓1 V.a-l/ v'�T/ !1.‘'7c�4-G_ �J -y - C -\ JC- �.�,. ,/ILS” Eo✓vv Completion of the followin t le mbe waiCved by the Inspector of Wires. til No.of Recessed Luminaires No.of Cell:Sasp.(Paddle)Fans No.of Total of Transformers KVA "=t No.of Luminaire Outlets No.of Hot Tubs Generators KVA -t No.of LuminairesSwimminpool Above ❑ In- No.of Emergency Lighting g grad. grad. 0 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 i•' No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number!Ions J KW No.of Self-Contained Totals: •[ ] _Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municipal Local❑ Connection ❑ Odter No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.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: pv Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work. ' U Q (When required by municipal policy.) Work to Start: /Z4 al 2,i Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO 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 cov rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCI BOND 0 OTHER 0 (Specify:) I certify,under the pal and penalties of pedury,that the ormation on this application is true and complete. FIRM NAME: /-- (4-c.--iv't w 1 p"'i( /' G/e. LIC.NO.: ) O} c Licensee: , (..1) P414.e ! Signature 10.0 ...._ (_(If applicable,enter'exempt"in I license number line.) ��s LIC.NO.Address: ' /2 I� N1i�` Bus.TeL l' s{,4r.__ _12,463, `3 1 *Per M.G.L.c 47,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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. f PERMIT FEE:$ l