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Home My WebLink AboutBLDE-22-003323 Commonwealth of Official Use Only 0 :-"�`%I Massachusetts Permit No. BLDE-22-00332 3 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) 1 City or Town of: YARMOUTH Date:the I/1 actor o By this application the undersigned gives notice o ntenti is or her ion to perform t e electrica work described below.r of Wires: Location(Street&Number) 6 ZEPHYR DR Owner or Tenant BOOKSTEIN STUART Telephone No. Owner's Address BOOKSTEIN MARGARET, 6 ZEPHYR DR, YARMOUTH PORT, MA 02675-2371 Is this permit in conjunction with a building permit? Purpose of Building Yes 0 No 0 (Check Appropriate Box) Existing Service Utility Authorization No. New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Miscellaneous work per attached. 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 No.of Luminaire Outlets Transfo rs Total No.of Hot Tubs KVA Generators KVA No.of Luminaires SwimmingPool Above In_ rnd. ❑ ❑ No.of Emergency Lighting No.of Receptacle Outlets No. rnd. :att•r _ its of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and No.of Ranges No.of Air Cond. Total itiaY . I e is•s No.ofSelf-Contained No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW T•tal : No.of Dishwashers Det• tion Al•rti • D•vi es Space/Area Heating KW Local 0 Municipal No.of Dryers Connection ❑ Other: Heating Appliances KW Security Systems:* '•o I •vi •s o • ival•nt No.of Water KW No.of Heaters No.of Ballasts Data Wiring: i.n No.Hydromassage Bathtubs NI.of I evi e or E• ival••t No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devic•s o E• iv le it Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to start: (When required by municipal policy.) to be requested in ce with MEC Rule n INSURANCE COVERAGE.Unless waivedlnspection by the owner,no permit for the performance of electrical]wok m0,and a y is uempletion.unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage Y is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE:INSURANCE 0 BOND 0 OTHER I certify, f perjury, under the pains and penalties o er u that the information on on this application is p true and complete. FIRM NAME: PAUL M RYDER ry� pp Licensee: Paul M Ryder Signature (If applicable,enter'exempt"in the license number line.) Address:210 WESTWIND CIR, OSTERVILLE MA 026551366LIC.Tel. Alt.Tel.No.:o.: 39762 Bus.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 bylaw. signature below,I hereby waive this requirement.I am the(check one) ❑ owner 0 owner's agent. But my Signature Telephone No. PERMIT FEE:$50.00 qi #% 12//317 f ice_ ,, RECEIVED DEC 10 2021 .DINGDE PAR TM� ? o 'satM -i//addarhuesite Official Use Only --7 NI }}rrr '„Iy cP sparf»u d 01 guy�.rvasd Permit No. --33 2-3 , BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. 1/071 (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 ININK OR TYPE ALL INFORMATIONYARMOUTH) Date:./ L / C z j City or Town of: To the Inspector of Wires: 4 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 4 N. Owner or Tenant.�v\\ Owner's Addres it_ _` ' Telephone No. Z O ` . Is this permit in con junction with a building permit? Yes ❑ No f� Purpose of Building �J (Check Appropriate Box) �(.�J �'�'�' Utility Authorization No. A Existing Service4j _ Amps / Volts Overhead 0 Undgrd Nam,Service g 0 No.of Meters _ Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: Com lesion o the oil in tabl m be waive b the In for o Wires. t No.of Recessed Luminaires No.of Cell.-Su o.o tr-1� No.of Lumiaaire Outlets °p�(Paddle)Fans Transformers KVA r- No.of Hot Tubs Generators KVA 4. No.otLuminairea Swimming Pool aze ❑ n- o.oe mrgency g ng `,I No.of Receptacle Outlets d• ❑ Baste Uneits No.of OH Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o ec on an ' i;,? No.of Ranges Total Initiating Devices No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers 'eat 'ump 'nm i er ors 'O.o e outs a Totals: ""' ��- ..........._.m.:.. ._.__....._.. No.of Dishwashers Detection/Alertia Devices other Space/Area Heating KW Local 0 un No.of Dryers Connection ❑ �7' Heating Appliances gW ecu ty ystems: o.o a er ICW i o•o No.of Devices or E oivaleat Heaters Signs Ballasts Data Wiring: No.Hydromaaaage Bathtubs No.of Motors No.of Devi or uivalent Total HP a ecommun ca on: gg OTHER: N . of Devices or uivaleut r Attach additional detail IIfdesired,or as required by the Inspector of Wires, Nq Estimated Value of E ectrical Work: 1 S Work to Start: (When required by municipal policy.) 2. 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 4 undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. sv CHECK ONE: INSURAN I certify,under the pains an BOND 0 OTHER 0 (Specify:) penalties ofperjury,that the ormadon on skis application is true and complete. FIRM NAME: -C (e c �„� / Licensee: 9,-1// /? 1-err LIC.NO.. Signature LIC.NO. t✓ (lf applicabl eider� mpt"Ingle license number line.) , Address:M.G.E. /2 1 6.1 ,,/(t ,?�� Bus.Tel. Alt.Tel. �� / Per M.G. .c. 147,s.57-61,security work requires Department of Public Safety"S"License: LicTTee N .• ' 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 III owner NI owner's a:ent. Owner/Agent Signature Telephone No. p PERMIT FEE:$