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HomeMy WebLinkAboutBLDE-22-004029 �. Commonwealth of Official 29 Use Only BLDE-22-0040 E Massachusetts Permit No. 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:1/21/2022 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) 9 HATCH RD Owner or Tenant Kathleen Doyle Telephone No. Owner's Address DOYLE KATHLEEN,9 HATCH RD, 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 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: Relocate dryer to garage. 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 1 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 Tons 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 ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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 perjuty,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 R E w ,iI � BAN 2 0 2022 �j �o nwoatth of//lamas useito Official Use Only ' , �,N G D t'A R'r 1h E c� Permit No. L- `-t Q z9 4 " ��_ ---- — ni o�-sire�irvicsd - i -I BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked . "� 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),5 7 CMR .00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I City or Town of: YARMOUTH To the Inspec r of W L : i By this application the undersigned gives notice of his or her intention to perform the electrical work escribed below. Location(Street&Number) ! / ,-7 e4 /Lel • Rj) Owner or Tenant I �c►y/C Telephone No.yi 3 t-f6(1 3113 y Owner's Address s'A.4. 1-4 Is this permit in conjunction th a building permit? Yes 0 No El- (Check Appropriate Box) Purpose of Building ! fi/,/,,, Utility Authorization No. Existing Service f/ld Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters tj Number of Feeders and Ampadty • Location and Nature of Proposed Electrical Work: t d telt, t je ,},,,„ © f Al All Z341 uv i-.e>r t I") ii.- d r . r, . >+�-3 r- b t r Completion of the followingtable may be waived by the Inspector of Wires. Ul No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans . No.of Transformers KVq 7.1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires pool swimmingAbove In- 'No.of Emergency Lighting gr . ❑ grud. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones T Nv. o.of Switches No.of Gas Burners -No.ofDetectlon and Initiating Devices 114 No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons _._KW "No.of Self-Contained Totals: _ Detection/Alertint�Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Cyyonnection ❑ No.of Dryers Heating Appliances KWS No of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: HSigns Ballasts No.of Devices or Equivalent _ No.Hydromassage Bathtubs No.of Motors Total HP 'fel No.of Deviic test or Wiring: OTHER: �, Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lectrica � l Work: VI (When required by municipal policy.) to Start: / 'Z 7h Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE VE E: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee p vides 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 1121` BOND 0 OTHER 0 (Specify:) I certify,under the ns and penalties of perjury,that the rmation on this application is true and complete. FIRM NAME: A.. ..Gl e,-0-,,,..... l /idu 1 isr- LIC.N #� Licensee: P . a/ t Signature ,,.4( „- LIC.N i� 6 C�t (if applicable,enter"ems/mpid th license number line.) Bus.TeL No.: Address: p bor. 1/Z/ e/4-.inv✓/4,. / Alt.Tel.No.: *Per M.G. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER 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 FEE:$ I