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Home My WebLink AboutBLDE-23-002254 ..r-� Commonwealth of Official Use Only r Massachusetts Permit No. BLDE-23-002254 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:10/26/2022 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) 29&31 WAMPANOAG RD Owner or Tenant PAUL GARCIA Telephone No. Owner's Address 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: Activate"House"meter for water heater.(METER#7654995) 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- CINo.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 Initiatine Devices No.of Ranges No.of Air Cond. To No.of Alerting Devices 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 Siens 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 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: $50.00 b/VILr7/ REC ! 1VED °. — .._—.____ O. Q� / Official Use Only mmonwealth o� a��achu�ette G/4 �' *' 'tT 2 6 2022 c7 Permit No23-77 c- 7 laepartmento�.1'ire�ervice- Occupancy and Fee Checked '_ b__ 'IRE PREVENTION 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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: /Q ~ Z ( — L'Z City or Town of: W/.y/L,dt�y '7-/i To the Inspector of Wires: By this application the undersignedg�,es notice of his or her intention to perform the electrical work described below. Location(Street&Nu er) ZI — 3/ / g J ,..... mac,J` . Owner or Tenant /f ems/ ,9rc_i ' i� Telephone No. 760 - nZ Z Owner's Address �_�if•%-t Is this permit in conjution with a building permit? Yes ❑ No g (Check Appropriate Box) Purpose of Building/ j �,r tc a Utility Authorization No. Existing Service2,[J"V! Amps /?`7'G Volts OverheadtN Undgrd D No.of Meters _ New Service Amps / Volts Overhead D Undgrd ❑ No.of Meters Number of Feeders and Ampacity L cation and Nature of Proposed Electrical Work. ' ,t r _rit �... --CAJ Tr rt L.tip/ -A r Q rv• yo may+, 'r `�Sc.T..-- iu.. -- /l.if'1 t o tr,ri' J (�w,.��- �-. kg,ry(/ Completion of the following ble may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil: p Sus . Tf Total(Paddle)Fans Tr Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool 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.on Initiating on Deteand Devices Tot 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 p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other p Connection No.of Dryers Heating Appliances KW SecuritySystems:* rJ' No.o of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent Bathtubs No.of Motors Total HP Telecommunications Wiringg. No.Hydromassage No.of Devices or Equiyalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of E ectric 1 Work: yee el (When required by municipal policy.) Work to Start: t Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANC 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 undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCC BOND ❑ OTHER ❑ (Specify:) I certify, under the pains and penalties o perjury,that the information on this application is true and complete. FIRM NAME: 6 ti/P,� ,, e'-%«. y<G / LIC.NO.: Licensee: oar / ,f c/ Signature _ LIC.NOJ (If applicable, enter "exempt"in the license number line) G v Bus.Tel.NO Address: i eig. j/e/ 0/ e...,„ i� // -� Alt.Tel.Not. *Per M.G.I1c. 147,s. 7-61,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 Signature Telephone No. PERMIT FEE: $ Mera 44 7 &s % 7 9s "M.%