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Home My WebLink AboutBLDE-22-001404 r � � Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-001404 iry 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:9/13/2021 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 electrical work described below. Location(Street&Number) 7 BAY RD Owner or Tenant Dave Reynolds 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: Misc.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 Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- o 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 Initiatine Devices To No.of Ranges No.of Air Cond. Ton 1 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 ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent 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. PERMIT FEE:$50.00 Kite_ q (4U 101cI21 LE, 1 N r '� Con wnwoahh.o/Mamacfludafld Official Use Only 9 c-4 *, 8, t c7 Permit No. ....."..L-Z--A-14-0 4.,„,..zO k -,,.:,2 aPartinanf o/ us arucsd Ltj .---1 'I_ ^ . BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked i,y 1 [Rev. 1/07] (leave blank) U ` I A'PLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK cr. m All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 ` EASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her ince tion to perform the electrical work described below. Location(Street&Number) , Owner or Tenant £).øV..&_ / Telephonekr-01) $t) 7 _J�(J Owner's Address /.. y�.,,�,� I Is this permit In conjunction with a building permit? - Yes 0 Nag (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service/0 Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity (Ada L Lo/cations and Nature of Proposed Electrical Work: �� / `r 9,e,' ) e"..6 .-iCe". i" A.,....'c.f.., ji..._.,,.. 00-.A..... stn Comd tion of td the m be wolfed by the/nsvector of Wires. t4p.(Paddle)Fans Transformers KVA No.of Recessed Luminaires No,of Cell.-Sas No.of., fTotal r,! C.1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA C\ s" No.of Luminaires Swimming Pool AGove ❑ In- No.of Emergency Lighting prod. grnd. 0 Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS JNo.of Zones No.of Switches No.of Gas Burners -No.of Detection and i ti r Initiating Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump umber Tons KW No.of Self-Contained Totals: } J Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other 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: %, i'1 Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of El tic Work:'�((i (When required by municipal policy.) Work to Start: 9 -t,,,i Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE VE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee pro ides roof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURAN�OND 0 OTHER 0 (Specify:) I cerNjy,under the psi an enaldes o A p fperjury,that the l rmadon on this application is true and complete. FIRM NAME: It ez,�„�•�, �/ Licensee: �f-Y LIC.NO.:yivez �i� .L��' Signature LIC.NO.: (If applicable, nter"exem%1"i4 the license number line.) - Address: _ Bus.Tel.N . 0 —✓6e�, *Per M.G.'!c. 147,s.57-61`security work requires Department of Public Safety"S"License: Lic.No.. Alt.Tel Nd. 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/Agent owner ■ owner's a:ent. Signature Telephone No. PERMIT FEE:$ 4