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Home My WebLink AboutBLDE-22-000900 Commonwealth of Official Use Only •� " Massachusetts Permit No. BLDE-22-000900 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:8/17/2021 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) 62 SEMINOLE DR Owner or Tenant MCDOWELL JAMES L Telephone No. Owner's Address MCDOWELL BARBARA E, 22 RISING RIDGE RD, UPPER SADDLE RIVER, NJ 07458 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 ❑ 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: Receptacle for water heater&replace deck lighting. 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. Batttry 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 Equivalent 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 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 • (24 t RECEIVED AU-6k. 1 2021r, of?7lalr„ Official Use Only ' Permit No. 0-'2-2- rU0 41 , of � Ir. ING utNARTME • • •• _ PREVENTION REGULATIONS �v1/0 Occupancy and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M ,5 727 CMR 12.00 (PLEASE PRINT IN INK OR TYP INFORMATION) Date: City or Town of: �¢/LM ‘/ To the ns ecu r o ires:,./ By this application the undersigned es notice of his or her intention to perform the electrical work described below. R Location(Street&Number) 6 z Ski s 4,14 t .,n tet"'1�, / Owner or Tenant j0 /1//e��, t /� / Telephone No.3'(L ft/ Z Owner's Addressrr I. Is this permit in conjn with a b . Yes ❑1o V (Check Appropriate Box) Purpose of Building 1"'�f 1-1_,_A.t.t. Utility Authorization No. a Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: � Ar I - _ cf7� • V) Completion of thefallowingtable waived by the!vector of TY' s. ray •41 Total Lb No.of Recessed Luminaires No.of Ctn.-Soap.(Paddle)Fans No.Transformers KVA C1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA Ka Swimming Above In- No.of Emergency Lighting No.of Luminaires S Pool trod ❑ grnd. ❑ Battery Units `.? No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones and No.of Switches No.of Gas Burners No.Initiating nDeDetectiovices Total IQ No.of Ranges No.of Air Cond. Tons No.of Alerting Devices f No.of Waste Disposers Heat� Number Tons _KW rNDet of onion/-C Self-Contained No.of Dishwashers Space/Area Heating KW Local 0 MunicipalA0 Other. Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters KSigns Ballasts No.of Devices or Equivalent dro Telecommunications No.Hydromassage massage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: es Attach additional detail Vdesire4 or as required by the Inspector of Wires. Estimated Value of Electrical Work:YU Q (When required by municipal policy.) Work to Start:(,�� ( ). / Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE 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 crrage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify,under the acrd of perjury,tJtat in tmado on is true and complete FIRM NAME: 1.1.40-114-my i/ 1(7 �n . LIC.N / (�� Licensee: A V( /2 ype.( SignatureLIC.NO.. u Of applicable,as t"in the lIcen nu number 1 .) 77Bus.Tel. 3 Address: /O /r� //Z,( 6 Av r i Ibt. 1"...______ Alt.TeL • *Per M.G.L.c."147,s.57-61,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)0 owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ • • • • •• v s . ^• • • • 4 •, ��. •1?•