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Home My WebLink AboutBLDE-23-001282 Commonwealth ofP4) Official Use Only or �. 11 y' Massachusetts Permit No. BLDE-23-001282 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:9/12/2022 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) 14 STRAWBERRY LN Owner or Tenant WILLIAMS BENJAMIN J JR TRS Telephone No. Owner's Address .'4... ` JOAN, 13 BIRCHWOOD LN, LINCOLN, MA 01773 Is this permit in conju n`wi 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: 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 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 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 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 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 ❑ (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 Olt. (t5(4' L 1 REC � " ED 0 g 2022 /� y�j / ....lc., SEPCo no aa[th o�///aeaachudat2`e Official Use Only r . "3r,iii+a,'d�t 4. -» �`1,1 DINGDEPARTM Imo, titunfo/airssorvicea Permit No. ��_ �1 ` ;o ' 'D OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked-� _---- S _ [Rev. 1/07] (leave blank) �• APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in acconlance with the Massachusetts Electrical Code MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: —Cj r- Z Z City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to p orm the electrical work described below. Location(Street&Number) Owner or Tenant Owner's Address '� r� Telephone No / 7 2 I l a 1.1 Is this permit in conjunction with a building permk? Yes ❑ No 01 Purpose of Building (Check Appropriate Box) t ^^ '"9' i Utility Authorization No. Existing Service Amps p / Volts Overhead❑ UndgrdtS No.of Meters j____ f New ervice Amps / Volts Overhead Number of Feeders and Ampacity ❑ Undgrd❑ No.of Meters N Location and Nature of Proposed Electrical Work: L �r - i K - ' 444 om,etion o the ollowin:table m be waived b the In ,ector o Wires. '4 'w No.of Recessed Luminaires No.of Cell:Sns . p (Paddle)Fans Transformers ota Of 'Zt No.of Luminaire Outlets KVA r. , No.of Hot Tubs Generators KVA -,t No.of Luminaires Swimming Pool : 'OVe n- :o.o mergency g ° rnd. ❑ nd. Batte Units g `` No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners `o.o t etec on an s' No.of Ranges Initiatin. Devices No.of Air Cond. ota No.of Waste Disposers 'eat 'ump `um er ons ToO3 , " o e - onta ne No.of Alerting Devices Totals: No.of Dishwashers Detetection/Alertin Devices Space/Area Heating KW Local 'un tips No.of Dryers Heating Appliances KW ecu 0 Cyst neestion 0 �� `o.o "a er KW .o o No.of Devices or E s uivalent Heaterso•o Data Wiring: Sins Ballasts No.of Devices or E s uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun ca,ons " ring: OTHER: No.of Devices or E t uivalent U fry Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work:/� .— (When required by municipal policy.) Work to Start:....q_ INSURANCE COVERAGE: Unless waived by the owner,n permit in accordance the performance of electriic Don completion.ass the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The al work may issue unless undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE dfaifBOND !certify,under the al � OTHER 0 (Specify:) P nd penal2s of erJury,that the information on this application is true and complete. FIRM NAME: aL Licensee: LIC.NO.: (If Licensee:applicable, ter"exernA.. Signature Address: p in I e license number line) LIC.NO.: ./* / Bus.Tel.No. �_ `Per M.G.L.c. 7,s.57-61,security work requires Department of pu(lic Safety"S"License: ‘6 '�/ OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance cover required by law. ByLie.No. Owner/Agent my signature below,I hereby waive this requirement. I am the(check one age normally Signature owner ■ owner's a_ent. Telephone No. PERMIT FEE:$