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Home My WebLink AboutBLDE-23-001731 Commonwealth of official Use Only Massachusetts Permit No. BLDE-23-001731 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:10/3/2022 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) 18 STRAWBERRY LN Owner or Tenant WIL t: , BENJAMIN J JR TRS Telephone No. Owner's Address C/a, BIRCHWOOD LN, LINCOLN, MA 01773 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: Replace 2 lights in 2nd floor hallway&install arc fault circuit breakers. 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 Tons 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 0 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 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 ofperjuty,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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 üL °(4 [RFcvED i�TM_ �� 0 2022 i ( h ./ Commonwsattla o`INiteeackusetta Official Use Only iL B` (` - c 7� c� Permit No. 3 l' (S 'B U i -fa° ;y'A R T M E N T .[Jspartmsni a,..fw Serviced 3Y SIT¢ - `'►„,r: : • ' " a •F FIRE PREVENTION REGULATIONS [Rev.Occupancy 7] (h Fee Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M ),527 C 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 0 Z L City or Town of: YARMOUTH To the Ins t�of ires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. t ' Location(Street&Number) 7 / Owner or Tenant ye._ e rC-1—G, Telephone No. 17 (G7? /2{-4 Owner's Address ii 1,' is'" n y er -/ � a w(c ' 4 tIs this permit in conjuncnnlwith a building permit? Yes ❑ No (Check Appropriate Box) C{� Purpose of Building Aid 1-, e,1 nc..t Utility Authorization No. Existing Service /re) Amps / Volts Overhead 0 Und rd �\ New Service g 0 No.of Meters Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Natur of.Proposed Electrical Work:/ c�t� r , J C Are-7(. e fi, it l r Completion of thefollowingtable m be waived by the ctor of Wires. No tb ay No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans No.of otal Transformers KVA nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA 47 No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting g Abel! ❑ arnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS lNo.of Zones No.of Switches No.of Gas Burners 'No.of Detection and 1>~► Initiating Devices No.of Ranges No.a Mr Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump I NumKW.`ber ITons _ No.of Self-Contained Totals:I """` "� Detection/Alerting_Devices No.of Dishwashers Space/Area Heating KW Local Municipal ❑ Connection ❑ °tiler No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of Devices or Equivalent No.of HeatersSigns Ballasts Data Wiring: KW No.of Devices or Equivalent No.Aydronraaaage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: ,y' ev Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 0 (1 (When required by municipal policy.) Work to Start: 7.2...., Inspections to be requested in accordance with MEC Rule 10,and INSURANCE �GE: Unless waived by the owner,no upon completion. the licenseeprovides "completed permit for the performance of electrical work may issue unless proof of liability insurance including 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: INSURANCE ►: BOND 0 OTHER ❑ (Specify:) I certlfy,under the pains and, noisier of pedury,that the inf rnmatlon on this app licatlon is true and complete FIRM NAME::) 77, ff/� 1)-i G ( v /7y 4 L1C.NO.: ¢ 6. Licensee: ,?'/¢L•J I l)c,L. Signature ,�( - LIC.NO.: 'jA i t) C (ifapplicable,ent "exempt"in the license number line.) Address: /- o 24 // L/ (IJ -t i/ O �¢ Bus.AIL Tel.No.:�f rJ8 j 24 U ( / *Per M.G.L.c. 147,s.5-61,security work requires Department of Public Safety"S"License: AIL Lic.No.��tC / U 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 Owner/Agent one)❑owner ❑owner's agent. Signature Telephone No. I PERMIT FEE:$ I ''Nfa•