HomeMy WebLinkAboutBLDE-21-005702 �� Commonwealth oftqt. Official Use Only
•E.I,r Massachusetts Permit No. BLDE-21-005702
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:4/2/2021
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) 86 Old Hyannis Road,Yarmouth
Owner or Tenant RUHAN GENERAL CONTRACTING, LLC Telephone No.
Owner's Address 86 OLD HYANNIS ROAD,YARMOUTH PORT, MA 02675
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check + te-tu jo
att
Purpose of BuildingUtility � _ "21l l t
Authorization No. -.�
Existing Service Amps Volts Overhead 0 Undgrd 0 N `((3t,2+v
New Service 200 Amps Volts Overhead ❑ Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: New residence.
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires 30 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 70 No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches 30 No.of Gas Burners 2 . No.of Detection and
Initiating Devices
No.of Ranges 1 No.of Air Cond. 2 Total 3 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 1 Space/Area Heating KW Local ❑ Municipal 0 Other:
Connection
No.of Dryers 1 Heating Appliances KW Security Systems:*
Y No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring:
Y g 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:) q e 6 3 C - g( 36
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME:
Licensee: Ryan Villano Signature LIC.NO.: 22970
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 135 Beach Street,Wrentham MA 02093 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
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:$180.00
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C)) ." ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
_.,
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 SMR 12.00
..)
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 2--)/Z1 2 i
,....
City or Town of: likilit -LAP A1,1 To the Inspect r of ires:
C(?) By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
--- Location(Street&Number) q ) Oi b A\jAal‘S Cl 0
0) Owner or Tenant f-jov 416 ri 04 9 Telephone No. (--0 i - T 2 1 -sol(
to
c. Owner's Address .f.'3 c11Au3P "S-1 PC771-L60+4.) •M.Pr (3?--7 63
d I '
Is this permit in conjunction with a building . ,1 t? Yes PI No El (Check Appropriate Box)
iv-
7:1 Purpose of Building Si oic",« .-- iGVAI,\ '10\a, Utility Authorization No.
Existing Service Amps / Volts Overhead Ei Undgrd[ No.of Meters
..!), New Service Zoo Amps 17,0 /E.-40 Volts Overhead 0 Undgrd ka--- No.of Meters
?til-e-fi2 f voie 2-COx
Number of Feeders and Ampacfty
1 Location and Nature of Proposed Electrical Work: CZ k C 1 A.9 foa A- .ittf-D s incdLe.,
: , 4-1 kitAk 1 ko12,
Completion of the followinvable my be waived by the Inspector of Wires,
In
No.or Total
Q..„, No.of Recessed Luminaires No.of CelL-Susp.(Paddle)Fans Transformers KVA
':'...%
No.of Luminaire Outlets ,No.of Hot Tubs Generators KVA
-h•-:
Above rn In- No.of Emergency Lighting
No.of Luminaires t D Swimming Pool grnd. Li grnd. 0 Battery Units
No.of Receptacle Outlets J 0 No.of Oil Burners FIRE ALARMS 1No.of Zones
- No.of Switches b No.of Gas Burners /- No.of Detection and
Initiating Devices
.,,
No.of Ranges No.of Air Cond. L Tr:: No.of Alerting Devices
Heat Pump I Number I.
I KW 'No.of Self-Contained
No.of Waste Disposers
Totals:I Detection/Alertin. Devices
1
No.of Dishwashers Space/Area Heating KW Load 0 1founnnicipaln 0 other
1 •
.
Security Systems:#
No.of Dryers Heating Appliances KW
No.of Devices or Equivalent
No.of Water KW No.of No.of Data.Wiring:
I Heaters CIO Signs Ballasts No.of Devices or Equivalent
No. Hydromassage Bathtubs No.of Motors Total HP 'Telecommunications W :
No.of Devices or EQUIV nt
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of E ectrical Work: I Z70 00 (When required by municipal policy.)
Work to Start: ' ‘ Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE 0 RAGE: 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 coy •:e is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE 71 BOND 0 OTHER 0 (Specify:)
I certift,under the pains and, rnaldes of perjury,that the Information on this application is true and complete.
FIRM NA : NI M, Nig FVC_t IA , LIC.NO.: 21ctip-A
Licensee: ' , Signature LIC.NO.: b ‘.--3 (L.,
il f applicabla______otA,I1 , c52oclie,en er "exempt"in the icense rrumr lined i
BAuits.le:.NNo..
Address: 53['b'*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lie..NOL:-------
OWNER'S INSURANCE WAIVER: I ani aware that the Licensee does not have the liability insuranc ecoverage normally
required by law. By my signature below,I hereby waive this requirement, I am the(check one)0 owner D owner's agent.
Owner/Agent
Signature Telephone No. IjfT FEE:$