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HomeMy WebLinkAboutBLDE-23-000916 Commonwealth of Official Use Only 4NtiMassachusetts Permit No. BLDE-23-000916 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:8/22/2022 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) 200 SOUTH SEA AVE 40 46 Owner or Tenant REISMAN PAUL P Telephone Owner's Address REISMAN MARIA, 75 JOHNSON RD, SCARSDALE, NY 10583 gici 6 ' Is this permit in conjunction with a building permit? Yes 0 No 0 (Che , e 14 lia/3 Purpose of Building Utility Authorization No. ' O ) Existing Service Amps Volts Overhead 0 Undgrd 0 No.ofd�fe` ee s 4p4;2_____ New Service Amps Volts Overhead 0 Undgrd 0 No.of Me Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Remodel kitchen 4%4) Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil: No.of Total Susp.(Paddle)Fans 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 5 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges 1 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 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: Richard A Haarman Licensee: Richard A Haarman Signature LIC.NO.: 33511 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 18 Holmes Rd, Harwich MA 026452219 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: $75.00 Commonweal o f rilamaciumettd Official Use Only / = _ t Apartment ec77 Permit No. es2 0 t t, Apartment o`..tiro�srvicse __ — Occupancy and Fee Checked '' _- BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/07] (leave blank) 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: Aug 15,2022 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)200 South Sea St Owner or Tenant Reisman Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ■❑ No ❑ (Check Appropriate Box) Purpose of Building Dwelling Utility Authorization No. Existing Service Amps 8115/2022/ Volts Overhead❑ Undgrd❑ No.of Meters Nen Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Rework kitchen circuits,Add AFCI and GFCI protection where required Completion of the following table may be waived by the Inspector of Wires. tal No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle FansTf) Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 4 Swimmin Pool Aboveri In- No.of Emergency Lighting g grnd. grnd. ❑Battery Units No.of Receptacle Outlets 5 No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches 3 No.of Gas Burners No. InInitiatinnggDeteon and Devices No.of Ranges 1 No.of Air Cond. Total g Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained • p Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal ❑ Other P Connection No.of DryersHeating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP TelecommunicationsNofDeiceor Equivalent g No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 3000. (When required by municipal policy.) Work to Start: Inspections 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 ■❑ BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Snows Fuel,LLC LIC.NO.:8175 Al Licensee: Richard Haarman Signature Richard A Haarman °�"°24"'°""'"'"" °"'"" LIC.NO.:33511 E OW:2022.OB.1511:2]:28-06'W' (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.:5°8-255-1090 Ext 187 Address: 18 Main St Orleans,MA 02653 Alt.Tel.No.:5°eaee-541° *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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $