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Home My WebLink AboutBLDE-23-004209 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-004209 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:1/30/2023 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) 8 DANBURY ST Owner or Tenant LEARY EDWIN M Telephone No. Owner's Address LEARY ELIZABETH,46 SO LIBERTY ST, BELCHERTOWN, MA 01007 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: Wiring for addition. 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 0 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 Initiating 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 ❑ 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: Donald J Ruel Licensee: Donald J Ruel Signature LIC.NO.: 16313 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:72 PARENTEAU CT, CHICOPEE MA 010202078 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 S 1 )'2 3 Commonwealth of Massachusetts r`eC} � Yll Z�1� )d l� Official Use Only __ Department ofFire Services �_ PermitN G Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.9/05] (leave blank) aPPL JCATGOo N FOR FERMI TO P ERF•Rilli ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( 'EC),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL IIVFORM,4TIOIt) I ate: / / p, 2 j City or Town of: V 4i-n-G To the Inspector o_f Wires: By this application the undersigned ei notice of his or her intention to perform the electrical work described below. Location (Street&Number) > 014, 4. '' Jc n ,A/ ,(6 am ;, LC_ ''''� /f ''j y Owner or Tenant Ed Telephonel No. � ,..' Owner's Address (f t! f V ti t4 L 1,,ide„a l ti ,S I 6 1/. fj��, �':f � a ' �^� Is this permit in conjunction with a building permit? Yes Pfr No E (Check Appropriate Box) Purpose of Building j?e, d0-4/1/ Utility Authorization No. Existing Service ;),eae> Amps `„2 e. /,1 yC Volts Overhead Undgrd — No.of Meters New Service Amps / Volts Overhead Undgrd C No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: y ,n c Adiljf raj. Completion of the following table may be waived by the Inspector of n fires_ No.of Recessed Luminaires `No.of Ceii.-Susp.(Paddle)Fans No.of Total Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA g Pool Above ❑ In- ❑ No.of Emergency Lighting No.of Luminaires Swimming b grad. grad. Battery Units 1No.of Receptacle Outlets No.of Oil Burners �FIRE ALARMS 1No.of Zones I' No. of Switches No.of Gas Burners I No.of Detection and ..I Initiating Devices I Tot 1 No. of Ranges No.of Air Cond. Tons No.of Alerting Devices N o. of Waste Disposers Heat Pump Number Tons ,KW _ IINo.of Self-Contained Totals: -ilDetectionJAlerting Devices t No. of Dishwashers I S ace/Area Heating KW r Municipal I P vocal Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:' No. of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs INo.of Motors Total EP 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: 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 ceriif}',under the gins and penalties ofperjury,that the inf,&rnnation on this application is true and complete. FMM NAME: � I� '� ( '/ TdP c ,�j� LIC.NO.: 1L31.� Licensee: I)„ n �, ,4 -- Signature�' ..�1 „ ./�-a..- ,/ LIC.NO.:NO.:4/i 3/. (If applicable, enter "exempt"in the license number line.) Bus.Tel.No.:/ Y/3:5s 0 -)P..5 Address: A r/i.rc e.rte. Ccwst CA, w t' 1 r3- 0 / �,2 �+ .� � Alt.Tel,No.: Security System Contractor License required for this work;if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the Iiability 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 PERMIT FEE: $ S 0Si nature Telephone No. 3