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Home My WebLink AboutBLDE-23-002086 • 4 -• Commonwealth of Official Use Only .,I t.+y,g Massachusetts Permit No. BLDE-23-002086 OARD 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:10/19/2022 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) 34&36 RIVER ST (3 8 iZvc2 Sr Owner or Tenant RUHAN ANNA 0 Telephone No. Owner's Address 168 SOUTH ST, SOUTH YARMOUTH, MA 02664 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: Renovations to residence.(HOUSE#38) Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 21 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 g boved. ❑ grnd. ❑ No.of Emergency Lighting rn Battery Units No.of Receptacle Outlets 35 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 14 No.of Gas Burners 1 No.of Detection and Initiating 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/Alerting Devices 4 No.of Dishwashers 1 Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers 1 Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters 1 KW 9 No.of No.of Ballasts Data Wiring: 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: Licensee: Charles Picard Signature LIC.NO.: 23310 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 414 Raymond Road,Plymouth MA 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 1 �f� I r1 Zvi) xd /2/ '/2� / --- r461-1 atee- ntte Pii-r.i eL. Alt_ lO( (-z R F C E L V E D _ -LL0dhl82U22 BUIL N MENT BY ;� ri ai Pant Z i Ch Occupanc ,_.10 - BOARD OE FIRE PREVENTION REGULATIONS y and Fee Cbexted 3�4 + 3c� v . r ` • -cif APPLICATION FOR P TIT TO PERFORM ELECTRICAL WORK All week to be performed is amoeba/cc with doe Mactaclurietts Electrical Code 527 CNIR 12_00 e, (PLEASE PRPIT IN INK OR rn � I L INFDRM4770 1 ( 8')22 v City or Town or:3. GrVt{ OU+ To the Inspector of Wires: By this applicationthe notice 'hiis or her intention to pann io the electrical work described below. J Location(Street&Number) .•i FI' l ve r Si.r.e e 4- Ow.er er Tema 1' a -h i en e_ P yArh n Tin No. gZDp (1 en e- Ow.tr's Address 3 Fr g_i trer S ee+ Is this permit in coalkeceon with a laden permit? Yes ® '.'No 0 (Ckdr Appropriate Box) kY 5 rs►c .ar CQ- Milky Authorizatise Nis. Existing See TO Ansps 1 ZC) i Z(6woi s Overhead Cl--fay Ei No.of Meters _l_., a New Smirk, Asps i Volts Overhead 0 Uadgrd Q No.of Meters No usher of Feeders dad Ampadty L.eatiaa and Nature of Proposed Breaded Work Inavyte fella Jati Or\ Nit fetal , No.of Recessed t. ea c� Na.of Cea.-S.np.(!"aiie)Fans' No.of Lni *e O No.OHO Tries Generators r:.1 Gas KVA Na of rahAbovnuout ® Battery Units ' . Q Ns.of Ride Ohs 3 s- No..roe FIRE ALARMS `No:of Zones Na. Iti dion and at Switchesc.! No.of Gas B.r.ers / laidatikg Devicese.i{ Na of Ranges l ( No.of Air Coral. Total NU. of Alert Device 4 Toad f No.of Waite Disposers �eetheJ rim AleuilwArpevices It' No.of Diiirashas / SpacelArea Heating KW Lead DinuinCoes=a0 Omen N..O'Dwyer* .g "� : KW ofEquivalent er [N..of Water I Nei.HeadT of Na.of 'Data Wiring: rskin ' Ns,et Devices or No .Hydrommage Bathe*, Na.of!Raton Total HP No.of Devices OTHER: 'EstimatedAsada addaxes*:I detail fdiesireat or as required by the laapteser Value of Electrical Work:/0,OOc, (When reguhed by municipal policy.) al tlr►ra� Work to Start /0—I to be requested in arnoedance with MEC Rule 10,and upon completion. INSURANCE COVERAGE Unless waived by the owner,no pant for the performance of electrical work may issue unless the wee provides proof of iebdity insurance opt"covaage or its subsuntid equivalent The undessignal certifies that such covpage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE INSURANCE BOND 0 OTHER 0 (Specify) on,,drake deepness sod pewaiiers P that elk iahia... oa on this is trier sod coemdete. FIRM NAME / mo1A--4-in ELer�'ty-i C. 1.1. C LK.NO: 2.3?t o 11 Licessee CV (.e S . • . \ i! 'd TLC + 4 L tibe LW-NO.:2 33 t 0-{�efer�.aie,ewer ri TeL`-1J ►mn t ) Plti,m wt-firs, WI 4 023(e0 �'Per M G.L c.147,s.S7-61,security work a:quit s Demount of Public Safety"`S.-License Lac.No. OWNER'S INSURANCE WAIVER: lam aware that the Licensee does not hove the liability insurance � coverage nomally by kw. By my signature blow,I hereby waive this requirement. I am tie(check one)0 owner ®9wOet S agent Sigamsre Tdephime No. I PERMIT FEE:$ 7 S-- I C k )D0S C.,WICt i I I"(S ( u'CL