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Home My WebLink AboutBLDE-23-003643 • Commonwealth of Official Use Only .EE • Massachusetts Permit No. BLDE-23-003643 r\ BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:1/5/2023 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) 41 BROOKHILL LN Owner or Tenant MACNEILL JAMES R Telephone No. Owner's Address MACNEILL CHARLENE L,41 BROOKHILL LN,WEST YARMOUTH, MA 02673 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: Miscellaneous work per attached. 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 Initiating Devices No.of Ranges No.of Air Cond. Ton l No.of Alerting Devices 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 of perjury,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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 I eit z5 —7 RECEIVED •_ Official Use Only ,nwea o aMac use _' F-ErtJAN 04 2923 l Permit No. ==23 -3�'`-t'3 1 _)S'— e'arimeni oPire—S7ervice3 Occu anc and Fee Checked • - '' 'LDItbiO PLRat __: PREVENTION REGULATIONS Rev. ip/07 y os� KID j (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: / — �f— ZI City or Town of: (��d/'r�d v j� To the Inspector of Wires: By this application the undersigned g e tics of hi r her iinte tion to perf the electrical work described below. Location (Street& Number) ' /J �0 0X.A• // , • /4�` -� Owner or Tenantje—/e1-\ -f ,---4--/a P—e , 74LC.dc/e i( Telephone No. 7 — (/cJ 7 77yci, Owner's Address c4-,4., t Is this permit in conjuncts with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building j(Lc- w Utility Authorization No. Existing Service/0 Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters / New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work:4e(o,((�) (I/ / ,,�4._ L.4g j- ?A) G< (/,fa' c' �-f c. i• /'' // !� tc...�� /.�� . F./�, STN 4 ,�c ) l U , Tt� 7 7� 1/f ci ��.«, iCJ Sri...) �/ Completion of th following table may waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency cy 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.on Initiating on Dete and Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons 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 D ers Heating Appliances KW Security Systems:* ry No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: d Heaters Signs Ballasts No.of Devices or Equivalent C Telecommunications Wiring: No. Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent (+\ OTHER: J Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work:2�(, Q N (When required by municipal policy.) 0 Work to Start: /— y— L3 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 Jthe licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such • erage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANC 0 BOND ❑ OTHER ❑ (Specify:) .t I certify, under thepains and penalties of perjury, that the inforation on this application is true and complete. FIRM NAME: A 6 )Jc.. C-fr,e....( L. C. c /"I(// �c?.J — LIC.NO.: _} Licensee�,} u( /L� 9 c.r/L Signature LIC.NO.:�776�E r":1 (Ifapplica le, enter "exempt in the license number line.) Bus.Tel.No. e) �,$p ��J( r\ Address: o l� Alt.Tel.No.. `� *Per • M.G . c. 147, s. 5 -61,security wor requires Depart ent 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 PERMIT FEE: $ Signature Telephone No. fS^S