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HomeMy WebLinkAboutBLDE-23-002640 a Commonwealth of Official Use Only et Massachusetts Permit No. BLDE-23-002640 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f 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:11/14/2022 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) 43 PLEASANT ST Owner or Tenant KARYN WILSON Telephone No. Owner's Address 43 PLEASANT 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: Wiring for exterior kitchen. 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. 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 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 avvoui r 2 RECEIVED . ry� '1 NOV 10 2022 • M.w rr/aeeac�iuudie Official Use Only . y gU EGING D _ ' / o'"'` e CC-/l/i Permit No(�23 _ "I"'0 'I. ■,.a. Y O JW /N1r/0 "s Occupancy and Fee Checked .sli. BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/07] (leave blank) N APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be Performed in accordance with the Mas6achusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 7/ /(.)- Z 2i City or Town of: YARMOUTH To the Inspector of Wires: t By this application the undersigned gives notice of his or her intention to perform the electrical work described below. \ Location(Street&Number) «f^,,,t Y Owner or Tenant , j '5----- Owner's Address ��y I(Jo'r / t Telephone No. c LST'vi.) Is this permit in conJuo on with a building permit? Yes No (Check Appropriate Box) yt Purpose of Building �4/„\ ( Utility Authorization No. (N- Y Existing Service Amps2,O 0/ Volts Overhead Elrd Undgrd ElNo.of Meters New Service Amps / Volts Overhead❑ Und rd g ❑ Na.of Meters Number of Feeders and Ampacity - ation and Nature of Proposed Electrical Work:�N '�--/-- /tr- /.� c D(�l f a �` G �i T ^C. 1-Y.l G,..--ix'tit I, -‘c(, vl li�' Cam teflon oft followingroble may e i ived dy the Ins etor of Wires. C t No.of Recessed Luminaires N f KVA• t No.of Luminaire Outlets No.of Hot Tubs Generators KVA Pool Above In- No.of Emergency Lighting 4' No.of Luminaires - Swimming „ • ' No.of Receptacle Outletsgr0d' grnd. Battery Units No.of OB Burners FIRE ALARMS INo,of Zones No.of Switches No.of Gas Burners No.of Detection and - 1 t r No.of Ranges Initiating Devices tot No.of Air Cond. al Rest Pam Tons No.of Alerting Devices No.of Waste Disposersp Number Tons KW 'No.of Self-Contalued Totals. _- Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local un c pa No.of Dryers Connection °dim rY Heating Appliances KW ecu ty ystemcs: o.o Heated KW 0.° o.o No.of Devices or E uivalent Si na Ballasts Data Wiring: No.Aydromaaaa a Bathtubs No.of Devices or E uivalent g No.of Motors Total HP a ecommun ca ons r rag OTHER: No.of Devices or E uivalent D O (Al Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: ct-'ZZ (WhC0 required by municipal policy.) 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 0 OTHER (Specify:) I certify,under 701ns and nalties o FIRM NAME: fPerlur!',thatf inforrmatimation on this application is true and complete. C74 a / A Li 2- C(r� _ Licensee: t/ f y D Ell Signature NO.: ��' --�- Of applicable,emef ex mum to the hcenre number line./ SlgoatUre�n�r LIC.NO.. / /V L Address: Bus.Tel No/���� p —'Per M.G. is. Alt.Tel.Noky�"'7 TTd"' (`2/ security work requires Department of Public Safe OWNER S INSURANCE WAIVER: t Safety"S"License: Ltc No Bymy signature below,6 hereby waivevtthis requirement trot am the(ve check one e liability i•owner Coverage normally --- OWNER by law. Owner/Agentowner Signature •owner'sa•ent. Telephone No.