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Home My WebLink AboutBLDE-22-002436 o► Commonwealth of Official Use Only ft. , Massachusetts Permit No. BLDE-22-002436 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:10/28/2021 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) 20 CAPT RYDER RD Owner or Tenant RESIDENT Telephone No. Owner's Address 20 CAPT RYDER RD, SOUTH YARMOUTH, MA 02664 O Is this permit in conjunction with a building permit? Yes 0 No 0 (P •�► ppr s ,ty; ' I x) Purpose of Building Utility Authorization _ O Existing Service Amps Volts Overhead 0 Undgrd 0 'o r r New Service Amps Volts Overhead 0 Undgrd 0 i 1 Q rs Number of Feeders and Ampacity //"`� Location and Nature of Proposed Electrical Work: Wiring for Fujitsu system. —•?/‘ O l�.f Completion ofthe.following table m aive e�j Spector 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. 1 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 ❑ 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: Andrew M Levesque Licensee: Andrew M Levesque Signature LIC.NO.: 17318 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:461 LOWER COUNTY RD, HARWICH PORT MA 026461831 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: $50.00 . i RECEIV E.D OCT 2 8 2021 Commonwealth l .4 t ENT Commontuea[t�i o� ad4ac�uc9etla fficial Use Only I BUILDING Dr =R Lf � Permit No. ��W' t/cc77 BY_�--a_;_mil=� o ccyy��LJeparfinenl o .}ira aruiced IOccupancy and Fee Checked '+—`!— r'� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank) I 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: 10/25/2021 1 City or Town of: Yarmouth To the Inspector of Wires: 1 By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 20 Captain Ryder Road Owner or Tenant Mills Telephone No. 508-364-2167 Owner's Address { Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) i Purpose of Building residential Utility Authorization No. a Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters i I Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for new install of whole house Fujitsu system Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell: P•(Paddle)Fans SusNo.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA i i Above In- No.ofEmergency Lighting [ No.of Luminaires Swimming Pool grnd. ❑ grnd. [11 Battery Units [ No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones i No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained € No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Local❑ Municipal Other P Connection No.of Dryers Heating Appliances KW Security Systems:* g ►y No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications N .ofDDevices or Wiring: I y i; No.of Devices Equivalent OTHER: Attach additional detail((desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 1 1 000 (When required by municipal policy.) Work to Start: Dec 21 Inspections to be requested in accordance with MEC Rule 10,and upon completion. i 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 I undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE IN BOND ❑ OTHER ❑ (Specify:) I I certify,under the pains and penalties of perjuty,that the information on this application is true and complete. FIRM NAME: Harwich Port Heating & Cooling, LLC LIC.NO. 593 Al E Licensee: Andrew Levesque Signature ,v LIC.NO.: 17318A I (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:508-432-3959 Address: 461 Lower County Rd, Harwich Port, MA OLO o Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. I OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally l 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:$50 [ Signature Telephone No. I 8 ** Please fax a copy back to us at 508-430-6075 ** or e-mail to: keciaAhphcllc.com t l