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Home My WebLink AboutBLDE-22-000815 Commonwealth of Official Use Only V Massachusetts Permit No. BLDE-22-000815 Ctitelp x' 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•8/12/2021 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) 82 CENTER ST Owner or Tenant MORUZZI LAURA M Telephone No. Owner's Address 688 TREMONT ST UNIT#2, BOSTON, MA 02118 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appro ' to Box) Purpose of Building Utility Authorization No. O Existing Service Amps Volts Overhead 0 Undgrd ❑ ofNew Service Amps Volts Overhead ❑ Undgrd ❑ qi. .:_ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Renovations of kitchen&add sub panel. p 8 8 Completion of the following table may be war 0 ,e of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of44) Transformers / ii No.of Luminaire Outlets No.of Hot Tubs Generators / 4r No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting 3 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 Initiative Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons , KV1 No.of Self-Contained Totals: Detection/Alertine 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 Siens 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. g Aoz( �f 0( FIRM NAME: Eli S Ryder Licensee: Eli S Ryder Signature LIC.NO.: 39761 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:610 PLYMOUTH ST, MIDDLEBORO MA 023462902 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 e ( (spitm‘oic_ b r A �l'�-t L �l cI iG lz4 / ec y Cr ici), i risty ein Ce- 'C r,REEIVED � L AUG 12 Commonwealth of///m m dac� a(Ie Official Use Only ccyA cc-77 Permit No '�- — U l S BUILDIN U. T 1Jsfrarlmrnf�Jin�arvicea By__-"-- OARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked .� (Rev.1/07] (leave blank) C• 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: /' /- 2' City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned giv notice of his her intention to perforpt the electrical work described below. Location(Street&Number) r 2 t'� 1— ...sc. Owner or Tenant ( 1k,ra.. f3'7 Ot"U u/ Telephone No. \I Owner's Address � �-��/y„ S� Is this permit In conjunction with a building permit? Yes ,--,,/No L7 ❑ (Check Appropriate Box) ��I Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters •)\, New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters ( * Number of Feeders and Ampaclty 1 Location and Nature oof Proposed Electrical Work: , /•7 /`r at'"'C/-..0 s, /�-tri,1 !/4'[. e./. .-c</ 1--4 v) Completion of the followinktable nun,be waived by the Inspector of Wires. tb No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.of (Dial n' Transformers KVA �t No.of Luminaire Outlets No.of Hot Tubs Generators KVA vt- No.of Luminaires Swimming Pool Above In- No.of Emergency Lighting grnd. g_rnd. � Battery Units No,of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tool No.of Alerting Devices No.of Waste Disposers Heat Pump Number,Tons, K No.of Self-Contained Totals:I _ }.. ...I.._....W. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Municipal - Connection 0 Other' No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of No.of Devices or Equivalent Heaters ' Data Wiring: Slgps Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin OTHER: No.of Devices or Equivalent Estimated Value of Electrical Work: //�/J�J? Attach additional detail if desired.or as required by the Inspector of Wires. Work dtValart: ( -/ (When 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 0�BOND 0 OTHER 0 (Specify:) I certify,under the pains and penaltie of perjury,that the information on this application is true and complete. FIRM NAME: E/" c ✓ t-, Gr 4 u/ �'•"k"' LIC.NO.: G'Licensee: Signamrf%��.� (If applicabl.erSfer/s�rr I license nurn rne. 0 LIC.NO.: Address: ( , p�7� u,`� -,/ 4 s.Tel.No. •Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety S�Lic t.L.ici No.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)I owner Owner/Agent owner's want. Signature Telephone No.