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Home My WebLink AboutBLDE-23-003678 �� Commonwealth of Official Use Only „ta Massachusetts Permit No. BLDE-23-003678 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:1/6/2023 City or Town of: YARMOUTH To the mpector 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 ❑ 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: Install generator 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 1 KVA 20 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. grad. ,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 No.of Waste Disposers Heat Pump Number Tons J KW No.of Self-Contained Totals: Detection/Alerting 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 Eauivalent 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 Eauivalent 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: 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 02346 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 Q i(i/ 5i ' Commonweal of Maeaachuaalla Official Use Only Tlilt,.�'t Permit No. 2 ?J�' 6U 7 R� ,� ,a:R;,„ I. slvartm �7snt o irs ,.urcra n\` '-- ,,1,1 ii Occupancy and Fee Checked t ,. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: /—%- 2 ...2 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned,,gives notice of is or Ilea intention perform the electrical work described below. 1 Location(Street&Number) 2 f71 Yr f Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction� with a building permit? Yes El No ❑- (Check Appropriate Box) \Z' Purpose of Building ,'G -' �:,,,,y t //p, Utility Authorization No. Existing Service Amps1 i / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead El Undgrd 0 No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: �`i -A/ 2 5 ��Gv f,`<dh,�6y DE (71,�, 4/� vi Completion of thefollowin&table may be waived by the In vector of Wires. U. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No f 'Total V �J Transformers KVA 4.1., No.of Luminaire Outlets No.of Hot Tubs Generators KVA 4:` No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting g grnd. ❑ rnd. ❑ 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 v. Initiating Devices t 1! No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipalnnection ❑ other . No.of Dryers Heating Appliances KW SecNo o Systems:* Devices or Equivalent No.of WHeatera KW 'Nater o.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunica$ons 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: a//,,,-v (When required by municipal policy.) Work to Start: 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 cov ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,/that t e Information on this application is true and complete. FIRM NAME: Z ' -- R - .t `li l�-- r s., f` LIC.NO.: �7 741 Licensee: Signature ,,/��.11 LIC.NO.: (If applicable,inter"exempt', the license Amber tins, Bus.TeL No.: -� 7 27 Address: /J l� / 1 -,�v✓`/ f / ? e-/6J4:: ,', /I12I ,Q Cl / Alt.Tel.No.:_-��Y/2/ *Per M.G.L.c. 147,s.5741,security work requires Department of Public Safety"S"License: Lic.Na. //�� OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally (1( required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 3'2.