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Home My WebLink AboutBLDE-21-005337 v Official Use Only Commonwealth of � e Massachusetts Permit No. BLDE-21-005337 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:3/17/2021 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) 1 MAUSHOPS PATH Owner or Tenant KENNEDY AGNES M (LIFE EST) Telephone No. Owner's Address CIO JOANNE M KENNEDY, 1 MAUSHOPS PATH,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: Remodel kitchen &bath room. 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 ❑ 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 Data Wiring: Heaters Signs Ballasts 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:) 1 certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Shawn Micheal Ricard Signature LIC.NO.: 22895 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 7748012921 Address:27 Baywood Drive, Orleans MA 02653 Alt.Tel.No.: 9788157031 *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 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 Z(0-6417 ( - e m, 14 cc�7 , �cc�� & //Official Use Only • .iii: ,� �[laparEsrart o�.trnv�srvices Permit No. (Z -6 3 37 * Occupancy and Fee Checked `4 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: 3- /G • 1 City or Town of: YACPA0t 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) 1 01 iNQ s\r‘ v 5 p,\\., Owner or Tenant �,�n At, IiNe n n e d Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box) Purpose of Building R,e 5 tc9 f Al Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: 1I, r�t n 1, Z>NV\.,.j,e,,,,,,(9,( 0 a -," Completion of thefollowinktabk be waived by the/ of Wes. Q. No.of Recessed Luminaires No.of Cel.-Sasp.(Paddle)Fans No.o cal Transformers KVA i No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Poot Above ❑ Ia- ❑ Bator units icy Lighting '� wad. end. Battery Units '' No.of Receptacle Outlets No.of OB Burners FIRE ALARMS No.of Zones No.of Switches No.of Ga:Burners No. Dem F No.of Ranges No.of Mr Cond. Tons No.of Alerting Devices No.of Waste Disposers PumpHeat TNumber Tons KW No.DSelf-Contained No.of Dishwashers Space/Area Heating KW Local I-, �� 0 Other •* Na of Dryers Heating'Appliances ' ystems N oSf Devices or Equivalent No.of Water KW 'No.of No.of Data Wiring: Heaters Suns Ballasts No.of Devices ort t No.Hydromassage Bathtubs No.of Motors Total HP T l Vo.of De orEq OTHER: Attach additional detail if'desired oras required by the hapector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start 3- 11-a 1 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 farce,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) I cer ,t',,cater the pains and penalties of perjnry,that the information on this application is true and complete: FIRM NAME: c\-\,,,,,-, {{i cAr d GI e cl-r i , n, LIC.NO.: \aD&q S Licensee: 11\11 V ref SignatureEr\ — LIC.NO.:55 a1l3 Of applicable.enter"exempt"in the license max¢er line.) Bus.Tel.No.:-)?'-I- %0(-o)I.)1 Address: 2O 2)(o)c a5('H OeI-er .i$ IYVi0.)G 5-3 Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires/Department of Public Safety"5"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)0 owner 0 owner's agent. Signature Owner/Agent Telephone No. I PERMIT FEE:5 7,5"---