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Home My WebLink AboutBLDE-22-006749 Official Use Only �� Commonwealth of it.7111 , Massachusetts Nt Permit No. BLDE-22-006749 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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:5/23/2022 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) 207 STATION AVE Owner or Tenant Scott Murdock Telephone No. Owner's Address 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: Kitchen renovations. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 3 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 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and lnitiatine Devices No.of Ranges No.of Air Cond. Tn Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers 1 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. FIRM NAME: Shawn P Perkins Licensee: Shawn P Perkins Signature LIC.NO.: 13907 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 WOODHAVEN ST, CARVER MA 023301356 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 4jrad 312.47)2d rri. Mac 7(t5 j2-- 1 RECEIVED �.:l MAY 2 0 2If* nw alt.o!yyj / .�, ///aeaachuaolfe Official Use Only II• I Permit No. �cZ>_-—(:)71{9 .` ILDING DEPAR A. nio/�j ire &:view VENTION REGULATIONS cand ecked '.� ' [Rev.Oc1/07]upancy (leaveFee blanChk) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 Q (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: r/,o lj 2 City or Town of: YARMOUTH To the Inspector of Wires: z) By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) ) 0 .\0 Owner or Tenant s" C a 7 S ��Ott ,.../ �v� Owner's Address r� PI `�l U !C Telephone No. Is this permit in conjunction with a building permit? Yes No 0V. (Check Appropriate Box) Purpose of Building 1<--}t h�-7 f c/►h,;01/G Utility Authorization No._ /1C�/� thl Existing Service Amps / Volts Overhead❑ Undgrd lli 0 No.of Meters New Service Amps / Volts Overhead 0 Undgrd'❑ No.of Meters Number of Feeders and Ampadty C Location and Nature of Proposed Electrical Work: X. !i rr VI LIA Completion of the followinvable m be waived by the Invector of Wires. No.of Recessed Luminaires 3 No.of Cell.-S°a . No.ofd p (Paddle)Fans Transformers K�oVpl ev No.of Luminaire Outlets No.of Hot Tubs Generators KVA ' No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting '.:-.2No.of Receptacle Outlets / trod. turd. ❑ Battery Units b No.of OU Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and IRanges No.of Initiating Devices No.of Air Cond. Total No.of Alerting Devices Feat PumpTons No.of Waste Disposers Number Tons KW No.of Self-Contained Totals: """""� "' Detection/Alertin s Devices No.of Dishwashers / Space/Area Heating KW Local 0 'un pt No.of DryersConnection 0 Other IY Heating Appliances KW ecu ty ystems: 'o.o "a er KW ,o,o o o No.of Devices or E s uivalent Heaters S s s Ballasts Data Wiring: No.H dro No.of Devices or s uivalent Y massage Bathtubs No.of Motors Total HP e ecommun a s ora " OTHER: No.of Devices or ' s uivalent Estimated Value of Electrical Work: 1.22.0 Attach additional detail if desired,or as required by the Inspector of Wires. u (When required by municipal policy.) Work to Start: _ /f Z 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 Z BOND 0 OTHER 0 (Specify:) I certify,under the pains ndpenaities ofp ury,that the to forniatlon on this application is true and complete. FIRM NAME: ; u,,/ Cl e.,- Licensee: s' +9 vim, r�I t r.i Signature_�� LIC.NO.: f`_ (I/applicable, , ter•'exempt• ip t license number line.) LIC.NO.: Address: > 1.'0,-d vr., Bus.Tel.No. 7 �/Si r} *Per M.G.L.c. 147,s.57-61,security work �� a� f L Alt.Tei.No.: OWNER'S INSURANCE WAIVER: I am awaarre that the Liiccenseedoes not have the liability insurance coverage ` required by law. By my signature below,I hereby waive this requirement, I am the(check one ■ owner • owner' Owner/Agent normally Signatures a:ent. Telephone No. PERMIT FEE:$