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Home My WebLink AboutBLDE-21-006897 „•` Commonwealth of Official Use Only t�: ►� `: Massachusetts Permit No. BLDE-21-006897 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:5/27/2021 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) 106 CAPT YORK RD Owner or Tenant Gary McFarland 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 remodel Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 9 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 0 In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 10 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 6 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 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:) I 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 qi4( / (2'( �- t)/// ),;-... :A !"r e3 u iComnwnwea[tls 0/Maddadttadf fj 2fficial Use Only � — ) 2epaebnalli of gip•.mice Permit No. BOARDFIRE PREVENTIONOccupancy and Fee Checked OF REGULATIONS [Rev. l/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!N iNK OR TYPE ALL INFORMATION) Date: c/Q 6/01 j City or Town of: Jur r40u4'h 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) /0 6 Ccarta;h YO r K /?d SG Liy_-�i ��rM0.4 N 3, ' el Owner or Tenant 6'q r / ('1'IL E rk h 4 Telephone No. Owner's Address /06 C4pia;1 York' i?d SOv d h 9arr cu is this permit In conjunction with ""a building permit? Yes rz No 0 (Check Appropriate Box) Purpose of Building /<1'ict't( ' Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Servik4 Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Ki Chei fee/na de 1 Completion of thefollowingtabk nray be waived by the Inspector of Wires. No.of Recessed Luminaires9 Na of CeLL�usp.(Paddle)Fans No.or otal Transformers KVA No.of Luminaire Outlets 0 No.of Hot Tubs Generators KVA = No.of Luminaires swimming Pool Above ❑ in- ❑ No.or Emergency Llgdtumg arnd. and. Battery Units No.of Receptacle Outlets l(2 No.of Oil Burners FiRE ALARMS INo.of Zones 'I No.of Switches No.of CuBurners No.of Deteeti�oa and (� is Mathis Devices No.of Ranges No.of Air Cond. Totalo No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of SeiFContaiaed _ Totals: ` DeteetlodAlertin Devices No.of Dishwashers Space/Area Heating KW Local Municipal ❑ Connection 0 other No.of Dryers Heating Appliances KW .Security Systems:. Z1 No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: HeatersSignns Ballasts No.of Devices or Equivalent v No.Hydromassaga�Bathtubs No.of Motors Total HP l elecommankatons Wlrin . No.of Device,or Equivalent Z OTHER: Attach additional detail%desired or as required by the Inspector of Wires. .S Estimated Value of Electrical Work: (When required by municipal policy.) vl Work to Start inspections to be requested in accordance with MEC Rule 10,and upon completion. ‘s 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 ❑ BOND 0 OTHER ❑ (Specify:) Q I certl/S+,under the pains and penaldes of perjury,that the information on this applkation is true and completes -.'! FiRM NAME: Ski,wr I C(Z PC4 Elec-+ri c'r'et c Licensee: S�+kc,th 'i2�Ccir�i �t LIC.NO.: A a a� l 5 J Signature L.(.?__ - [`tii— LIC.NO.: F `/0 y 5 i ,,,,,i (If applicable,enter"exempt"in the license number line) Bus.Tel.No.:l�I`i� $�I-ati m Address: PO IoX- _0.Sb/ 00eons Pl All.TeL No.: Z 'Per M.O.L.c. 147,s.57.61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability jnsurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner owner's a Owner/Agent ❑ gent. Signature Telephone No. I PERMIT FEE:s I '