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Home My WebLink AboutBLDE-23-002045 „, '06)0 Commonwealth of Official Use Only ,E Massachusetts Permit No. BLDE-23-002045 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:10/17/2022 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) 10 PARKWOOD CT Owner or Tenant KONSTANTIN SKABEEN Telephone No. Owner's Address 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: Heat pump&air handler 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. 1 Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: 1 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 Ballasts Data Wiring: Heaters Signs 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: Adair Martins Signature LIC.NO.: 23369 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:25 Franklin Avenue, Hyannis MA 02601 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:1 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 i� i C I(1/Zl' (/: orM t>N> L ( ,gIV (?: ° ) (Q2 ic (f7zK ----. r , ii ,7cEINED 4_ r pettici r 90 k... - OCT .17 2022 pp,�� yy� r3 t�I C i r.a F' R Commonweal h o//r/a s achueefie Official Use Only `�parl~atsnY o Permit Nti23 —ZO a a , lglrs&muss `� 1( °; v BOARD OF FIRE PREVENTION RE Occupancy and Fee Checked REGULATIONS [Rev. 1/07] (leave blank) Ct ' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical (M 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 1 ?/aR City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or het in lion to perform the electrical work described below. %) Location(Street&Number) �1-i!.t�i7U 1� CV Owner or Tenant Kai S 'n Telephone No. C, Owner's Address Is this permit in conjunction wi a building permit? Yes 0 Nor (Check Appropriate Box) 4 b Purpose of Building Re s i eA 4 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 Ampadty C ` Location d Nature of Proposed Electrical Work: • Coepletion then following table may be waived by the ln�ector of Wires. No.of Recessed Lnminairea No.of Ceti.-Soap.(Paddle)Fans No.of Total Transformers KVA nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA <t` No.of Luminaires • Swimming pool Above In- No.of Emergency Lighting g grnd. ❑ grad. ❑ Battery Units '4 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Detection and No.of Gas Burners Initiating Devices 11 r No.of Ranges No.lif Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number_Tons_._KW.�...•.. No.of Self-Contained Totals: �T Detection/Alerting_Devices No.of Dishwashers Space/Area Heating KW Local Municipal other ❑ Connection 0 No.of Dryers Heating Appliances KW Security Systems:* No.of WaterNo.of Devices or Equivalent ' Heaters KW No.of No.of Data WIting: Signs Ballasts No.of Devices or Equivalent No.Hydromasaage 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 o El Electrical Work: (When required by municipal policy.) Work to Start: In tions to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE: 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 a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify,under the Ins and penaltiese ofperfury,that a information on this application is true and complete. FIRM NAME: { n10t6�nS' �' P ee f , ,..1 LIC.NO.:�. 369 - /- Licensee: ,r Signature LIC.NO.:5560 F^ ►3 Of applica 1 tterrr"extra/0"in the license number line) Address: LIArl ri-tAe n t S tuft fai Bus. el.No.: —23I —8l'�3 *Per M.G.L.c. 147,s.57-61,securityworkSafety 6( 1AIt.Tel.No.: requires 17cp ent of Public "S"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. Owner/Agent Signature Telephone No. I PERMIT FEE:$ 50 I CK 7k r-".