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Home My WebLink AboutBLDE-23-004339 ef-i � Commonwealth of Official Use Only E' !P1 Massachusetts Permit No. BLDE-23-004339 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:2/6/2023 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 SKABEEV 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 ❑ 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 6 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 3 No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges 1 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/Alertine Devices No.of Dishwashers 1 Space/Area Heating KW Local ❑ Municipal ❑ 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:) 77 q- v¢� `0— / Z i o I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 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: $75.00 242-3 7-9 Pc)arl (to(4) o ?) (2€ (23 did .14 Commonwealth of tr/aesachiadrtfa Official Use,Only 2 "'x'=y;`a[i �'/ �i Permit No. 2-3-4-33) ! 2rpartntni of in Jrrvicts t � Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (leave blank) % APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 0 Ali work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 o (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 2///2 o Z 3 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. a Location(Street&Number) 10 Par�w d 6)4( c i. S"o u/C, Yet m o tt ill,, 1411 a L 66 y ((�� Owner or Tenant k 0 Pi s ij it( S kk a 8 e r' Telephone No.6/T(,/O Zoe/ Q.) Owner's Address /0 Pal-kWoaol CI q. far�y es-,oc, fin, Mp 0Z66s ed Is this permit in conjunction with a building permit? Yes LXl No ❑ (Check Appropriate Box) p/ Purpose of Building e di,r7 s(F k k i{C h e i-t UtWty Authorization No.134 D 1 2 -O 0 3 S j O Existing Service lt/ Amps /0 Ol u°Volts Overhead❑ Undgrd CC ❑ No.of Meters .� New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters h Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: k I E c Gl o ff R e l.40 Va le'P y wCompletion of the foliowinEtable may be waived by the Inspector of Wires. Ili No.of Recessed Luminaires 6 No.of Cell.- ap.( otal SnPaddle)Fans Tra Transformers 7 KVA r‘,/ Tr t No.of Lumhialre Outlets No.of Hot Tuba Generators KVA r-INk No.of LuminairesPool Above In- No.of Emergency Lighting Swimming Yrnd. ❑ grnd. 0 Battery Units No.of Receptacle Outlets 6 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 3 No.of Gas Burners No.of Detection and Initiating Devices tit No.of Range, I No.o}Air Cond. Totalos No.of Alerting Devices Na of Waste Dbpoxn Rat Pump Number Tons KW No.of Self-Contained Totals: .Number..__....__.._....._............_._.. Detection/AlertinEqDevices No.of Dishwasher I Space/Area Heating KW Local 0 Monidoecpadlon ❑ C Other No.of Dryers Heating Appliances KW Sce Systems:. No.No on Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Aydromassage Bathtubs No.of Motors T tel up Telecommunications Wiring: I No.of Devices or Equivalent OTHER: p t Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: /d_� O (When required by municipal policy.) Work to Start: Z/7O 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❑ 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: . LIC.NO.: Licensee: Signature LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.- Address: Alt.TeL No.: Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: lam aware that the Licensee does not have the liability insurance coverage normally required by law. By y signature below,I hereby waive this requirement. I am the(cheek one)allowner 0 owner's agent. Owner/Agent 7 Signature elephone No. e/T-b/o 2of/I PERMIT FEE:$ - - - _ - .11 •