The URL can be used to link to this page

Home My WebLink AboutBLDE-22-003045 \,I0 Commonwealth of Official Use Only -(1(ijj Massachusetts Permit No. BLDE-22-003045 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:11/24/2021 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) 27 PAWNEE RD O Owner or Tenant MARONEY THOMAS F JR Telephone Owner's Address 7 PAWNEE RD,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check •,.0. ji is• o Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.4416 New Service Amps Volts Overhead 0 Undgrd 0 No.of Number of Feeders and Ampacity VVVV Q Qvvv Location and Nature of Proposed Electrical Work: Septic pump&alarm. k/ly Completion of the following table ry esh ,ector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of otal Transformers 7� KVA No.of Luminaire Outlets No.of Hot Tubs Generators .....0 KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting Qrnd. 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 1 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 Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 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 ❑ 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 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 ;j t—Cr (bise tell• . 6 -) "kolu Cs -077Fi� J ... Commonwealth of rr/aeaachiusatte Official Use Only kii `Zz-304s='Y"�� c7 n[� PermitNo. 7` -Ai �tloarLnanl of,tiro Jirvic�e Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/07] (leave blank) a APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK . All work to be perfonned in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 0 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: tI/L"/Zl 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) a7 Pa w nee R d We.s4 yu rrh Dv i-ti 0 a 6 73 \0 Owner or Tenant Telephone No. V Owner's Address a 7 P4 c.,nee Rd ..j Is this permit in conjunction with a building permit? Yes ❑ No El (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service AmpsVolta Overhead❑ Undgrd ' S El No.of Meters t / New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters QC Number of Feeders and Ampadty C Location and Nature of Proposed Electrical Work: See I ic, PG,1,.1 p (8BC K is It)) ,, Completion of the followinktable may be waived by the Ins ctor of Wires. No.of Recessed Luminaires No.of Ceil:Saris.(Paddle)Fans No.of Total Transformers KVA _ riNo.of Luminaire Outlets No.of Hot Tubs Generators KVA t No.of Luminaires Swimming Pool Above 0 In- 0 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 No.o[ '�rtotal _ Initiating Devices RangesNo.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number.Togs...,,. KW No.of Self-Contained Totals:l }.... f........... II Detection/AlertinuDevices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 Other No.of Dryers Heating Appliances Key Security Systems:• No.of Water No of No.of Devices or Equivalent Heaters . No.of Data Wiring: Signs Ballasts Na of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 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 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties o FIRM NAME: rul��ury',that the information on this opp/icatfon is true and complete. h4 n Curd Elec tr.t LIC.NO.; ,_ 2.11'S Licensee: hcr,,,s (?i egrU Signature Of applicable,enter"exempt"in the license number line.) LIC.NO.: E [f r' Address: 0)7 Rst,,00ci eci PLt<O. nS , Blt.Tel.No.: 7 - �3� °Per M.G.L. security work requires Department of Public Safe "S"License: Alt,Tel.No.: OWNER'S INSURANCE WAIVER: tarn aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,f hereby waive this requirement. I am the(cheek one /owner pERAHrnwinffisysigisi Owner/Agent •owner'saent. Signature Telephone No.