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Home My WebLink AboutBLDE-20-004896 Commonwealth of Official Use Only fOi Massachusetts Permit No. BLDE-20-004896 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:3(5/2020 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) 17 CORPORATION RD Owner or Tenant SIDDHARTH RAHUL Telephone No. I Owner's Address 1 SIDDHARTH LN,HOLBROOK,MA 02343 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap r riate x) Purpose of Building Utility Authorization No. 6 91 ( VI'''' l`'\�,✓ Existing Service Amps Volts Overhead ❑ Undgrd 0 ^o.of eters./ New Service 400 Amps Volts Overhead 0 Undgrd ❑ /vv/„__J•/Df /d�w�/� Numbere and F Natures and PAroposed 1/vC�r .Q r J Location of Proposed Electrical Work: Service to building&lights,receptacles,&he [�pVr/r/f/��/ Completion of the follow�'t e re r y t n ctor of Wires. No.of Recessed Luminaires -No.of Ceil:Susp.(Paddle)Fans No.of � / 7 oral Transformers ��///lll /vy� No.of Luminaire Outlets No.of Hot Tubs Generators A i No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grad. 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 Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ions No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total IIP Telecommunications Wiring: No.of Devices or Eauivalent 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. n V��I CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) gig-6 iS" ( I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: SHAWN M RICARD Licensee: Shawn M Ricard Signature LIC.NO.: 40451 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:27 BAYWOOD DR,ORLEANS MA 026534815 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:$280.00 "( 5) 3/17/777,W (A P f ? 1,4 t5c levet 148 '' 'Zi E .(!5//5-L Ke- EXPIRED or CANCELLED PERMITS 3/17/2021 3/5/2020 E20-4896 Rahul Siddharth 17 Corporation Road Exp. 40451 2021.09.23 09:47 FM RICARD ELECTRIC 77400129222 #0407 P 1/ 2 1 . I /� t�,�j II Comrnana eaS oil fI/assctthrclsff3 Official Use Only ,• fi 7 Permit No. ies Serviced -;_ 'I i- i Occupancy and Fee Checked >. BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07) (leave wank) APPLICATION FOR PERMIT TO PERF. RM ELECTRICAL. WORK MI work to he performed in accordance with the Massachusetts Tpctricat Code( EC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) ate: ? )3/ 1 ,r-h City or Town of: `'AC r U�< o the Inspector of Wires: By tins application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Numbe )_ I �ty j ~t0 A Ad Owner or Tenant prJ0--. ` Telephone No. 1 Owner's Address Is this permit in conjunction with a building permit? Yes I�To ❑ (Check Appropriate Box) Purpose of Building Ct vv e c;,t n\ Rt.5 U Authorization No. Existing Service Amps / Volts Overhead Undgrd Q No.of Meters New Strviee (;p Ct0 Amps /c /rD`-(b Volts Overhead El Undgrd 2. No.of Meters 1 j Number of Feeders and Arnpacfty y I Location and Nature of Proposed Electrical Work: f..... C e- (..-)0bt�4 0_, ' .l e - F.' "-"' ,� ti . W Qom \ S�-✓,\' c r ' �� r.1\ t • V� A.� .�� +., vi _ Completion f the faI1aw fable m be waived by the ltrspecfor of Wires. t No.of Recessed LuminairesNo.of Ce#I. asp.(Paddle)Fans No.of Total I ranaformers ICVA No.of Luminaire Outlets No.of Hot Tubs Genera ors . KVA r �i- No.of Luminaires Swfrutaiing Pool Above ❑ u-;I ❑ No.of Emergency Lighting mod. s�rald. Battery Units No.of Receptacle Outlets No.of OR Burners FIRE ALARMS No.of Zones No.of Switches No,of Gas Burners I No.of Deter on an initlatiag.Devices 1`•.' No.of Ranges No.of Air Cond. To No.of Alerting Devices No.of W to Disposers 'eat ' mp `um i •r ens `' 'o.o 'e t onto n . Totals: _ "' Detection/AlDevioea No.of Dishwashers Space/Area Heating KW Local 0 'un Connectioq 0 No.of Dryers Heating Appliances KW lecurlty Systems: No.of Devices or Equivalent No.of Water a KW ""No.of No.of Data Wiring: SiHeater s Ballasts ! No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HPi a ecotpm c a No.of Devices or k;quivalent OTHER: j I Attach additional detail if desirer4 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 accordane8} ith 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 ❑ OTHER ❑ (Specify:) I certify, under the 'is and penalties ofpelury,fltat elm information on this application is true and complete. FIRM NAME: 1 c. C LIC.NO.: N f,5 Licensee: t_ _ iuuC Signature LIC.NO.; G 'I4`-I$k (If applicable.After"exempt"in(hc license numb line.) � �! I i Bus_Tel.No.:T7 4' R0I - R,)I Address: J .ten All Tel.No.: *Per M,G.I..c. 147,s. 57-61,security work requires Departnnent of Public Safety"S"License: Lie.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)❑owner ❑owner's went. Owner/Agent Signature _ I elephone No. PERMIT FEE:$