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Home My WebLink AboutBLDE-22-004646 Commonwealth of Official Use Only -.A.—eif Massachusetts Permit No. BLDE-22-004648 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:2/22/2022 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) 28 VINEBROOK RD Owner or Tenant COPITHORNE ALAN B Telephone No. Owner's Address COPITHORNE ABBIE M,28 VINE BROOK RD,SOUTH YARMOUTH, MA 02664-1775 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 V Number of Feeders and Ampacity 12 Location and Nature of Proposed Electrical Work: Replacement boiler. 0 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 1`' grnd. grnd. Battery Units 1 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiatine Devices 1 No.of Ranges No.of Air Cond. Toot 1 No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 1, Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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. i Estimated Value of Electrical Work: (When required by municipal policy.) (f� 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: ROBERT E BOWDOIN Licensee: Robert E Bowdoin Signature LIC.NO.: 51981 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:502 PITCHERS WAY, HYANNIS MA 026012582 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:$50.00 o 3,42,--2, 4gq Official Use Only usmchuddh y r; c� Permit No. 22 - .. 7. .' .U,F,r ,s. t .j`"" +� ,and Fee Checked , BOARD OFFIRE PREVENTION L* TK S =11[►71 t blame APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All rrorktu be perfinaed in acconlance-wide the bhuadiarrstsBiecnical c GAR MOO (FLF.ASE PRINT IN INK ORTYPE ALL INFO -A} Date 6 no ?----?-- City or Town of: . YG rill 01jT _ To the , ,Y,-etor f Wires: Bythis application the nadersigned eves notice of his orher intention to the electrical k w decimated below. Location(Street&Number) a2 Vine r'U o k d Owaet or Teat A-1 a 0) cop R h Orn e_ Telephone No.508.- 3RU 0 55 Owner's Address is this permit in c3aijuad1 n with a balling perms Yes 0 No El (Check Appropriate Box) Purpose of Baultling Ubty Awn No. ExistingAmp I Vohs Overhead D Und rd❑ No.of Meters New Service Amps i veils Overhead 0 - thadgrd 0 No.of M:tem Number of Feeders and Ampaetty Location and Nature of Proposed kcal Work U.1.)ire C 0 rh bi la,e) bo) )e{--- Completion alike 'el&areff be-waived bynee Impeder of;Firm of Toth No.of Recessed Luminaires -No of Cede p.( )Fans TTrransormers KVA No.of Hot Tubs Generators KVA Na of Lm�ere Ne.of Emergency Lighting Na.afLoode es Pew Above Q wad. ❑ Battery Units No.of R No.of Oil Burness 4112RE ALARMS INo•of Zones A of Deteetiou and .No.efSwsteba' No.ofGas Burners Initiatint Dever 1�.oAirCoad. Toal No.of Alerting Na of Rouges T Heat Pump 1 Number rens I KW `I Self-Contained -ontai Bev y Na.of!Waste Disposers Total= Na.of Dishwashers Space/Area Hsalmg KW Q ❑ • Other No. Dryers Beefing AppliancesKW No.aSiitY£ikvrom or Eoeuvaleut No.of No.of No.of Bata bluing: Beaters KT" Signs Ballasts No of Devices or - NoT No.of lidotars Total HP No.of Devices or OTHER: ritaschadtrztionsi detail ir ed oras requited byi c Wires Estimated Value ofl ical"Mork (When umpired by municipal policy) Work to Start Inspections to be requested in accordancec with MEC Rile IQ,and completion. INSURANCE COVERAGE:Unless waived by die own,no milt ix the peaformasz of elesiir,work may issue unless the licensee pnyvides proof f of&Wily insuranceinclodiag"ems or ifs Sabstaldial e p iva . The eroded certifies that such coverage is in kace,and has exhibited pmofofsone to the permit issuing office. CLEM ONE: DEURANCE V Ro D Q OTHER ❑ (Specify:) /ow*fit,wafer&emits:Rad of perjttry,that the lifeesnatkas on this isnue and o FIRM NAME: LW-NO.; LIG NO.:5M i E a f applicable.rastr;:_elliapr n i the*ease maker pi_rob.# *iconBus.Tit No.;`I')-�f'a `7�'7 £ irtfl Cl.13t7f`. AItTeLNe.: `Per M G.L.s.147,s.57 , wottrequ s ofPubite Safrty Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Liter does not bane the amity inwitaurr coverage'atonally rewind by law. By my behaw,I hrseby waive this ram. lam the(check one)0 owaer Q owner's agent Signature Telephone No. I P :$ 4cci : bo u r - -r aO1 eifcIcm - aIf Ern _ cc,•r)