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Home My WebLink AboutBLDE-22-004840 co i +�.�': Commonwealth of Official Use Only ,I Permit No. BLDE-22-004840 ' Massachusetts 1 .07 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•3/2/2022 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) 41 MERRYMOUNT RD Owner or Tenant SHAHEEN ROBERT S Telephone No. Owner's Address SHAHEEN LISA M, 5 MARGARET RD, STONEHAM, MA 02180 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate ppropriate 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: Wire finish basement 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 A bovend. ❑ gr nd. ❑ No.of Emergency Lighting r 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 Ton No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Eauivalent KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP 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. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties o per jury,er u that the information on this application is true and complete. FIRM NAME: ROBERT E BOWDOIN Licensee: Robert E Bowdoin Signature Tel. NO.: 51981 (If applicable,enter"exempt"in the license number line.) Address:502 PITCHERS WAY, HYANNIS MA 026012582 Bus.Tel.No.: 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 m signature below,I hereby waive this requirement.I am the(check one) 0 owner CIowner's agent. y Owner/Agent Signature Telephone No. f'' 'I,ii F(e7.2. PERMIT FEE:$75.00 _t 1\ 4j(((?).2.- ((6:(15 4044 (- j9 n esseossoweek olassaisseifs Official Use Only aPREVENTION i. afdFeec t� hecked APPLICATION FOR PERMIT TO_PERFORM ELECTRICAL WORK All k=bcpe_edleacce whit do Cade t. si'r-E 12ift (PLOP IN��IWA P � `3 1 ?- �-- ► City or of . G rriOuj To the ,>.:0.,//; 0-Wires: Barks le Localise(street&Nu®aieer) LI / j er r y r' ►oY ea-Tenant 5hc1-ie� Telfspb000Ne.- 1'1 3408-0gb'7 Is p .wino a Ye [ Ne 0 (Check AppropriateBox) Purposeendoultag UMW Au&er itstOwe' Balsams Service' Amore I Yeas Overhead 0 Melva❑ No.of Meters New Service '' Amps- I Veils Overhead ID thiotad EY - NO,er haft= " - Member of Feeders and Ampeeity {{��_ Location adti aft W Wi(r� -fs hei-bco 1e fF N. e. .N0.et of of� s �vA N .a bi- I—, We.efEwergeney Lighting f _ Peel mud.Above Li mad. Li p.....Battrxy units of Not.of OS Bureaus VIRS ALARAn frro.*zeows - We. e.ef s - - Flo.oneness NO.f Afrflual, ;Mal )10.et Ahattig_ Devices W .af'AfaseTota . 1KW eiteocfe =sDevices No.goer . 1CW „r Egeliedent Wester; KW r�.o Ibiza;wring: room Ballads- No.of Doke' s lo.Brifessaftsvelietletubs ,NAoflidoters Total RP ...-- �` e� vv Attackairlancideted ante reforested nQwee AM MEC Rade IO,=dawn cevepletion- INSURANCxC: 'Unlesswaived by fie OWSIZ BO £i'fie mime=sftdecnical weir may issue unless ea"mares_ tatsukohslaio�and b s ofse�e of - CHECK I tl�ep��RAMR� BM) 0 OTHER� {Specific)e &stile injrormedios eerier oppriation is m aorlr v. (if eat' . . ' .: f s Addles= Ca PerFf-akc-I47,s. , wore raprees - - AID litif - U�p��WAIVER: I aft tl some + net ws the kw. By mg'atm=babe,'leseby wave ma's t ally OWiteriAged ry the(check � gs Tent- 1JCst�.3c d irk ak-c -r- t ,mc1 1 _ cc,, 1-)