HomeMy WebLinkAboutBLDE-21-005384 , / Commonwealth of Official Use Only
le ,ii Massachusetts Permit No. BLDE-21-005384
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:3/19/2021
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) 24 HARPOON LN - / —8.36 —24 0,3
Owner or Tenant BRIDGES MARC J Telephone No.
Owner's Address MCNEIL LISA M, 24 HARPOON LN,YARMOUTH PORT, MA 02675
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
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Replacement furnace.
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
grnd. grnd. Battery Units
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
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
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 Data Wiring:
Heaters Signs Ballasts 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:)
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
signature below,I hereby waive this requirement.I am the(check one) ❑ owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $50.00
qA- 2- C21
c:t , 5-b(z_t eg--
...
, _,,.. A . MU Mae
e.'
PerakMk...EL( -S3 ei 6
Occipsycyzediteellected
BONE OF FEM PREVOITM REMAIUS eibee.NW anew*
.,.... .
TM FM - :::-4 TO
- I AN wet tobepedammedin=Mow lab tisailassufroses"Ore). -,7Wr CUR 12.68
NE (1.12ififft IN BC at 717fgeiLL DM2Rigirja9
-Myer Tow oft Nt-arm outh Bata ..- 1 S I
lb Ow kspecor ifirrar
BrbianisalbattnadmerudgbactiaeliFterawattieleftsloputenaeduldWIlotikaallndbalm
Lonallivaitatteet&Nristor) r-3-k-1 I I eir- Oon 1_4 r7c__/
.. OwsuretTassi Li 5 Is /19 ,-- k- r is oliP--A
Telonnita. `irl II- 3 34....' 'LI 83
i 1 1
unittrAnrasetutha febtokNtLAnwardbale 214
, Esimagesidow Amps i Vas Overbeitia 0 UrdEl Naeflagerat ................
....N4 _ Newargies Mee i Vella Ovedies10 UsaVntO Ne.aligifetas _
ANambertglitedesendAavadv
Laameastlinad Elechlisal Verb 6 a. . -FLA rk)ei
V -
' afeditfamp.gialinelliten KVA
VA
MAR 4ZI : etbmitarike atlas : Wait Tabs i, .
- Alen in In- in st gatargagg mom
..t. c srisssanaties
grad. 1--§oat 1-1 t MOT
zir I anksimende odds t stemmata = , ALARM INALetZenes
) 6111.4 iffe
14- 1 I dem Nom
tli 1 entengat t efAir Cava Teas , EAbalkagnedas
- Pomp U. a
Tiftift
0 ale"
- Reattre KW- ' - v n Oar
I Warn I, _ jitobsets
WCW tkii0f ' - flat~test
t st
Haft= KW ' of
Son Ns.se-
berift ' ,whil.10
Eketrommakebettests 1 endows UMW , _
itioinkviesiir '
________,......_......---......mmy
iktgaeoliftwatessamitrieleimat arairratioinagrariavociarasnifter.
Estimated VaktecEFESectriced Wordc (When iseptied byzerniciod parowa
WI*b*it, ____,............ASINASS b be retpeald ilitertheftyWNIM bittes god via, - 1=1 ,'I/ l'r- *I ' ' - - thesswifsedby the owner.no pennitibribsperemnaffeeardearical want wayistsueuniess the jiMilleel""3"2"irallatr 8621ance‘ indialiVi“GesPkgedeParaimravallaweerigsabskstkiletplivakst The
mukensiedftiligetatitaash mew itirtinge,adios exiefiedpnefersaavt iota/wait izinisE etifts
MOM OW Birsamme 0 amp CI maw Oftlacito
. tam gThig*topaz i arilgsaak a 4fostdas ilisithadglaisstes acid tiopitsegme kat=sal.
ESUMNAtink
Mini
Ise._ k a 4..- ib esconseAtanzt.01 aro .
1112111NP4"Vii
Mint qint-
Mama ONT.Td. - 7
'Per MaL C.las L57-61.seasarnark r if.... Attlraitafea
OWlenellanAICRWAIVIM lammieretattwo- lbegirWartihe"--"-- - Lj14°- ••••••••••• •••••
ra...............14**0711N14 BY/Vniathnidait lbadriataft `. * ' .. Ian**kelt Illannmcemage um*
It muse 11 ofter's
staarbare........„___________Uftlessie Km IWZNEWPIED$