HomeMy WebLinkAboutBLDE-21-006936 Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-21-006936
i
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:5/30/2021
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) 11 MANY OAKS CIR
Owner or Tenant Marce Parmelee Telephone No.
Owner's Address 11 MANY OAKS CIR,YARMOUTH PORT, MA 02675
Is this permit in conjunction with a building permit? Yes 0 No 0 he ate l�prr)
Purpose of Building Utility Authorization , �L//
Existing Service Amps Volts Overhead 0 Undgrd ) '' '
Volts Overhead 0 Undgrd 0 New Service AmpsVy
Number of Feeders and Ampacity t
oLocation and Nature of Proposed Electrical Work: Wire central A/C heat pump. S�Completion of the following table m ''.# `Inspector of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of 40 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 I o.of Deetecti es n and
itiaDevi
No.of Ranges No.of Air Cond. 1 Total Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
p Totals: 1 Detection/Alerting Devices
Space/Area HeatingKW Local ❑ Municipal No.of Dishwashers p Connection ❑ Other
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Sins Ballasts No.of Devices or Equivalent
Telecommunications Wiring:
No.Hydromassage Bathtubs No.of Motors Total HP 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 LIC.NO.: 51981
Licensee: Robert E Bowdoin Signature
(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) 0 owner 0 owner's agent.
Owner/Agent ;PERMIT FEE: $50.00 I
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