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Home My WebLink AboutBLDE-22-006853 Commonwealth of Official Use Only E.. Massachusetts Permit No. BLDE-22-006853 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:5/26/2022 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) 189 SILVER LEAF LN Owner or Tenant Janice Vanderas Telephone No. Owner's Address 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 ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement HVAC. 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. 1 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 ❑ 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. 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 ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjuiy,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 6.(,&c). t ( WTh911Z - ar - 2 -- tkr. 1-0 ut) F. Official Use Only -- - oftcmQ's"` "'°w Permit No. e--ti— 53 ` �U�o�.tt++a Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (leave blank) APPLI CATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),5 7 CMR 12.00 (PLEASE PRINT IN INK OR EALL INFORMATION) Date: ,,2 3 a 0.2.a- City or Town of: rYt To the Ins ctor f Wires: --- the electrical work descn'bed below. By this application tie undersigned notice of Vs or her', �,t,-.,, to Location greet&Number) 1 ci + i♦1 o r e G 6 n e..—. C rl d�G Telephone No. Q 78'-1 a I -5. 31 Owner or Tenant <�. �n 1 � Owner's Address Yes No ❑ (CheckAppropriate Box) Is this permit la conjunction with a building permit? Purpose of Building Milky Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Wow: W i I e a CID" U I r16 C et, t ( -fr ? f / y Completion of thefoliowin&table may be waived by the Inspector Total of WiriEs. No.of No.of Recessed Luminaires No.of Cei.-Susp.(Paddle)Fans No. KVA Generators KVA No.of Luminaire Outlets No.of Hot Tubs Na of kmergcac3'Lighting No.of Luminaires Swimming Pool.Above ❑ grad. ❑ Bad`units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INa of Zones iAla of Deteetles and No.of Switches No.of Gas Burners '' ' No.of Air Cond. No.of Alerting Devices Na of Ranges n Heat Pomp Number 1 ors KW '1Yo �� ,� No.of Waste Disposers Totals: 0Detection/ Space/Area Heating KW Local 0 Connection Na of Dishwashers y Heating AppliancesKWNof D t Na of Dryers o.o Data Whin: ater KW a of Ballasts No.of Devices orEquivalent Heaters Na of Motors Total HP or t No.Hydromassage Bathtubs OTHER: tz) Attach additional detail rf ifesire+d or as required by the Inspector of Wires. Estimated Value of 'cal Work: IC) . (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and upon completion. Work to Start S the mow,no permit for the performance of electrical work u�issue unless INSURANCE CO of Unless waived by "completed operation"coverage or its substantial equivalent The the licensee provides proof of liability insurance including of same to the permit issuing office. undersigned certifies that su«, coverage is in force,and has exhibited proof CHECK ONE: INSURANCE _4 BOND 0 OTHER 0 (Specify:) this application is true and completa I certify,under Ike pains and, „ -. of perjury,that theLIC.NO.: Fly NAME: 11, !/1 5 o LIC.QO :-I ,-., , ► r-L } Bus.TeL N applicable,enter•, „in the tang mother t MAD 3 O Aft.Tel.Na: Ctl�' G'i�dvn Lk.No. Address: work requires of lic Safety`S"License: insurance coveragenormally OWNER'S INSURANCE47 1WAWER. I am aware that Licensee does not have the liabilityowner's required by law. By my signaturebelow,I hereby waive this requirement- I am the(check one owner ❑HERMIT FEE:$ Own nt Telephone Na Signature tune ---1 _