The URL can be used to link to this page

Home My WebLink AboutBLDE-22-004273 of et- Commonwealth of Official Use Only A. iv/ Massachusetts Permit No. BLDE-22-004273 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ' [Rev.1/07j 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:2/1/2022 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.b p Location(Street&Number) 15 BAKERS PATH t 76-- D " t 9 OS Owner or Tenant GERRISH PETER T Telephone No. Owner's Address GERRISH MARY T, 74 DUDLEY RD, BILLERICA, MA 01821 Is this permit in conjunction with a building permit? Yes 0 No ❑ (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: Wiring for generator 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 1 KVA 18 No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting yrnd. grnd. 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 n No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eouivalent No.of Water 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 of perjug,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 //4 2�7/� (,,,,,.., 1/40 ara z5`2 SS, enammowanikelstackamlis Official Use Oply 0 Ara,....43fr,_gawk,' -.....:-_-,..:: -• BOARD OF FIRE PREVENTION REGULATIONSERevaceupancy.minand Fee( APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massac.husetts Electrical Code CMR 12.00 (PLEASE PRINT WINK OR TYPE ALL INFORMATION) Date: l `-I Z this City or Town of: d(-I 1 O 1.1 To the I ctor of Wires: B3' gives notice of his or her intention to perform the electrical work described below ( Cr L Location(Street 4,N+sber) I 5^ �G ke rs f G' Owner or Tenant —}--'-��.(_ Cr -5 h Telephone No.9 tiff- 'Og - I'lO5 y v Owner's Address E Is this permit in conjunction with a bulldog permit? Yes 0 No E] (Check Appropriate Box) 1 3 Purpose of Buildhig Utility Authorization No. Existing Service Amps / Voks Overhead❑ Undgrd❑ No.of Meters U New Service Amps t Vohs Overhead❑ Undgrd❑ No.of Meters --t.' Number of Feeders and Ampadty w Location and Nature of Proposed Electrical Work: W`l C e j C- l E r�-It or 11164e 1 riaac, r S k K1 " �rf be aaiby,thei orofWi 1 1 No.of Recessed Luminaires' No.of Cal.-Senp.(Paddle)Fans o.of add Transformers KVA 3 No.of Larinaire Outlets No.of Hot Tubs Generators KVA .3 No.of Luminaires Swimming Pool trutLAbve ❑ main- ❑ Battery!". ata eryL mcttiea uniacyighting No.of Receptacle Outlets No.of Oil Burners >IRE ALARM INa.of Zones No.of SwitchesNo.of Gas Burners "to.of Detection and Inkiating Devices No.of Air Coml. Tons TotalNo.of Alerting Devices No.of Waste Desposers Heat Pump I Number lTosa KW .of Self-Contain ed Totals: ,De a/Atert ig Devices No.of Dishwashers Space/Area Heating KW runic"�❑Counia:ectiea ❑Otter No.of Dryers Jirealing Appliances ICW Na of-or Euniva�st Na of Water ITV No.of Na.of Data Wiring: HeatersSons Ballasts No.of Devices or Et ivaient No. No.of hhton Total HP Telecommunications No.of parka or W t OTTIER: Attack adtifionat&tail fdesitert or an dby the Inspector ofWire. Estimated Value of Electrical Work: (When requited by municipal policy.) Work to Start Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit far the performance of electrical work may issue unless the licensee provides proof of liability innuance including"completed operatics"coverage or its substantial egivalent. The undersigned certifies that such is in force,and has exhibited pR of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) suge I naderthre pokes perat ties cfperjary,that the` en this cabin is bne end coa vie FIRM LIC.NO.: u n eee: ober-l— E do!r\ signature , . LIc No:" � � 519 8 I E �}'s �t�<}o `(also � I rrr�u (Y)H Safety ua?,I Qj License: TeL No..: -303-o't1,`7 *Per IuiG.L.e.147,s. -61 seem* work es P--i: i -I i ( Safe 5b ldcense: Lic.No. OWNER'S ! av AIVKR: I am aware + i the LIc ee does not have the liability insurance coverage normally required by law. By my sigma=below,I hereby waive this oxprirenierg. I am the(check care)❑owner owner's ate, Signature Telephone No, I PERMIT PM' $