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Home My WebLink AboutBLDE-21-003622 Commonwealth of Official Use Only ATV Permit No. BLDE-21-003622 Massachusetts 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:12/31/2020 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) 128 PAWKANNAWKUT DR Owner or Tenant Nik Amicone Telephone No. Owner's Address 128 PAWKANNAWKUT DR, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap o, , d Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 ,o/ l' ks' New Service Amps Volts Overhead 0 Undgrd 0 No.' ;e rQ h 43P0 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wire heating grill&water valve shutoff. O ,p,Completion of the following table may be waived by the Ins �• l ires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Tota Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators sr z KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lifg.,, •, Air grnd. ht Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARM 1Vo.o��nes ',. No.of Switches No.of Gas Burners No.of Detect' n an . 0 0 Initiating De tes 1 j` No.of Ranges No.of Air Cond. Total No.of Alerting Devises 'W' + �` 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 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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 Cosa ei Inootarluatrits Official Use Only a - .21grapismai 4.7fre Sarkis . Permit No. • - ' r • - - Occupancy and Fee Chedced BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (tave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All wok to be performed in accordance with the Massachusetts Electrical Code(MEr,527 OAR 12.00 (PLEASE PRINT IN INK OR 177 ALL 1NFORKA770N) Date: la 2 4.2---CD City or Taira of ‘( rol 0 u-i--1,--N To the htspector of wes: By this applkation the undersigned givcs notice of his or her hatendon to perform\the electrical work described below. Location(Staxt oft Nonber) 1 D....3 1--a 03 1-c4 ID fla tK4<.u-1-- 1 ('i\I e---- Owner or Tenant WK -P1 VV\I C°I.\e---' Tdepboae Owner's Address • Is tile pennit in eadoaction with a Waft perait? Yes 0 No 0 (Cheek Appropriate Box) Porpose of Balding _ Utility Anhouladion No. § Main Service Altars / Volts Overhead 0 ihnigal 0 No.Oiliness a 0 5 >:6 "6 New "IPS I Volts Overhead El Undgrd El No.of Meters -a RI tz E Number of Feeders and Amapa:My ril 0 <-- tO S Location and Nature OPiroposed Electrical Work W i Ce ke4-1-i chi) c k,t)erlr tialve_ Eitc-fr;c_sliullog In .i.1 ,--- '11 ' - Confliction afthe followintrltbele.7 be waived by the b=r firings- c . Cc --'' No.ofBenssed Londsahres No.of Cal-Sosp.(PadiRe)Fins Transformers KVA Na.i4Lamanahe Osaka No.atHot Tabs GeserMers KVA Above r-, In- rn ft.al insurgency lashing No.of Imnbraires Swilusibil P001 area, Li wad. Li Batterynibs No.allteceptade thither No.of ON Boman FIRE ALARMS INir.of Zones No.of Switches No.of Gas B and urners No.ofDetectisn hiainina Devices Total No.of Ranges No.ileAtir Coed. No.of Alerting Devices Tons No.*Mamie Disposers tkat Pommy'Nuadoer'Tans IKW ptedeleSearoalahred Tank I Dukes No.of Dblensliers Spam/Area Herding KW ber rerity0 0 O No.ofDryers ilhicing Affiances KW No.afS=*or Eindadent -No.of water No.of No.of Data Heaters KW S ek = Ss HoHasis lrNeter M No.iltydremaansage Datinias No.of Motors Total HP N ofDevires or MERL Attach adadonal detail rdesired ar as reignited by the Impeder((Wires. Esdnuaed Value of Electrical Wodc (What requited by municipal policy.) Work to Shut Inspections to be requested in accordance with MEC Rule 10,and upon co*etion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of decided work may issue unless the licensee provides proof of liability'insurance including"completed°pardon"coverage or its substamal equivalms. The undersigned aztifies that such coverage is in force,and has exhibited proof of sem to the pennit istalia' g office. CHECK ONE: INSURANCE CS--BOND 0 OTHER 0 (Spedfy ify,wider the pelts awl penalties ofptsjasy,that the infonstation on Otis applfrafists i s Into awl atifieft I cod FIRMNAM LIC.NO.: Licensee c) cr 0 I Sitaahlree LICNO.:519 cal i E fljapplieable.enter"exesserlin license number line.) . Bee.TeL Nio.:22.0--310S-01G. Address= 5(---.J.;-. -t-- irc he e_2, WcA.,... 4 no 1 S Mt.Tel.Nir.t._ *Per M.G.L.e.147,s.S7-61,seam*wodc -, .7 - p - ,;1 -.1 of Public Softy"S”License Lic.No. OWNER'S INSURANCE WAIVER: I an i,- the Licence doer not have the liability insurance coverage nornmdiy retitled by law. By my signature below,I hereby waive this rupikement. I antic(chedr one)El owner 0 OWIler'S agent. __ gout atirre Tdeplame Ne. I PERMIT FEE:$