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Home My WebLink AboutBLDE-22-004274 01-11411 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-004274 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: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. Location(Street&Number) 24 SAGAMORE RD Owner or Tenant Brian Schmitt Telephone No. Owner's Address 24 SAGAMORE ROAD,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes El 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 boiler&water heater. 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. Tot l No.of Alerting Devices nNo.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 1 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 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 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 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 2 ( ("1.7/ l (*DC— 1 sj P) 1 .' emmu.a..t 4 Jl ma. s t Use try II,— Permit No.�!•ZZ- Z7� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee t _' �'-�� (�big) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be pafowne d in accordance with the Massachusetts Electrkal Code C��n 12.00 (PLEASE PRIM'INIIVK OR E INFORMATION) Date: 1 15 a� this �y or o of: Ct(m OI.ITI To the Inspector of Wires: �' By wed gives notice of his or her intention to perform the dectrical work described below. Location(Stred&Number) 1 spay,orcr 1 V Owner or Tenant q {_1-�r'i g n c Wt l� Telephone No. 1vi - 71,3 ' (:,(a7/ Owner's Address V Is this permit hi coajuadion with a hulkingpermit? Yes Purpose of ❑ No El (Check Appropriate Box) Utility Author No. C) Existaig Service Amps / Vohs Overhead❑ Undgrd❑ No.of Meters New Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters v Number of Feeders and Ampadty -1- Location and Notate of Proposed Electrical Work: 3j I re.. G a2 h c, i I c'r' 1 1�O kr 'lea r-- w '3 y� C alti� emaybew€h dbyte ofw� No.of Recessed Luminaires No.ofCed-Sew(Padde)Fans °Tr,ilionnen Total KVA -00 No.of lambasire Oadiets No.°filet Tubs ors KVA No of7 Above In- Pic.of Emergency Lighting Pool tt ❑ t ❑„Deasy Units D No.of Recepdde theists No.of Oil Burners FIRE ALARM f. Zone s RCS of Switches No.of Gas Burnerswlo.of Detedion and Initialise Devices 'No of-Ranges No.of Air Coal Total WL of Alertirg Devices Tons No.of Waste Disposers Totals: umber KW Me.of Self-Contained �� n/Ale Devices No.of Space/AreaBeatng KW 0 Co,.,act 0 eaOffer No.of Dryers Heating Appliances KW Security S No of WaterNo.of or Equivalent Beaters KW No.of No.of Data gent Ballasts No.of Devices or Equivalent No.Hydromassage .No.of Motors Total HP T No.of Devices or t OTHER Attack(defacing it ollyde jaras> dby the lmpectorofAires. Esfimated Value o£Etectrical Week: (When required by municipal pommy-) Work to:Start Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owns,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+.- is in force,and has exhibited proof of same to the per nit issuing office. CHECK ONE: INSURANCE II BOND 0 OTHER 0 (Specify:) Ioratrg tender the pails and - .:;,-.. Qfperie+y,diet the�arn etieste.this appicathes FIRM NAME is tree and csyewte,te; LIC.NO.: Licensee: E'�`d- l e 0'1, r �.,,.. LIC.NO.:5 j9 i E Aea hiellC'c f�vc h l m cull-) m 19 a. lac, BAs.Tel.No:. �i'14-3 6g- 'it'7 •Per MG.L.cr.147,s.57- AK Td.N�.: >security work mores '-, �,.�,s of Pirh>lic Safety"S"License: Lie.Na: OWNER'S INSURANCE WAIVER: I mu aware that ,1. Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this rixpirement I am the(check one)0 owner ❑owner's agent, Owner/Are Telephone No. 1 PERMIT FEE:$ 1