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HomeMy WebLinkAboutBLDE-22-004272 • Commonwealth of Official Use Only �. Massachusetts Permit No. BLDE-22-004272 • 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) 141 CAPT NICKERSON RD Owner or Tenant Brendan Donahue Telephone No. it'...,,, Owner's Address 141 CAPT NICKERSON RD, SOUTH YARMOUTH, MA 02664 / Is this permit in conjunction with a buildingpermit? R'' ` P Yes 0 No 0 (Clyipro Purpose of Building Utility Authorization N .. Existing Service Amps Volts Overhead 0 Undgrd 0 `'' ;,N , t i"• I New Service t: Amps Volts Overhead 0 Undgrd 0 r t "' j^!i Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement furnace. R ; ' Completion of the following table a w ' ed b :/ ,EiS�for of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No,of S\ `"MMKr KVotAal Transformers No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool g bove ❑ grnd. ❑ No.of Emergency Lighting rnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Ton No.of Waste Disposers Heat Pump I Number I Tons J KW No.of Self-Contained Totals: Detectign/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: 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 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 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 ❑ owner's agent. Owner/Agent Signature Telephone No. 'PERMIT FEE:$50.00 111 iz... 1.4 % (P)12, le-:- 1z1`__ e._e arrs.Ps official use only ' _iv_ f' °9r` a Penult No. 22, �- `„ Occupe�y and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1F?7] ( ) 0 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be pcifamcd in accordance with the Massachusetts Electrical },527 ChM 12.00 (FLFASE PRINT IN INK OR7r'P ALL INFORMATION) Date: \ i1-' a-Z- 1 }}� City or Town of: r M Ot_ ice,,, {^ To the I ctor of Wires: B �^�"� notice of i 1, -1 t l;i to perform the -r i i work. below. Location(Street&Number) I ) C r air, Nrl c -rs 0 n "c� Owner or Tenant r ' 4 Q i1 D h u L Telephone No. ` Owner's Address Is this permit in conjunction with a Wilding permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Maly Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters New Service Amps I Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ammpacity Location and Nature of Proposed Electrical Work: ,r� 3 C -- tin C-e-----. Castpktkncfthe folkewinktabk maybe waned bythe fruicector of Win= No.of Recessed Luminaires Na.of Cesl.-Scarp. )Fans No.of ot 1rmurs If,VA No.of Gets No.ofHotTubs Generators KVA No of Lr sires Above ❑ In- ❑ No.of icy Lighting mad- grad Battery units No.of Receptacle Oatids No.of OR Burners ,FIRE ALARMS (No.of Zones \NoNo.of Switches No.of Gas Burners `of Detection and �ofRa� No.of Air Cond. Inkiatino Devices Total Tons No.of Devices No.of Waste Disposers -Heat Number Toms KW of Self-ContainedTotals:I Detection/Ale Devices No.of Dishwaabers SpacelArea Heating KW Load 0 Connection'' " El ather No.of Dryers Healing Appliances KW SecurityNa i Devices or Equivalent No.of Water ITV No.of No.of Data Wiring: IkatenFens BaMasts Na.of Devices or No.Hy No.of Motors Total HP T Mevk:es or kt t OTHER Attack rdesiret4 or as revised by the Ire c#orolll7res. Estimated Value of Electrical Work: (Where required by municipal policy_) Work to Start Irsspectioas ki be rued in accordance with MEC Rule IR,and upon c cmpletica INSURANCE COVERAGE: unless waived by the owner,no permit fir the pecfcxmance of electrical worst may issue unless the licensee provides proof of liability insurance including"completed coverage or its substantial equivalent The undersigned certifies that such is in force,aid has exhibited proof of same to the permit issuing office. S CHECK ONE: IN BOND 0 OTHER 0 (Specify) I c raderekepa&s pmudGirs ofpoisuy,tie the htfitonatien ea to a Ore each eenapiefe. FIRM NAME: LIC.NO,: QIAcensee: C'.T 61 h ire LIC.NO.: ,5193I _r- A ��1 t C,., a 11Illg, ovn �-] m©vq-19 (1'1 A CO.A 3 Lp Bus.Tel,Ne,:'7 7�( %�3 0'767 *Per MG.L.c.147,a 57 a 1,setxnity workety AR Tel.Nat.: OWNER'S I j.�t • :WAIVER: I am awe the Licensee does have the License: rn_Nv required by law. By my below,Thereby waive this (check insurance0 - 0age normally Owner/AgentI am the check tame ❑ownea'sagent Telephone Na. I PERMIT Prx.$