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Home My WebLink AboutBLDE-23-004453 Commonwealth of official Use Only (•-Dr-77- Massachusetts Permit No. BLDE-23-004453 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:2/13/2023 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) 41 ELLIS CIR Owner or Tenant GLEASON MARION K Telephone No. Owner's Address 385 MASS AVE#68,ARLINGTON, MA 02474 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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Heat pump 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 No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: 1 Detection/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 Devices or Eauivalent 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 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 1 t.oa axon 41 Massac uar a Official Use tOnly 1, x 1/ c�7,j Permit No.p �"1 L(c "� 2.,..,w�,t o f moire S.r,se.,,.. Occupancy and Fee Checked 41 s� 4 BOARD OF FIRE PREVENTION REGULATIONS [Rev.ll071 perm blank)) Ai APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C 527 CMR 12.00 (PLEASE PRINT IN INK OR Trf ALL INFO TION) Date: - 3 City or Town of: T U r(n D ll To the Inspect r of Wires: By this application the undersigned Oyes notice of h(,s or her ttntion perform the electrical work described below. Location(Street&fiber) LI I F 1 i !5 I( C--1 Owner or Tenant ( I rn 61 C G 5.00 Telephone No.61 9-31 a -e,1 LP) Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd El No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ( �J-re) ( UDO 1 I Pet Olt ex I Pr/c a+ e,1,r Completion of the followinktable may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Cam.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool ❑ mod, ❑ 'Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.Initiatof ing and Devices l No.of Ranges No.of Air Cond. T ns No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: ._ -___ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑Con a ❑ Other Heating Appliances KW °Security Systems:* No.of Dryers No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: c L Attach additional detail ifdesire4 or as required by the Inspector of Wires. Estimated Value of Work v n 6 C)( . - (When required by municipal policy.) Work to Start: a S 3 Inspections to be requested in accordance with WC Rule 10,and upon completion. INSURANCE CO GE: Unless ived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liabili insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such co rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify,under the ' and penalties of pedury,that the information on this application is true and complete FIRM NAME: ^�" LIC.NO.: Licensee:'R a b Cr �X 3L0cic t r i Signature LIC.NO.:3118 i-r (If applicable,enter" t"in the l' use n:anb l Bus.Tel.No.:''lrl y-3ie,8-c''v�b ) Address: ) i )X4 Q.G►n cc r a i 1 MMOt +l ("A fl�'3 ` . Alt.Tel.No.: *Per M.G.L.c.147,s.57-6 ,security work requires De'> ..,ent of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent PERMIT FEE:$ Signature Telephone No. Alt (flci 60,. 3(Z - ( 147