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Home My WebLink AboutBLDE-23-000281 Commonwealth of Official Use Only Massachusetts Permit No. BLDE 23 000281 !tv§ 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:7/19/2022 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) 239 BLUE ROCK RD Owner or Tenant James Gleason Telephone No. Owner's Address 239 BLUE ROCK RD, SOUTH YARMOUTH, MA 02664-2223 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: Central A/C. 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. grad. 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. 1 Total No.of Alerting Devices g 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 ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent No. romassa H d a Bathtubs No.of Motors Total HP Telecommunications Wiring: y g 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 (Ifapplicable,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 E,.ommonly:ea&oil Il►laesachrr Official Use Only _ c� ? 1 to— - eLJe1ar s/.tips snricae _.44_'e Occnpnm),and Fee Checked -_ " BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/0'''' ;,, (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical (MEC 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE/ALL INFORi1L4 Tl N) Date: ' 1> 7- "7-- City or Town of: \ ("CVl CL To the Inspecto of Wires: By this application the undersigned gives notice of his her intention to perform the electrical work described below. Location(Street&Number) ,2 3 q ' Li(-' ock Owner or Tenant ll,Pz, Gt tvecc,i f l Telephone No. '1 Li-I9y-3 C :2 Owner's Address 3 Is this permit in conjunction with a building permit? Yes ❑ No, (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: W /r (Le +cc., C- lam. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires Na of CeiLSusp (Paddle)Fans No.of Total Trans€ormers KVA — No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd d gra Battery Units No.of Receptacle Outlets No.of Oil Burners t FIRE ALARMS No.of Zones No.of Switches No.of Gus Burners No.InDetectioniD and No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons 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 0 Monnectionunicipal ❑ Other C No.of Dryers Heating Appliances KW Security ofSstemDevices or Equivalent No.of Water s KW No.of No.of Data Wiring: SignsHea Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wi No.of Devices or Equivalent OTHER: C. ) Attach adcitianal detail ifdesirec4 or as required by the Inspector of Wires. Estimated Value o Electrical Work: t..),5( ; _ (When required by municipal policy.) Work to Start _ ) i �-"\ - Inspections to be:requested in accordance with MEC Rule 14,and upon completion. INSURANCE COVE GE: Unless waived by tlx: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 rd BOND ❑ OTHER ❑ (Specify:) I certrfy,under the pains and pen„,-... ofpesju y,that the inforrturtiom on this application is true and complete. FIRM NAME: LIC.NO.: ` 5 � _ Licensee: ;;r)C'i.. t E W� c c i n Sere J LW.NO:j f 9 g ( p-- (Ifapplicablyavec"exempnits theilicense number lines Bus.TeL No.•'1'lei - ' , S - C�`] 7 Address: i C.X C our) R,- ..)\ levi ou-ii M A C? ?,�,r. Alt.TeL No.: *Per MG_L.c.147,s_5/-61,security work requires De.• o ent of Public Safety"S"License: Lie.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)0 owner ❑owner's agent Owner/Agent Signature Telephone No. I PERMIT PEE:$