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Home My WebLink AboutBLDE-22-007121 .09e-,1 Commonwealth of 14 �. official Use Only r Massachusetts Permit No. BLDE-22-007121 �� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.I/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:6/8/2022 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) 50 POLLOCK RIP RD Owner or Tenant DRISKO ANITA J TR Telephone No. Owner's Address ANITA J DRISKO 2014 REV TRUST, 50 POLLOCK RIP RD, SOUTH YARMOUTH, t A 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check .,1 r i riate Box) Purpose of Building Utility Authorization Ni Existing Service Amps Volts Overhead 0 Undgrd ■ N i •t�s New Service Amps Volts Overhead 0 Undgrd • a ' • e Number of Feeders and Ampacity O Location and Nature of Proposed Electrical Work: Central A/C Q O U Completion of the following table may be w ' e sector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of otal Transformers VA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above 0 In- ❑ No.of Emergency Lighting grad. 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 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 Connection 0 Other: No.of Dryers Heating Appliances KW • Security Systems:* No.of Devices or Euuivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Euuivalent 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 al.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) ❑ Owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 Commonwealth o/Mamacituudil �Official Use Only " }i, €t c�, c Permit No. "._.,/ZZ--—7 t ,Z �, _ e- y 1).partment o`Jire�ervicee }`sf¢,1- BOARD OF FIRE PREVENTION REGULATIONS [Revel 07] (leavupancy and e a Checked (leave blank) 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 E.ALL INFORMA ION) Date: b 3 -)-- City or Town of: G('m C.u T- To the Ins ct r of Wires: By this application the undersigned gives notice of his or her intentio to perform electrical work described below. Location(Street&Number) /, -- 6 � 1 L C .� I p Owner or Tenant � 1 -I, ; 1 5k ; Telephone No.3 3 - 3'7L/-3 '.:1`t 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❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd El No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: t 1 (C, -PA)‘f et. Cerr 1 f� 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 Pool Above In- No.of Emergency Lighting No.of Luminaires Swimming —' grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW _._- No.of Self-Contained Detection/Alerting Devices No.of Dishwashers Space/Area Heating KWLocal❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:" No.of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.itydromassage Bathtubs � o.of Motors Total HP No,of Devices or Equivalent OTHER: !No. t OE, Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 13UU< -- (When required by municipal policy.) Work to Start: Inspections 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 co erage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Specify:) I certify,under the pains and n ties of perjury,that the information on this application is true and complete. FIRM NAME: �( LIC.NO.: Licensee: ;-- P(�t�C l;r t} Signature LIC.NO .5I 9 5'I (If applicable,ente exempt" n tjze licenserq Berl ne.) Bus.TeL No.: If q-3i- "L''7 L- Address: 3 j Kc' �4 hCCn � -} /rile M0 C,'.)- :C) Alt.TeL No.: *Per M.G.L.c.147,s.5/-61,security work requi�Dep uhiient 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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$