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Home My WebLink AboutBLDE-23-005527 Commonwealth of Official Use Only X— l Massachusetts Permit No. BLDE-23-005527 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:4/5/2023 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) 6 ST ANDREWS WAY Owner or Tenant DEMARCO JOSEPH Telephone No. Owner's Address DEVINE JOANN, 34 BLUE HILLS TRAIL, GLASTONBURY, CT 06033 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: New addition with smoke detectors 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 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 ❑ 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.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: $75.00 (c( V ' Fi,4L 4,,(3o1Z 3 o21 d. 12 . )ZYGZ e ��, r✓ c c07( ? (2--3 Official Use Only APR 0 4 223 y ,..tc�.i permit No. �%� S z"1 s - _...,. ; •, NT spa•iwisal ei_1ir+Sarvicea BUILDING g• r Occupancy and Fee Checked �____._--- } BY vit • -D OF FIRE PREVENTION REGULATIONS Rev. von form blank \_, 12_p(s pPLtCATIQN FOR PERMIT the Massachusetts Electrical Cock EC).TO PERFORM ELECTRICAL WO A RK Alt �workrx performed ir,accordance N) Date: 33 �-3 (PLEASE PRINT ININK OR E INFORM/TO To the I to of Wires: City or Town of: �r M�'g use electrical work described below. ication the undersigned gives notice of his or her intention �j�_ By this apgi• �rl T2vuSpe�WC" Location(Street di amber) Telephone No. Owner or Tenant r(0 J l n Owner's Address Yes ❑ (Check Appropriate Box) rs this permit In conjunction with a permit? Authorization No. Purpose of Building t 1'elf 4 I. Volts Overhead ❑ Uad�IDNo.of Meters Exiling Service ----/— Undgrd 0 No.of Meters 1 A» Vole Overhead 0 Number of Feeders and Ampadf3'�Work: i,L�!!�i��.d: D • e -c r Location and Nature of Proposed ,. SOU _ table , be waived. the 1 ,= or o Wires. C, laic the .11. di �°�" No.of Cell.-Susp.(Paddle)Fans Transformers KVA No.of Recessed Luminaires I£VA No.of Hot Tubs Generators No.of Lama +e Outlets No. In- Pilo.of Emergency Lighting Na ofLamiaaltss Swimsain8 Pool grnd. ❑ Srnd. ❑ Battery Units No.of Receptacle Outlets No.of 011 Burners • ALARMS INo.of Zones -., 'a of Detection sad r No.of Switches No.of Gas Burners Initiating Devices TotsT l a: Na of Ranges No.of Air Cond. Tom No.of Alerting Devices Heat Pump�Namber Tons__ KW._.___ a.of Self-Contained Na of Waste Disposers Heat 1 l DetectiontAlertiag`Devices No.of Dishwashers Space/Area Heating KW Local❑ connection ❑ Other No.of Dryers Heating Appliances KW NSeco.of Devices D or Equivalent No.of Water No.of No.of Data Wiring. Beaten KW Signs Ballasts No.of Devices or ` .trivalent No.Hydromassage Bathtubs No.of Motors TotalTelecommunications HP No.of Devices or Equiv ent OTHER: n a.D Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated value of Work: `I 0 (When required by municipal policy.) Work to Start j 30 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE: 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 cov a is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER ❑ (Specify:) I eeni ,andtr'thepafms and penalties of perjury,that the Informa ion on this application is true and complete. • LIC.NO,: Licensee: f E o uU o ►r) Signature LIC,No.: I �'j �'•j / J �113.TeL No.' ' b C7 r]E,r fly to Ci or�twrther Y1'1 C?l t" ''� M A V�3 bQ Address i� �} � Alt,TtL Na.: *Per M.G.L.c. 147,s.57 1,security work requires + . i „,. f t of Public Safety"S"License: Lic.No. OWNER'S INSURAN WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally requited by law. By my signature below,I heresy waive this requirement. 1 am the(check one)J owner O+talerlAEsat ❑owner's went. Sigsalure Telephone No. I PERMIT FEE: $ S",--