HomeMy WebLinkAboutblde-23-005022 unit J Commonwealth of Official Use Only
1- ,,� Massachusetts Permit No. BLDE-23-005022
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:3/13/2023
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) 23J WHITES PATH UNIT 12
Owner or Tenant OSCAR TAYLORS LLC Telephone No.
Owner's Address 23 B2 WHITES PATH SUITE 5, SOUTH YARMOUTH, MA 02664
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: Replacement heat pump&air handler. (BASKIN'S HARDWARE)
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. 1 Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: 1 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: $80.00
i
y2.24
�M� �jlJ�41 Official Use Only
t' r� C rrI d 34s Permit No. l%7�� —c�7�.1
2L313artinent o/.L S' eic
t _, Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev_1/07] (leave blank)
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 TYP ALL INFORMATION) Date: !,. �yl,J
City or Town of: Lh�1S(mL k'(1 To the Inspector of Wires:
By this application the undersigned gives notice of his or her in - t7. to per brr a electrical work described below.
) e6 i
Location(street&Number) �?j wr i re4 ,e�,1�/� L,i(r� •, ;_,, ( I &ir ()
'1
k Owner or Tenant I JG L4 Of f)0) rin Telephone No.
Owner's Address 77 q 74 — `1 Zy
Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead n Undgrd n No.of Meters
New Service Amps I Volts Overhead n Undgrd❑ No.of Meters
Number of Feeders and Ampacity
y
`} Location and Nature of Proposed Electrical Work: � � �'� ,Q�1�}}- -(} � �{0,; p
a fv l—ct rti/62_R_
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil. (Paddle)Fans No.of Total
� P- Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
\Z Above In- No.of Emergency Lighting
It No of Luminaires Swimming Pool ❑ grnd. ❑ Battery Units
J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones t
`� l
No.of Switches No.of Gas Burners No. nDetection and
Initiating Devices
Tot
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: ..,Detection/Alerting Devices d
No.of Dishwashers Space/Area Heating KW Local❑ Can tin ❑ Other
No.of Dryers Heating Appliances {V Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Sipris Ballasts No.of Devices or Equivalent
No.H Bathtubs No.of Motors Total HP Telecommunications Wiring:
ydromassage No.of Devices or Equivalent
O IHER:
Attach additional detail rf or as required by the Inspector of Wires.
Estimated Value of Electrical Work: )+ ()Do - (When required by municipal policy.)
Work to Start: et,0-3 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 cov a is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:)
spe -
I certify,under the and penalties of perjury,that the information on this application is true and complete.
FIRM NAME:. ,� MC.NO.:
Licensee O bCr Er- Signature LIC.NO. fl -1=
(ifapplicable.enter" "in the licInse number/' Bus.Tel.No.:TTI`I-3Vg"CIO
1
Address: I R UX\ QL cc fl f a , TA Nine t1 ►1-1 Ceia. Alt.TeL No.:
*Per M.G.L.c. 147,s.57-6i,security work requuca 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 PEE:$
Signaturetune Telephone No.