The URL can be used to link to this page

Home My WebLink AboutBLDE-22-006896 Commonwealth of Official Use Only *4-1,64V Massachusetts Permit No. BLDE-22-006896 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR(2.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:5/30/2022 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) 19 REID AVE �6 ; t 9 2_9) 4 Owner or Tenant Alan Walsh Telephone No. Owner's Address 19 REID AVE,WEST YARMOUTH, MA 02673 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: Wiring for 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- CINo.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: Detection/Alerting 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 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: $50.00 Commonweatth oi t/ta:tsacttu3ett3 Official Use Only '` =1g� / cry-�, cc77 ['� Permit No. c =e .•Uepartmeni of ire Serviced . Y BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked -I,: �' [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ,J a.:). City or Town of: 'G rrn o U 11-1 To the Ins ctor o Wires: By this application the undersigned gives.nn ice,of his or her intention to perform the electrical work described below. Location(Street&Number) 1 CIL,i ci P-ti Owner or Tenant ( 161 0 Lt....) CLt h Telephone No. `� fv -, rj Owner's Address a Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility uthorization No. Existing Service Amps / Volts Overhead ❑ Undgrd n No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: i k) t Cam. C e ,- t i c 4A� L,O(l,i)r. .,; 1 9 8 LI 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 Eni d. 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 Total 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 No.of Dishwashers Space/Area Heating KW Local Municipal 0 Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Ilevices or Equivalent Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.tiyciromassage Bathtubs IOTHER: +No.of Motors Total HP tTeLe ommunication;Wiring: t 1 No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value o El 'cal Work: qua- t'. (When required by municipal policy.) Work to Start: .,Z Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE 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 coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE( BOND ❑ OTHER 0 (Specify:) I certify,under the pains antIpenalties of perjury,that the information on this application is true and complete FIRM NAME: ' /(-_, LIC.NO.: Licensee:-r i-1.-- ,Lc c1(hi Si store ;' 5 t°, (If applicable,enter%tempt"in tf�e�lice number I' ) LIC.NO;, ' Address: ' 1 -KAN,( t, 'et e c," i Bus.Tel.NO. l'( - i C `� a c1 l tvi cum t 17 0 L 6 G Alt.Tel.No.: *Per M.G.L.c. 147,s.57-611,,security work requires Departrnint 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 •_eat. Owner/Agent Signature Telephone No. PERMIT FEE:S