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HomeMy WebLinkAboutBLDE-22-006497 f__. -. Commonwealth of official Use Only Massachusetts Permit No. BLDE-22-006497 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:5/11/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perf the electric4Aork described below Location(Street&Number) 151 ROUTE 28 �% 7_ Owner or Tenant TU DUC H � I L re Te ephone No. Owner's Address LE NGA N, 99 ROUTE 28, WEST DENNIS, MA 02670 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate I ox) 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 sauna &three receptacles 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 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 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Ballasts Data Wiring: 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 ❑ BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,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 th Official Use 1, �1T�� CC77 [[�� Permit No. -i�,_ Q l 11 7 E eftariitrsttt o�}irs Serviced z "• Occupancy and Fee Checked - r , BOARD OF FIRE PREVENTION REGULATIONS ev. 1/o � (leave wank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 CMR 12.00 (PLEASE PRINT IN INK OR Ere r J INFORMATION) Date: ,7 q / .2 City or Town of: r fv p / To the Inspheto of Wires: By this application the undersigned gives notice of his eats-intention to perform the electrical work described below. Location(Street&Number) l LA `t n'\c t h• -Strc Owner or Tenant C a < <5 i el ii S h r1 Telephone No. (e(o -3 cc,- C C, 1 yZ 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 n Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electric' Work: .)`,_} 1 Cc: 11 ct rep (G Le___ —rh(-CC' (-,.u?--S i de P 1,7w< <; Co letiotranhe following table may be waived by the Inspector of Wires. . No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No.ofTotal Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above in- No.of Emergency Lighting fond. 0 grud. Q Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS jNo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cored. TTon No.of Alerting Devices No.of Waste Disposers Heat rump I umber{roes _iKVv No.of Self-Contained f Detection/Alerti8g Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection El ether No.of Dryers Heating Appliances KW laity ystems:* No.of Water No.of No.of No.of Devices or Equivalent Heaters f Data Wining: Signs Ballasts No.of Devices or Equivalent No.Ctydromssssge Bathtubs (No of Motors T otai HP T`lecommnz 'irirgg• OTHER S G„to( No.of Devices or Egnivalent Estimated Value of El cal Wcxt� b��, ` �additional detail rf&ured or as required by the Inspector of Wires. required by municipal policy.)to Start 5 9 � Inspections to be I1vsvlzA C requ�ed in accordance with AEC Rule 10,and upon completion. GE: Unless waived by the owner,no permit for the nerfmmance of electrical work may issue unless the licensee provides pmof of liability insurance including"completed o undersigned certifies that such coverage'ss in force P Aeration"coverage or its substantial equivalent. The ,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE >�. BOND © OTHER © (Specify:) 1 certify,under the pains tad penes ofperfuty,that the srfont:co on on this FIRM NAME: application is tine and complete Licensee:_t ^ k :� } l l ' i i') S' r e LIC.NO.: aaaras bye. e: in the license number.line.) LIG NQ:�jl c Bus.Tel.No.:1 N- —9`i 61 *Per M.G_I...e.14?,s_57�1,security worts Alt.TeL No.: went of Public Safety"S"License: Lim No. OWNER'S INSURANCE WAR I am aware that the Licensee does not have the lial;required by law. BY Illy Sim beftaw,I b �insurance coveraSe normallyOwner/Agent Signature .y waive tivs requiremenf I am (check one)0owner Q owner's.�ertt. Telephone No. PERMIT FEE:$