HomeMy WebLinkAboutBLDE-23-002531 os...� . Commonwealth of Official Use Only
�; k 44\ Massachusetts Permit No. BLDE-23-002531
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:11/8/2022
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) 845 ROUTE 28
Owner or Tenant JANFRA RLTY LLC Telephone No.
Owner's Address 87 TONELA LN, BARNSTABLE, MA 02630
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 roof top HVAC. (UNIT#6)
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 1 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 ❑ (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
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Occupancy and Pee Checked
BOARD OF RE P�_����REGULATIONS DIM fkarc lid}
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be po I in accordance witirthe Massachusetti -Elee'liiealCochltdECI, OM MO
fPL PRINT Di I KORYYPTALLINFORMATION) Date: IC. ,,�.y ate.
City or Townof: YG f�fYl t U' To the Intpe&or o rres_
Bye application the undersigned gives notice of his or her i tO pertain the electrical work desmibed below
motion(Street&Number) 3 51 uii, sezi cli use,-I+ t.;r
Owner or Tenant F-fG it ml r'O l'h ri
Owner's Address
' � Telephone__ _ �ra.�ol'1_(�,q./a So
Is this permit' in conjunction with a building permit? Yes 0 No Pi-7 (Cheek Appropriate lam}
?expose of Bing Utility Authorization No.
Fristiug Service. Amps I Volts Overhead 1] Undgrd❑ No.of Meters
New Service Amps / Volts Overhead F U adbat I `1 No.of-Meters
Number of Feeders and Ampacity
Location and Nature of - ?eFkc r0 4-Ivc . feSa-_ tt -HA_ un ,-iL
. R�"mires .+ .-S Falls o.of Total
-_-- _ Transformers KVA
No.of1.1min:dm Outlets Nu.of Not Tabs Generators KVA
Above 4 .oi Poe!aim& Li No.a Emergency S
Iftlialr
No.of No.of f h ors FIRE ALARMS No.tee i
of l o.of Burners No_of Detection and
tax/infirm Devices
No.of Ranges No.ofAirCAW. T "Ito.of ideating Devices
1 of W, Disposers8 Number#T s No.eft Alerhoo I� 'ce
No.of Dryers Ifeating Appliances KW seem* .r 0
No.ofWater lea of s - or t
l No.of of Data Wiring:
ReutersHaffasts Ne of Devices t> :_.
1 `-- Ns.IfidiE`�g4LNo-offeloturs Total liP el ' ; s;
T
--
'Estimated V2rg.�of - Work IOt70 - . ors.
Y or as. uedb MeprofWeser.
Work to Start 1d bx municipal �?
to he rapresind in accordant=wkh MEC Rale IQ,e l won completion.
. INSURANCE CO • UWaled
mit permit forth a parnunntrun ufelocoica work may issue=less
the He ee of ins nee- eeampleteti _
e coverage at its',11144,::ii.C.,-: equivalent. The
undersigned unifies that such Futuna is ia fame,and has exhilited woof ofsaMe to tim permit issuing office
clmcK ONE INSURANCE INSURANCEX B€ D f 0111FR 0 (Sly)
Imo. lie eWort'on is true and co e€e.
num a
Lic
c - dt - r= _ - E r - c.No.: 178I- E{
-ate a 1 t C'£ eon ri e= i in t, Na.:.:.t1` -� '
*Perlis.c.l i s.� A Tel_A_o.
OWNER'S ' �W t)f �"�i-"ss�rssraw- Lie.�.
Ien aware that the hare the
re -tigittedby kw. By normally
mybelow,1 hereby waive this ntrimmmt I am the(check one)0 owner- Q owner's agent_
Trgoubsie Telephone
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