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Home My WebLink AboutBLDE-22-007120 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-007120 ° ^�' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 APPLICATIOV FOR PERMIT TO PERFORM ELECTRICAL WORK All work to lie performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 ?LEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:6/8/2022 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) 5 MACKENZIE RD Owner or'1'anaot Amy Whiting Telephone No, Owner's Address 5 MACKENZIE RD, SOUTH YARMOUTH, MA 02664 r e` Is this permit in conjunction with a building permit? Yes 0 No 0 (C.heek 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Add on A/C&water heater. Completion o/the 161101017g table may he waived by the Inspeator 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 LuminairesAbove In- ❑ No.of Emergency Lighting grad. 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 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 ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No No.of Devices or Equivalent HeatersWater 1 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: ()Hach additional detail ifdesirecl,or ftS required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by nn.nicipal 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 certijj,under the pains and penalties ofper/urp,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,Ni).: *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 _ aaunonxrea&el�f hadeltd Official Use Only ,/ cc�� cc77 pp li 2eparlinenf a1.tire Serviced Permit No. ��2- 'J-1?-0 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee eked ev. 1/07j (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code • (PLEASE PRINT IN INK OR FALL INFORMA ION) Date: )'527 CMR 12.00 City or Town of: ` � �' � �2 Bythis G n�c� " ' To the Ins c or ofWires: application the undersigned gives notice of his or her intention to Location(Street&Number �^ L /perform the electrical work described below. t/ Ili'(� h�.l� Z 1��..�G/ Owner or Tenant ),, Wei 1 .) el c Owner's Address % J\ Telephone No.(�,f 7S� 7_ y 6/6 Is this permit in conjunction with a building permit? Yes ❑ No Purpose of Building (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd Number of Feeders and Ampaclty No.of Meters Location and Nature of Proposed Electrical Work: I)r� (, •t On P" G•_._ LC 6x 5Cig0- Wei '� �PCI e.,- Completion offihe followin•table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of Total No.of Lumiloaire Outlets No. KVA No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergeacy Lighting Na of Receptacle Outlets d' � 'd• Batte Units No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o techon and No.of Ranges Initiatin Devices No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons Tons KW No.of Self-Contained Totals: Detection/Ale 1 No.of Dishwashers Devices Space/Area Heating KW Local❑ T not t No.of Dryers Consectii°n 0 Ot er rY Heating Appliances !lam ecurtty yst • No.o later KWo.of No.° No.of Devices or ,**Talent HeatersSi_ s Ballasts Data Wiring: No.of Devices or E No.Hydromassage Bathtubs No.of Motors Total HP ^• uivalent efcoffinrirB:T�tiGHs ..irmgg: OTHER: No.of Devices or E i nivalent C�1 Attach additional detail ffdesiree4 or as required by the Inspector of Wires. Estimated Value of Electrical Work: i 5 o o Work to Start: (When required by municipal policy.) 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 co erage 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 whirs ofperjury,NAME: that the information on this application is true and complete Licensee:- f--1 �^ �''�~ LIC.NO.: Lice(Ifapnsee: enr Tax-,`U [ji 11 Signature l9 i / m r"' t lire member ' .) "' LIC.NO.::, Address: O w a InO wit Bus.Tel.No:ri 4-34- ' Cl' *Per M.G.L.c.147,s.57-6 ,sec work t m� d3�� ty requires Departm nt of Public SafetyAlt.TeL Na.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability' Lic.No. required by law. By my signature below,I hereby waive this requirement. I am the(check o • weer coverage nrmally Owner/Agent ■ owner's Signature _ent. Telephone No. PERMIT FEE:$