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Home My WebLink AboutBLDE-23-000282 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-000282 %�,:::,,r: 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:7/19/2022 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) 22 MACOMBER DR Owner or Tenant WIMER SHARON A Telephone No. Owner's Address 22 MACOMBER DR,YARMOUTH PORT, MA 02675 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 BOVA central NC system. 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: 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 Eauivalent 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 Eauivalent 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 ik aid Official Use Only n = � �16/5._c Penult Na" Z� i .=4� `s—v �Y 4 Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leavebtr+nk) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),527 CAM 12.00 (PLEASE PRINT IN INK ORT1PEALLINFO 4 ON) Date: 11 3'll(//// Via`_ City or Town of a('(_[')t 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) r (ngCo M b&( Dr t v e_ Owner or Tenant ,SSG('n 0 to /tile r Telephone No.,S t) 1(1 - (oc1 ci_ 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❑ Undgrd❑ No.of Meters New Service Amps I Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature;of Proposed Electrical Work: LC2 ) r c_ c)v ci C e 41+ ' e ( '_ ,1 S fr77-2 Completion ofthe following table may be waived by the Inspector ofWire. No.of Recessed Luminaires No.of Cetd.-lisp.(Paddle)Fans Tr Tr anf TotalV osformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ grad. ❑ No.of eery Units Lighting grad. grad. Battery Units No_of Rye Outlets No.of Oil Burners 'F RE ALARMS No.of Zones of No.of Switches No.of Gas Burners No IDetecgian and In itia#iug Devices No-of Ranges No.of Air Cond. To 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 Torso❑ Muni J 0 Other No.of Dryers Heating Appliances IiW Security Systems:* No_of Devices or Equivalent No.of Water ITV No.of No_of Data Wiring: Heaters Signs Ballasts No,of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Te No.of Deo of D eiviceceios or Wiring Nr Equivalent OTHER: Attach additional detail if d or as-required ley the Inspector of Wires. Estimated Value of ;cal Work_. ' 1 OU (When required by municipal policy_) Work to Start ` ( ) to be requested in accordance with MEC Rule 10,and upon cumpletion. INSURANCE 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 is a1ing offiep_ CHECK ONE- INSURANCE 1 BOND ❑ OTHER ❑ (Specify:) I cet 10,under the pails and,• r„-.. of perjury,that the information on this application is true and complete. FIRM NAME: LIC.NO: Licensee: i nti t Eci3cuaficiin Signature , `' LIC.NO. )9 g t E (If applicable eft"iiaBus.Tel No.:ril t{- .a{c R•09 iz, Address:3 i K vX (- a hoof) Rri 1 lV1cU-}h am f1 C-'..)-?,in(-, _ AIL Tel No.: *Per lvi"G.L_c.147,s. 1,security work requires a:,t a in:Kt of Public Safety"S"License: Lie.No_ OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n mtall}% required by law By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$