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HomeMy WebLinkAboutBLDE-23-001748 . Commonwealth of Official Use Only -rRlk Massachusetts Permit No. BLDE-23-001748 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:10/3/2022 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) 51 DRIFTWOOD LN Owner or Tenant VIRGINIA HIGGINS Telephone No. Owner's Address 51 DRIFTWOOD LN, SOUTH YARMOUTH, MA 02664 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 boiler&generator 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 1 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. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 _ Commonwealth.oil/aasachuseffs Official Use OInlly� ' " `� �]� Permit No. f` 4(45 E4,tm, .c: eParfiwaRE n/�irsicer 'ove_ Occupancy and Fee Checked �-T0} BOARD OF FIRE PREVENTION REGULATIONS Rev_ 1107] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work in be aerlflfined in accordance with the MassadiusettS Electrical Code(NEC),5 Ch4R 12_00 (PLEASE PRINT m,1NzOR KW ALL INFORWATIO1V) Date: " c i :3 City or Town ofi ya1'J')')C V )t^ To the ctor f Wires: By'his application the undersigned gives notion n or her intention to perform the electrical work described below_ Location(Street&Number) , 5! D ri - r pv c Lc.]n e q q Owner or Tenant V t �.J l r t Cj ) t r S Telephone No..S/b "50 1- f 5O(o Owner's Address �.J Is this permit in conjunction with a building permit? Yes n No l.'1 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead n Undgrd n No.of Meters New Service Amps / Volts Overhead i i lindgrd I I No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wire_9� C `17 0 I ice t .r4-1--U t Completion of the,following_table me g be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Cell-Su T KVA sp.(Paddle)Fans '0.of KVA Transformers No.ofLuminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Above In- 'No.of Emergency Lighting Swimming Pool gmd. Q grnd. Battery units _ No.of Receptacle Outlets No.of Oil Burners iFIRE 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 AlertingDevices Tonsd 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 . ❑ connection ❑ Other 1 SecNo.of Dryers Heating Appliances KW No.of Devices or Equivalent No.of Water I,- No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HI' Telecommunications Wiring: No.of Devices or Equivalent OTHER: cN Attach additional detail if desired,or as required by the Inspector of Wires_ Estimated Value° Work: .67O0- (When required by municipal policy.) Work to Staff I o 3 2>-- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO 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/0 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties ofperju y,that the information on ' application is true and complete FIRM NAME: ,_/ LIG NO:: rice� a h !' � i- C t�c�Lo c���1 n e e� of mlI© LIG NO.:,5i l8 /- E �m h 1��' �'( Bus.Tel.No.:57Y-34S-07� 7 Address: OX l ft CL el ri r1-1C` 11 in 11 C--3 ,�> Alt TeL No.: 'Per M.G.L.c. 147,S.57 1,security work requires Department ofPublic Safety"S'License: Lie.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 agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE:$ I