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Home My WebLink AboutBLDE-23-002144 as'- Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002144 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:10/20/2022 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) 88 DRIVING TEE CIR Owner or Tenant LORING DONALD W Telephone No. Owner's Address LORING CHARLOTTE M, 88 DRIVING TEE CIR, 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: Replacement boiler 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 rnd. rnd. 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 Initiatine 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 Siens 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: $50.00 i g� Official Use Only - C�o,rcrrwnsuea#�tic of aa�rzc�ef#e � �1 `-�`'1 Permit No_ ��l�y� BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked }' - (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All to be perib ed in accordance with the Massad w db,Electrical Co ,t-o �' ChM 12_00 (PLEASE PRINT ININK OR TYPE ALL INFORMATION) Date: 10 'I F /7 Z City or Town of: (kf MOs.Al, \ 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) 4 . ''(`INA Yl ' \te C.t 'FG 1. Owner or Tenant On rr 11 c\( V r (`. Telephone No. Owner's Address v \e.. Is this permit in conjunction with a building permit? Yes ❑ No - (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps I Volts Overhead n Undgrd[1 No.of Meters New Service Amps I Volts Overhead[1 Undgrd I -I No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: W 1 r'L J C I lest/ Z4►'16'S Completion of the followintable may be waived by the Inspector of Wires. •No.of Recessed Luminaires No.of CeiL No.of Total -cusp-(Paddle)Fans Transformers KVA No.of Luminaire Outlets No..of Hot Tubs Generators KVA No.of Luminaires Sn arming ppe, Above ❑ In- ❑ No.of Emergency Lighting grnd. ornd. 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 Iail7ating Devices Tot No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No_of Heat PumpNumber(Tons KW No.of Self-Contained Total ;i I LDetection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑Con lecfi�on ❑ Other No.of Dryers Heating Appliances KW Security Systems:" No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW &gas Railasts Na of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: --- - _- - .. No.of Devices or Equivalent agent OTHER: Gj Attach additional dlvtoil if desired or as required by the Inspector of Wires. Estimated Vaineo/f Work /6 0 ,0 0 (When required by municipal policy-) / Work to Start O _Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: €nless 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: 1NSURANCE ] BOND ❑ OTHER ❑ (Specify:) I aeay,under the pains and penalties of perjury,that the information on t ' application is true and complete FIRM NAME _ LIC:NO:: Licensee b rT c_ .8ept. de'', r) Signature r I,IG IQ:,5j)78(' E (ifeqviefibia ex "ia i3 Ras.Tel-No.;97V-34S-07(,` Address: -3 j IC.0j)< a11 i' ' i'1 ie Li-t-i i (- 3 E;r Alt.TeL No• *Per M.G.L.c. 147,s.5741,security work requires De,:, m ent 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(cheek one)0 owner -❑owner's agent Owner/Agent Signature Telephone No. PERMIT FEE:$