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Home My WebLink AboutBLDE-22-006458 Commonwealth of Official Use Only E, , Massachusetts Permit No. BLDE-22-006458 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:5/10/2022 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) 32 FLICKER LN Owner or Tenant Mitchell Hayes Telephone No. Owner's Address 32 FLICKER LN,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. r. 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: Water heater Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans 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 Initiating tDevicesection ud 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/Alerting Devices Space/Area HeatingKW Local 0 Municipal ❑ Other: No.of Dishwashers P Connection HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water 1 KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq p p y' 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 LIC.NO.: 51981 Licensee: Robert E Bowdoin Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: o. Address:502 PITCHERS WAY, HYANNIS MA 026012582 *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 C0mmm0nwea&oil i ats,,,L ett //�cOfcial Use Only 1' �i cc�� c/ [J Permit No. l:_-�/2—(P T .__I1_ I �Uepartment o f✓tire Services t E Occupancy and Fee Checked ,.,. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),5 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFOR T,1411) Date: 5 .5 � City or Town of: \(' rn C U To the Ins ctor ,f Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 3d. _F( i ke_f :1.--4-n C.-- Owner or Tenant rn 1+ii eJ/ k C \f t. Telephone No. is j 7 ' 157-L. C Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No D- (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd n No.of Meters New Service Amps / Volts Overhead L Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: W I (`C L\G -/- 6 e.e ko r -- Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL-S (Paddle)Fans No.of Total °�• Transformers 1C1'A No.of Luminaire Outlets No.of Hot Tubs Generators ICVA No.of Luminaires Swimming Pool Above ❑ In- Li No.of Emergency Lighting gand. and. 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. T No.of Alerting Devices ' rs 'Heat rump Number Tons KW No.of Self-Contained No.of Waste D rspose Totals: Detection/Alerting Devices i No.of Dishwashers Space/Area HeatingKW Ikea Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security of Devicm or Equivalent No.of Water KEY No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No,.tit dromass a Bathtubs !No.of Motors Total HP Tc`co:: cn iceso r ::'ir:n-• y ag No.of Devices or Equivalent OTHER: 1_;---' Attach additional detail rfdesirea or as required by the Inspector of Wires. Estimated Value of E1 trical Work: t ( I. (When required by municipal policy.) Work to Start j' 14 . --- 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 coverage is in force,and has exhibited proof of same to the permit issuing office_ CHECK ONE: INSURANCE 0 BOND ❑ OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: , LIC.NO.: Licensee: i .!`,hr= -fr E F3r)t.,Ctir I i1 Signature LIC.NO (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: 1 5']- 3 i--r' c''1 ,A Address: Att.TeL No.: *Per M.G.L.c.147,s.57-61,security work requires Department of Public 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 an,the(check one)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: S