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Home My WebLink AboutBLDE-23-005691 t Commonwealth of Official Use Only -¢ ,' Massachusetts Permit No. BLDE-23-005691 ',"'' BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 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:4/13/2023 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) 18 SWIFT BROOK RD Owner or Tenant JACK DAUNT Telephone No. Owner's Address 18 SWIFT BROOK RD,SOUTH YARMOUTH, MA 02664 Is this permit in conjunction With a building permit? Yes 0 N 4 , (Ctke�ic/lppropriate Box) Purpose of Building Utility Au 4l, 1�ti�0.7 / Existing Service Amps Volts Overhead 0 " dg,I • a . f Meters New Service Amps Volts Overhead 0 y A o. eters Number of Feeders and Ampacity ' Ca 4 V�j Location and Nature of Proposed Electrical Work: Add on A/C heat pump �. ,% // Completion of the folio I : ,,, , e waived by the Inspector of Wir No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of fI Total Transforme G/ 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 fpny_Zones No.of Switches No.of Gas Burners No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Totaln No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: 1 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens No.of Devices or Eauivalent _ 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 Wiz 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. I PERMIT FEE:$50.00 - Official Use Only COX / Permit No. _ A ' L•f'�"l "f/3� rv��•• Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS Rev.1/071 leave blank At to bc perfonned in nce with the Mae n APPLICATIION FOR PER MIT TO PERFORMcELECTRICA LWORK :sate: L 1 5 s-3 (•PLEASE PRINT IN/NK OR 7�'PE ALL/NFORMAT70N)I the Inspec orof Wires:City or Town of: Gs MvUpN tHy this application the undersignedI�gives notice of rs r her intention topermthe electricalwork described below.Location(Street&Number) 1VLam)I F i rOOk1' t�'la r- O re+ t "D-- U n+ Telephone No.y e low. '�q q g Owner or Tenant �I aC-�,_ Owner's Address `} ❑ No (Check Appropriate Box) I Is this permit in conjunction with a building permit? Yes U Purpose of Building tln Authorization No. Existing Service Amps / Volts Overhead El Undgrd 0 No.of Meters Mew Service Amps I Volts Overhead El Undgrd❑ No.of Meters I Number of Feeders and Ampactty { 1 Location and Nature of Proposed Electrical Work: (4 on A/ heA--Q LI Air i ocAjec Zene Completion of the followin table may be waived by the f for of Wires, oOf Total No.of Recessed LuminairesNo.of Ceil.-Snap.(Paddle)Fans Transformers KV A No.of f.aminalre Outlets No.of Hot Tubs Generators A gz' Above Cn- No.of Emergency Lighting r No.of Luminaires Swimming Pool grad. ❑ grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.o nes No.of Switches No.of Gas Burners No.of Detection and Initiating Devices Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number.Tons.`.KW 'No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑Mnnic pi ❑Other Connection No.of Dryers Heating Appliances KW Security Systems:" No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Aytiromaaaage Bathtubs No.of Motors Total HP Telecommunications Wiring No.of Devices or Equivalent OTHER: Qb Attach additional detail ifdesired,or as required by the Inspector of Wire. Estimated Value of 1 cal Work: 17IU„ - (When required by municipal policy.) Work to Start: (-.) 2.3 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: Unless waived by the owner,no permit for the performance of electrical work may issue unto 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 pedsuy,that the information on this application is true and complete. FIRM NE: 11 LIC.NO.: Licensee: Gt7Crr ..-D id 01 I Signature Q (Ifapplrcabl ens erempl"ips/�licensen r LIC.N0.:5� 1 Address l KOX7N L h {,IM0,. r m 4 0'13�n Bus.Tel.No:`YN-3t,r-t *Per M.G.L.c. 147,s.5 -f,l,security work requires D t� Alt.Tel No.: OWNER'S INSURANCE WAIVER: I am aware that thpfleLicensee does not haves the liability insurance License: Lic. coverage normall Owner/required A entby ry By my signature below,I hereby waive this requirement. I am the(check one)0owner 0 owner's age Signature — - I