The URL can be used to link to this page

Home My WebLink AboutBLDE-23-002865 Commonwealth of Official Use Only Permit No. BLDE-23-002865 ��;,� Massachusetts 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:11/23/2022 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) 25 CLINTON DR Owner or Tenant JAMIE YARASAVYCH Telephone No. Owner's Address 25 CLINTON DR, YARMOUTH PORT, MA 02675-2075 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd No.of Meters ' f, , New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Heat pump-Air Conditioning 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 Initiatine Devices No.of Ranges No.of Air Cond. 1 Total 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 0 Municipal ❑ 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 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 COi)il)20/idUBtd BVar •to tth Oil M Lv #4 Official Use Only � t e ^�/ �J i/ Permit No_ -E23''G (`�-U\ �5, ilLS rvcce9 -, Occupancy and Fee Checked `Vi .,- ` BOARD OF FIRE PREVENTION REGULATIONS Rev_1107]�: - - (leave ) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),527 CMR 12.00 (PI RASP PRINT ININIKORTYPE 4LL INFO �TION) Date: � i City or Town of r n/Y)6 ti-i l'-r To the 1 ctor o Wires: By this application the undersigned tLives notice of his or her intention to perform the electrical work described below. Location(Street&fiber) c7Z 5 C-I I n+D17-Dr, tie— Owneror Tenant rn ltam YarCl 0, ✓yC-h Telephone No.41/.;i1 •`a` -": (_.l L Owner's Address Is this permit in conjunction with a building permit? Yes I I No I 7 (Check Appropriate Box) Purpose of Madam Utility Authorization No_ Existing Service Amps / Volts Overhead Undgrd U No.of Meters New Servi e - Amps / Volts Overhead❑ Undgrd I I No.of Meters Number of Feeders and Ampacity 1 a ' Location and Nature of Proposed Electrical Work: l rr c}}}I a U L.SS , Gd u C ,/ i,l t c;+ pu o- P h/c, ►4II / S.), b Compleliam of due fallowarg,iable may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Cel.-Sasp.(Paddle)Fans Transformers KVA No..of Luminaire Outlets No.of Hot Tubs Generators KVA Above in- No.of Emergency Lighting No.of Luminaires Swimming Pool grrid. ❑ lid ❑ Battery Units No.e/Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Coed. To No.of Alerting Devices Nett of Waste Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Space/Area HeatingKW Local❑ Connection 1] Other No. pal of Dishwashers Connection ` • Security Systems:- No.of Dryers HeatingAppliancesmay' No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Sins Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: (� O 0 Audi mional detail if desired or as required try the inspector of Wires. Estimated Value of u-•,-: Work: I-1 OD. — (When required by municipal policy-) Work to Start: I /IH7� d-- . In to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE 1 Ir 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 opera ion"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, BOND ❑ OTHER ❑ (Specify:) I certify,cads the pains and penalties of perjury,that the information on I - application is true and complete FIRM NAME: LIC:NO.:Licensee.' C b C_:�' E -G`t.` de, i r Stratum LIC-NO.:6 i 7 S 1 - E (Ifappll te, ea�t-in 1 BasTel.No. lV-31S-o7b7 Address: je1�C.X (i 7117 t� fot -l1 iill I'd•3 0 Alt Ted No. 'Ter M.G.L.c, 147,s.5741,security ity work requires of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER I am aware that the Licl•nsei.does not have the liability insurance coverage normally by law. By my Signature below,I hereby waive this refit_ I am the(cam one)❑owner ❑owner's agent Owner/AgeSignature Telephone No. I PERMIT FEE:$