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Home My WebLink AboutBLDE-23-002664 = Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002664 444% 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:11/15/2022 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) 14 COOLIDGE RD Owner or Tenant ALAN SANTOS Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Apprq(ii'fate 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 furnace. 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 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/Alerting 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 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 perjuiy,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 . \ CnzinoruveaK of MamacLoath Mead 2Use Only n- ./ Permit No. l q = = Z Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.I/07) (kaw blank) , APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFO I N) Date: ti 1 \o f D - City or Town of: Y«Irn O O . To the I ctor of Wires: By this application the undersigned gives notice of his%or her tention to perform the electrical work described below_ Location(Street&Number) t q coot-,(13Q_, c1 Owner or Tenant 'n 1( t1 SG O Fe 5 Telephone No. Cj C -3(07- 1305 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ NoIf',I., (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ut Undgrd 1 I No.of Meters t New Service Amps / Volts Overhead[ + Undgrd! I No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: W 1 1.-C. n e(A) az, U 1 r Il G f 5Completion off following table nary 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 Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units Ne.of 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� No.of Air Cond. To No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW foal❑ Connection El Other Security b—ystems:F Na.of DryersH Appliances ' No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No,of Devices or Equivalent OTHER: 41 Attach additional detail ifdesired,or as required by the Inspector of Wires. Co Estimated Value of •, •- Work: le 00 _ . - (When required by municipal policy.) Work to Start IMir . 2- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO MT 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 BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on I ' application is trite and complete FIRM NAME: / LIC.NO.: License hC ;i. t �t�t�dt>r 1'? Signature LIC_NO.: 5 j S (11 cable een®pt-M OF bratBus Tel.No.;'I l q-3 6S-tO'j(o`j ss Addre : ) 1 t(.L < CI �rl 11 Li,l 0 t.- 6&,(' Alt Tel No-- *Per M.G.L.c. 147,s.57-11,security work requires of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does noi 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 PERMIT FEE:$ Signature Telephone No. s'�i N1 1