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HomeMy WebLinkAboutBLDE-23-003728 a Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-003728 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:1/10/2023 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) 3212 HEATHERWOOD Owner or Tenant LESTER ALLEN Telephone No. Owner's Address 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement furnace/air handler. (UNIT 3212) 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 Tot No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices 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 ❑ 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: waters 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:) 1 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 LTC.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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 C. wealth 4 1/1/asswclresefLs Official Use Only -.-N Permit No_ E3- 3-7s= -.. is�s.�ierf1��re Services.- Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev_ Il071 (leaves bian6) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I ' 7 3 City or Town of: \r' ( J n U To the Inspector of Wires: By this application the undersigned gives notice of is or her intention to perform the electrical work described below_ Location(Street&Number) c:;), e � flla.%1�%t'p d Owner or Tenant 1...1�'f`e r �f P►'1 Telephone No.C..71S-3(..3. -3gs9 Owner's Address Is this permit in conjunction with a building permit? Yes I I No I (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead I I Undgrd❑ No.of Meters I New Service Amps / Volts Overhead! I Undgrd I No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: \., r'_ 3d, Arne;C / Hi` /- 'lc `� 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 Above In- No.of Emer gency Lighting No.of Luminaires Swimming Pool grad ❑ �d. ❑ Battery Units 1 No.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 Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Demers Totals: - Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW Local ElConnection ❑ Other Heating Appliances KW Sty Systems:" No.of Dryers No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent No.of Motors Total HP Telecommunications Wiring: No.Hydromassage Bathtubs No.of Devices or Equivalent OTHER 16 G(v Attach additional&tail if desired or t required by the for'of Wires. Palmated Value of Work: 13 (Wig required by muniripal policy'-) Work to Start: a3 h.,p..tions to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE 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,trader the pains and pe ralties of perjury,that the information on I - applications Owe and complete. FIRM NAME: LW.NO-.: Licensee: i t..b C f 1' C.- R)OLQ,, d e l ri Signature ,,/- LIC NQ:3 J 9 S I - E of raik, >mapriv Bits.TdNo.;111%f-36S-©7b7 Address: 3 j i.t;'X c o tt� Wiwi( \a°f!j,in a 3 t,C� Alt.TeL No- *Per M.G.L.c.147,s.57- I,security work requires Dt Wiwi( of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By ay e below,I hereby waive this requirement I am the(cheek one)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. 1 PERMIT FEE:$ M