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Home My WebLink AboutBLDE-23-003632 Commonwealth of Official Use Only ARMMassachusetts Permit No. BLDE-23-003632 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 Co c (MEC) 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:1/4/2023 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 wor escribed below. Location(Street&Number) 150 KATES PATH VILLAGE Owner or Tenant PAUL O'BRYAN Telephone No. Owner's Address 150 KATES PATH VILLAGE,YARMOUTH PORT, MA 02675-1452 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 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 ❑ Municipal 0 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 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. LERMIT FEE: $50.00 ��C`� ( 1e( 3c (( , ,6 ( . ?L( )01119 enrarararmareirAl Of addladareiailiS Official Measly i 2,..A....1 -' Occupancy and Fee Checked = OFFIRE N REG � _itli� (cleave ) k APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be terforfamd is aveardame watitikaiirgalthoggli lihictrical. Ctx (MEC),27 CAR 12_00 (PTRARR PRATT IN INK OR R�ATFORwATIO11O Date: t-D- z -.�— C' or Town of: j(j i(Y1(, tv "k'1 To the Inspector of-Wires: -?---- City 1 By this applicationthe undersigned gives nc4iceof his�JJor her intention the skctrical work desc ibed below_ . Location(sired&.Number) (5 U KC Tee �e�'� Owner or Tenant 3JLA,t \,t SO Q rl( O ' B c y c Tel one Ai 5 c.,S 3L„) _)-y 91 Owner's Address Is this permit in conjon with boiling permit? Yes 1 No (Check Appropriate Bo Purpose of Balkan Icy Authot it ttiun No_ Existing Service Amps f Volts Overhead El llndgrd❑ No.of Meters New Service --'m ps I Vohs Ovid El Und i4 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Worms e;&b —C-li Tn 4 c L__,- CompIetion qfthefollowi bewared by the tripe tar of Wires. 1 No.of Total No.of Recessed Luminaires No.ofCeil.-smp.(Paddle)Fans Transformers KYA Na.rifLunthesire Eludes 'Na.of Hot Tubs generators iCVA Above 'No.of Emergency laghling No. Swimming Pool grad. Q gam. Li Santry Units No.of Remands Outlets No.of O3 Burners FIRE ALARMS INo.of Zones No_of Detection ' No.of Switches No.of Gas Burners Inilistift Devices Ale.a€ No.t�€Air Cond. Toons tal -No.of Alerting Devices Heat Pimp[Namber(Tons 1 KW 1No� Sel€-Conti evi No.ofi Waste Disposers Totals;# —� Now of dishwashers Hen g KW �#_{p reaumtin U Other No.of Dryers Heatia AppfraneesKW or Equivalent No.of Water KW No. ta Wiring: Resters Saps Rassts 1SIgof Devices or Equivalent Hyobtooneowne Batlitubs .�of s Total HP No.of Devices Egrdyalent OTHER: 7 C wit dear eras edbythe s ofWire Estimated —Yai eof aWcnk �: I -', - (When required by rrinnithpal policy.) Work to Same _ a 4 hispections to be requesWd in accordance with MEC Rule 10,and upon completion. MjRANCE *t• !?.` Unless waived by The myna,no permit for the peafonoance of electrical work may issue unless the licensee pores pmofof` y iintirallee ilatCrEg a coverage of its substantial equivalent- The undersiped certifies that Such coverage is it force,and has cahlited pouf of saint to the permit issuing office. CHECK ONE INMJ-RArCE f BOND Q OTHER D (Specify:) - I cep dte �dp riper ary, ' on is trued FIRM NAME: / LIG NO:: Lin f-- . 0 �det11 LlCN .: 17ai - P- a1 _'mapmow Bus.Td iD-3 G.S "at,') Address; - 1 Ka.kki CEtII eD el T:(rei me)i V`-l ti in 0vs'`3t,t- Ak.Tel. t__No *Pe M.G.L.c. 147,s.5741,security rity wortrequires D ofPuha—Safety`S=Lirmv:- Lk_NO. OWNER'S HatlitANCE WAIVER: 1 am aware thattlie Licensee does ne how the liability insurance coverage normally marked by law. By my sigma=hew,I lxzehy waive this 1 r e ut I aaa the(check Goa)[l owner [j owner's%gnatztre Telephone Na.