HomeMy WebLinkAboutBLDE-23-005023 #14 --, Commonwealth of Official Use Only
t* Massachusetts Permit No. BLDE-23-005023
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:3/13/2023
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) 231 WHITES PATH UNIT 14
Owner or Tenant YARMOUTH BASKIN LLC Telephone No.
Owner's Address P 0 BOX 365, EAST ORLEANS, MA 02643
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 heat pump&air handler.(BASKINS HARDWARE)
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- CINo.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
Initiating Devices
No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: 1 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. PERMIT FEE: $80.00
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'I .f Occupancy and Fee Checked
' BOARD OF FIRE PREVENTION REGULATIONS [Rey_1ro7j
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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:
City or Town of: ('l(11u-` To the Inspector of Wires:
By this application the undersigned gives notice of his c%her inten- cal work described below.
Location(Street&Number) - . L }IY�I-el h f d 1114 _— LLA()n
Owner or Tenant 6 h� i Jto tiftlidi, - Telephone No. Cic Ift1 r c-�?
Owner's Address -7
Is this permit in conjunction with a building permit? Yes El No n (Check Appropriate Box) /7 Li
\ Purpose of Building
Utility Authorization No. -
Existing Service Amps I Volts Overhead n Undgrd I I No.of Meters y 2- 2
New Service Amps I Volts Overhead I I Undgrd❑ No.of Meters
Number of Feeders and Ampacity t" ,.
Location and Nature of Proposed Electrical Work: U,,,1 -R \j Q 1 tIL9 rr`�u,A- { /. h t�41(t t-
h�
v Completion of t e following table may be waived by the Inspector of Wires.
No.of Total
No.of Recessed Luminaires No.of Ced.-Susp.(Paddle)Fans Transformers KVA
tV No.of Luminaire Outlets No.of Hot Tubs Generators KVA
Above In- No.of Emergency Lighting
No.of Luminaires Swimming Pool mod- ❑ tad. ❑ Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No..of Zones
No.of Detection and
3 No.of Switches No.of Gas Burners Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
No.of Waste Disposers Heat
aTotals Number Tons KW No.of,Deteet.Self-ContainedlDevices
Mal CI Other
No. Local❑
of Dishwashers Space/Area Heating KW Counicipnnection
No 4gectirity Systems:"
of Dryers Heating Appliances KW No.of Devices or Equivalent
No.of Water I{W No.of No.of Data Wring:
Heaters Signs Ballasts No.of Devices or Equivalent
Telecommunications Wiring
No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent
OTHER:
Attach addition®l detail tf or as required by the Inspector of Wires.
Estimated Value of Electrical Work , b 0 (When required by municipal policy.)
Work to Start: 3ljLZ 3 Inspections 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 cov a is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:)
I certify,under the - and penalties of perjury,that the information on this application is true and complete
FIRM NAME:: LIC.NO.:
Licensee ber EJ dd;cn signature LIC.No.6 i9 SI-r
(If'erpd blo enter"1 "in the horse i r Bus.Tel.No.:9`�'l-3 'g-61 h I
Address: 1 t v o xy Q_-Ct- i MO ea3 bo - Alt.TeL No.:
*Per M.G.L.c. 147,s.57-61,security work requires De artrnent of Public Safety"S"License: Lie.No.
OWNER'S INSURANCE WAIVER I am aware that the Lien does not 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.