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HomeMy WebLinkAboutBLDE-23-003227 =�tik Commonwealth of Official Use Only �` `` Massachusetts Permit No. BLDE-23-003227 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:12/10/2022 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) 8 MEADOWBROOK RD Owner or Tenant KATHLEEN WELSH Telephone No. _ Owner's Address WEST YARMOUTH, MA 02673 " Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) fir' 3 Purpose of Building Utility Authorization No. .,7 /,°;) 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. +`/� r Completion of the following table may be waived by the Insp etpY,+bfY' es. 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 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 Commonwealth>wof e114 Official Use Only -Z3-3 ZZ '!-v •� Permit No. e E== �o/� s = ,5 Occupancy and Fee Checked '-:;:i BOARD OF FIRE PREVENTION REGULATIONS _Mil ( > ) 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: G 1 I ZA I Z 2 City or Town of: 1 ft(y)NtifIN To the Inspector of Wires: By this application the undersigned notice of his or her intention to perform the electrical work described below. Location(Street&Number) g m �{�Q6ta. zd- �'ere ,/ West' 7 t''e k Owner or Tenant (;‘-j l\Viar (N 03 \ Telephone No. y t O - 7-'/t 7 2 Owner's Address Is this permit in conjunction with a building permit? Yes I I No- (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead[I] Undgrd I I No.of Meters 1 1 New Service Amps / Volts Overhead Undgrd No.of Meters Number of Feeders and Ampacity _ Location and Nature of Proposed Electrical Work: ;,..,\ t. jV 4' -•-' _ Completion of the fellowingja le arty be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cep To.of Total -�P-(Paddle)Fans Transformers KVA — No.of Luminaire Outlets No..of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting ,.rnd. grad. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and --t No.of Switches No.of Gas Burners Initiatin„Devices No.of No.of Air Coed. Total No.of Alerting Devices Heat Pump Number Tons KW 'No.of Self-Contained No.of Waste Disposers _ Totals: Detection/Alerting DevicesMunici ___P No.of Dishwashers Space/Area Heating KW Local❑ Cecti n Other No. Dryers HeatingAppliances S ashy Systems:*' No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydrom BathUrbs No.of Motors Total HP T Wirmg- Nn.of Devias or quival _ OTHER //55 Attach adcroioncd detail if desired,or as required by the Inspector of Wires. Estimated Value of Elent, cal Work: (0 LA/ (When required by municipal policy-) Work to Start: \\\2- IL-- Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no pent for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"romp/dal 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 co-lift,nader the paints and penalties of perjury,that the information on t ' application is true and complete FIRM NAME` _ / LIC.NO.: Licensee ab C';f- t- BQix de,t rr Signature LIG NO.:S j 7 S I - E (/.fopPueaa rzeajt"ar be Bus.Te.No.eriV!-3&E-© 67 Address_ ..; I V�L X L'CIt T1 t'S ri 41 tql 'T ti In 0 Oi 36 f? AIL Tel_ a N - 'Per M.G.L.c, 147,s.57-61,security work requires Lk} ment of Public Safety"S"Liacine: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the I.icensri does not have the liability insurance coverage normally mulled by law. By my si uahrre below,I hereby waive this requirement_ I am the(check one)0 owner ❑owner's agent Owner/Agent Signature Telephone No. I PERMIT FEE:$