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Home My WebLink AboutBLDE-23-004454 Commonwealth of Official Use Only (fi ! Massachusetts Permit No. BLDE-23-004454 07 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:2/13/2023 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) 55 POWERS LN Owner or Tenant POWERS MANAGEMENT LLC Telephone No. Owner's Address C/O MARK GOMBAR, P O BOX 1667, CARLSBAD, CA 92018-1667 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 s� New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters (Y" Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Heat pump. 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 KV.i 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. 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Euuivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Euuivalent _ . 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: $50.00 AetzLcS- (p ' 760-c` 3 -3?3° COMMOISIVINIA el Mamac.haudis Official Use Only 1• fic. •i c/� Permit No. Z 3 f _ c aLJsparfnte�(134.Servke ,ee Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),52 CMR 12.00 (PLEASE PRINT IN INK OR TYPEA INFORMATION). Date: /I5 a-- City or Town of: c---MCDo+• 1 To the Inspector o Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 5 J �1D E r S L4 ne_ Owner or Tenant °r G r k G O t'h:het( Telephone No.7e t -55'3-37 30 Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: i I - L c'n c , pi- L e c, ()u t►1 Completion of the followingtable 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 Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool ❑ grnd ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. Initiating Devices No.of Ranges No.of Air Cond. Tonsl No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW 'No.of Self-Contained spo Totals: Detection/Alerting Devices MuniciNo.of Dishwashers Space/Area Heating KW Local D Co nectioln ❑ Othrr ` No.of Dryers Heating Appliances KW Security Systems:* ry No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP TelecommunicationsNofDevices r Wiring: y g No.of Devices or Equivalent OTHER: c.,0 Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of E e • Work: LOC. - (When required by municipal policy.) Work to Start: oZ ‹ Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE: Unles aived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liabili insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such cov rage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) I certify,under the - s and penalties of perjury,that the information on this application is true and complete" FIRM NAME:. -�" LIC.NO.: Licensee{ O b er E `1ULO&.t n Signature LIC.NO. jq S t-r 9(If applicable,enter` mpt"in the licgnse numb lid Bus.Tel.No.:`Y1`-{-3t.,g--c�(o Address: '5 i bx\I C_.G h c c r, l d , r i and U4 i) rn A 001-3 b --- Alt.Tel.No.: `Per M.G.L.c. 147,s.57-6 ,security work requires Department 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 my signature below,I hereby waive this requirement. 1 am the(check one)❑owner ❑owner's agent. Owner/Agent `PERIKIT FEE:$ Signature Telephone No. ACts>56k4 `764-543 —343o