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Home My WebLink AboutBLDE-23-005027 ,.-r‘(r,- Commonwealth of OffcialUseOnly 1/ Massachusetts Permit No. BLDE-23-005027 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 Ins pector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 39 RUNE STONE RD Owner or Tenant KRIESER KENNETH Telephone No. Owner's Address KRIESER BERNADETTE,39 RUNE STONE RD,SOUTH YARMOUTH,MA 02664 Is this permit in conjunction with a building permit? Yes❑ No 0 (Check Approp to 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 air conditioner. _ S� 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- CI No.of Emergency Lighting grad. „rnd. 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 lnttiatine Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained Totals: Detection/Alertine Devices _ No.of Dishwashers Space/Area Heating KW Local ❑ Municipal El 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 ,Sivas No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wi ring: 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 ❑owner's agent, Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 - _ Consunsvennuta olmassachraidtd Official Use Only - _- Permit No. �Z J -5Q2.27, ;-___ a rarieteni el 57re Services T Occupancy and Fee Checked - BOARD OF FIRE PREVENTION REGULATIONS _ I/ ,4 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in awe with the Massachusetts Electrical Code 5 CMR 1200 1 1 2 (PLEASE PR AT NT IN INK OR T1'P ALL INFORMATION Date: IS:1;0i'.=�1.1!/. .(!' 7, W City or Town of: fWU\ou 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) t %ILX e� o�) ?A ‘ Owner or Tenant l(sin iel\ f, Telephone No. t - 7 7 to -aka Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 07 (Check Appropriate Box) Purpose of Building Utility Authorization No. tExisting Service Amps I Volts Overhead ❑ Uudgrd❑ No. of Meters N. / Volts Overhead ❑ dgrd 0 New Service Amps Uu No. of Meters N• umber of Feeders and Ampacity Location and Nature of Proposed Electrical Work: uth Vt. 0\CI U a PIC - ( i—eA,r1cLikta., cNConipktian alike followinktable may be waived by the Inspector of Wires. No.of Total , No. of RecessedLuminaires No.of Ced.- .(Paddle)Fans Transformers KVA KVA ---Z. .No.of Lunt�isaire No. of Hot Tubs Jfirs SwimmingPool Above ❑ In- ❑1 No.of Emergency alighting No. Ltd. grad. I attierr r units 'No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones Z No. o€Gas Bureers 'No.of Detection and No.of Initiating Devices No.of No. of Air Cond. TotalTons fNo. of Alerting Devices Heat PumpNumber Tons IOW No. of Self-Contained No.of Waste Tota : I I I ection/A�Devices No.of Dishwashers Space/Area Heating KW l C� Q Security Systems:* 4 No. of Heating Appliances KW o.. of Devices or Equivalent No. of Water IC4V 'No.of No.of Data Wiring: Heaters gyps Ballasts No.of Devices or Equivalentu� No. Hydro massage Bathtubs No. of Motors Total HP Telecommunications W g.- No.of D or Equivalent OTHER: / < , e , Estimated 1.Attach additionaldetail f or as by the Inspector of Wires. frill Value of Electrical Work: ;",I;il'� ( '; % When required by municipal policy.) Work to Start: ?7\ .1 \, ? Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: UllieSS waived by the owner,no permit for the peormance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or irs substantial equivalent. The undersigned certifies that such co -,--s� is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ► BOND Q OTHER 0 (Specify:) f cam,ander the i perms ofp�ty,that the infor imr en this a is true and complete FIRM NAME: -� _ LIC. NO.: Licensee rE x & Signature _� LIC.NO:5i SS i - F (7f� "in .Tel.llio.: '� ' -CIO Address: t t' Q �t l (AA �MO 3 c?— Alt,TeL No.: `Per M.G.L. c. 147, s. 57-61, security work ent of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I inn aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I inn the(check one) ❑owner ❑owner's agent Owner/Agent I PERMIT Signature Telephone No.