HomeMy WebLinkAboutBLDE-23-003968 Commonwealth of Official use only
IP AU' Massachusetts
Permit No. BLDE-23-003968
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:1/20/2023
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) 334 ROUTE 6A
Owner or Tenant RICHARD BARONS Telephone No. o /
Owner's Address 334 ROUTE 6A, YARMOUTH PORT, MA 02675
Is this permit in conjunction with a building permit? Yes 0 No 0 (Cheep priat.
Purpose of Building Utility Authorization No. O
Existing Service Amps Volts Overhead 0 Undgrd 0 Ntti.'of Mtet1
New Service Amps Volts Overhead 0 Undgrd 0 No.of
Number of Feeders and Ampacity O ,
Location and Nature of Proposed Electrical Work: Split system
Cam'
Completion of the following table may be waived by the.tne'pector of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of 'Vaal
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 No.of Detection and
Initiatine 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: Detection/Alertine 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 Eauivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Siens 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: $50.00
COMUSSEMA II PlaMa - officildOaOnly
al If •c
k, t } Oceupenev and Fee _
' OF FRE FREVIEN O-REG A1S -u7J {inae
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
MIRA R i PRMTMAW ORTYPE. mo t Daft t 0 d--
City or Town of C( I o ut l To the t k • of Wires
- -Byihis application' the undersigned gives o vfhiSorh e^Idea/kola perform the electrical watt demand below. -
Location(Street&Number) . L_ rri ass ii u�tL
Omer orTeas X t Ie)A4re) -Faro Telephone ro.5d -3L' - tamy
owseesAddreta
Is Ibis Isom&in modenegmewiha IredidiegreninV - Yes-El:- No K ( -
Purposeof flertty-Authorization No.
Fadsdng Service Amps I - Vets Overhead ri ftedgrd El Ne.of Molars
-New Service _Amps - I Volts Overhead El thrdhrd E No-offrianns -
Neitherof Feeders and An g - —
Location and Nature of Proposed Meth-kat World 3 I n c[ W - Chi e--i Uw-` ( )_rl I-I--
of € 1F� - I]
Ate.of - - v._
moo€ - fps > of$atTubs _:: _ .:_ 1CVA
AbevcgIn-
MN& L-1 Batten!Units
!lam aflitemeteduthifiets .. ofOR Ramon 1--!I e ALARMS ; ofZ :ess
t --
- , of - -
_LNs.s€Binges ft-ofAkCosi& r s - , of Alerting1eVit
tS
ramp rartherl fans i of_Self
of W ls: 3 _- .: A
Aft .-Ate. KW :* L '--1g
coca.-.
-
:psi t'`-'- _Apes l� PFa e� —
Ne.of Wator No.of No.of t.:t>-- wining:DevicesKW
-
Beams Bands
Wes No.ef
t off TegailiP Ne.of Devices err :
tMilgR.:
Fa�eod Va n= t I U (When * Pam)
Wmkts Sise ,F,; - fespectitals to be reormsbal in mmidencenalh MEC Ride Mond upon completion.
DERWL waived bythe onocr,no permit ��. off s issue unless
the fieensceinnvides 1? - _ twit
tint nxi coverage is in force,ani inis egaiiiilEa s bathe .
CERAM ON& muitAtic94 nom 0 oTHER n (specify:)
It ,ansigrswing-us4- izO7innafisw - s bsetertdreseitig.
lam:NO.:t - c. bo w de; n signstma =617aI-E
1 .1i3> -•-rem- - b
Bd.G_L.c.I4f,si37 1.,secorkySafety Lie No.
OWNIOVS INSURANCE WAIVIM Tare aware thretheLiemsendem net have the y issarance coves nonnallY
BROW III tam Byw agog=> 1 -aasagw(a e 0 ewes= E3a...e.asenf
Owneridirsi
*Wore illigialepli I PERMIT ME S 1