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Home My WebLink AboutBLDE-23-004573 Commonwealth of Official Use Only (fi. Massachusetts Permit No. BLDE-23-004573 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked e_)/_.,1, A [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:2/17/2023 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) 185 BAXTER AVE Owner or Tenant JOHN BAKER Telephone No. Owner's Address 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 ► ,.of Meters New Service Amps Volts Overhead 0 Undgrd 0 At f eters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for heat pump t ! O Completion of the following 441771 4 a .• 41/1p tector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Transformers O ��" No.of Luminaire Outlets No.of Hot Tubs Generators4N `VA No.of Luminaires Swimming Pool g boved. ❑ grnd. ❑ No.of Emergency Lighting rn Battery Units ,e6) 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. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: _ 1 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 Equivalent 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 rf1A. z17by14 ('c " ) /� ti /M l Official LIIse�Only �j , t ccow� saftts o/cc/77�/amsc/ Permit No. `�`��J ` �p ` I 2-1,,a=l 2 o/.}ire.Servicef l,__. and Fee Checked �� -f- - BOARD OF FIRE PREVENTION REGULATIONS [Revue Occupancy (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),52 CMR 12.00 (PLEASE PRINT IN INK OR TYP`E ILL INFORMA IO^N) Date: c 15 1 -.3 City or Town of: YG r m G�f V/ 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) i(,5 )t1X -Fite____, -� 4'' T Telephone No.,Cjl]g-;'y � , Owner or Tenant (�r� Ti el k>✓ 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 I\ f eeua, CI Location and Nature of Proposed Electrical WorklJ')` l',,, -e_c) c/tom- p Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool gruel ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Air Cond. Total No.of Alerting Devices No of Ranges Tons No.of Waste Disposers Heatump Number ,Tons KW No.of Self-Contained Totals: Detection/Alerting Devices Municipal No.of Dishwashers Space/Area Heating KW ,Local❑ Connection ❑ Other Heating Appliances KW Security Systems:* No.of Dryers No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: HeatersKW Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: (Do Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: 11 it)CI . (When required by municipal policy.) Work to Start: jz 15 a- 5 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CORAGE: 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 ' s and penalties of perjury,that the information on this application is true and complete. FIRM NAME:. -�_ LIC.NO.: Licensee O bc.i- E FX�I Urn Signature LIC.NO.:58S i-r (If applicable,enter mpt"in the licgnse numbcc line-A,. Bus.Tel.No.:Mc(-.36g-67 i,1 Address: ) t Xv C 1 G h cc,-, isd , i ( mo t.ki i, ,0A(9 Od'3(0,?-- Alt.Tel.No.: *Per M.G.L.c. 147,s.57-6 ,security work requires De artment 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. I am the(check one)❑owner ❑owner's agent. Owner/Agent (PERMIT FEE:$ Signature Telephone No.