HomeMy WebLinkAboutBLDE-22-002045 Commonwealth of Official Use Only
liPermit No. BLDE-22-002045
. Massachusetts
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
Rev.1/07]
APPLICATION FOR PERMIT TO PERFORM ELECTRIC WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR .00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:10/12/2021 A
City or Town of: YARMOUTH To the Inspector of Wir
By this application the undersigned gives notice of his or her intention to perform the electrical work described below. .`;;,:. ^"j C./p ,;, ,.'s,
Location(Street&Number) 345 MAYFAIR RD
Owner or Tenant Marie Noonan Telephone No.
Owner's Address �/
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Approprill<e)x)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead 0 Undgrd 0 No.of e
New Service Amps Volts Overhead CIUndgrd ❑ No.of Mete 23
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Replacement oil burner.
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- 0 No.of Emergency Lighting
grnd. l rnd• Battery Units
No.of Receptacle Outlets No.of Oil Burners 1 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 ION 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 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. PER_11IT FEE: $50.00
US
Basusitio.49
C - - —� L5
' -f: CFs PERMIT RE PREVENTION REGLLATIMI 1/871
TO PEIFORM ELECTRICAL WORK
- ;
I Ahiseariefgamiediuscarmilmalwassodesegagetakdrazzol
(PLEASEANIMPIANCORIVEALL
- 4:11yesr Tommie \ 6 rilriliiriffrU-± Daft
taaae At
. & 3Is may 4;�-
t
R
,eta - .
f _—__AWE I 1,111 Ovadsigilp useitri __
- ,Allik 1 ! GraibusiEj acipaEl mminisgers
- T
.a��pr� l i r� O ► / b
€ o t f e_r--
_e C'
IEVA
r r' s: -
et El
- '_
; _ .
Plam# -- '.
WO*ta Sint ,la(gglimgmharcnreastehimmeassmaltilECRWAmtweawkika
to
i G R Z to C,,,IIt.�.lt-F, lsz is L^'si, ....-__:1 • ;; --Ivv r /r hicti y �Y t '
�. - r C C. -
Ezizeatseez?vr-J-- oirt - ,_. _43C.--_________- _EW.1024:15 g
at a
e—i- i &WS ` e.Nil-
aallailiaga* nW*ftMidaliffitglialeartlelliMat rate[ �0 -
- , - __ _- _J r .