HomeMy WebLinkAboutBLDE-23-000058 -- -;ti Commonwealth of Official Use Only
b.i.."rilli Massachusetts Permit No. BLDE-23-000058
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.1/07j
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:7/5/2022
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) 115 RIVER ST
Owner or Tenant Barry Gaughran Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appro it Box)
Purpose of Building Utility Authorization No. 0
Existing Service 100 Amps Volts Overhead 0 Undgrd ❑ M O
New Service 200 Amps Volts Overhead 0 Undgrd 0 o. frte V
fr
Number of Feeders and Ampacity / f
Location and Nature of Proposed Electrical Work: Temp Service, renovations, &service /, t
v O �
Completion of the following table may be waive I e it ter of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of % .0
Transformers '
No.of Luminaire Outlets No.of Hot Tubs Generators KV
•
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
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: Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ 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 Signs 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: $230.00
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t-tU,s` gery i�t= �evivon-710A1
wAtii t S ecroyzeDeq-2417. Kg..,
COMMptturearthi offaad,.....4 ofcicial Ilse Only
,, = ,J Permit No. /; Z9—CV 56
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1,_ Occupancy and Fee Checked
:4' � BOARD OF FIRE PREVENTION REGULATIONS ev.I/071 ea„blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code C),52 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFO TION) Date: L, 2`f
City or Town of YI( m 6u-1 To the Inspector f Wires:
By this application the undersigned gives notice ofhis arts-won to perform the electrical work described below.
Location(Street d&Nwtnber) ( `t V,e r= . t
Owner or Tenant r r to (G Pl Telephone No. lJ 11-.3 ..A 'bey
Owner's Address / _
Is this permit in conjunction with a hn l opers�? YesI No El, (Check Appropriate Box)
Purpose of Building vW�+C- A e w C v.:4- ,.,• Utility Authorization No.
Existing Service /D 0 Amps 1' '/-2 `''Volts Overhead® Undgrd❑ No.of Meters
New Service 4-0 s:' Amps I Z C/'''Ili Volts Overhead❑ Undgrd f71-- No.of Meters I
Number of Feeders and Ampa'city 7
Location and Nature of Proposed Electrical W %-�'tii0 sld Jr I.c.� / tit e-1,0 �A"-O
v ',
It(- L,,, '-0 c /t ,( A fkL fq(t.,� S.�,fv. .C
J Completion afthe follawbiklable may be ward by the Inspector of Wires
No.of Total
No.of Recessed Luminaires No.of f'$I-Slop.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KCVA
Above No.of Emergency Lighting
LuminairesNo.of Luminaires Swimming Pool mid, ❑ grad_ ❑ Battery Units
No.of Rs...rtacle Outlets No.of Oil Burners FIRE ALARMS iNo.of Zones
No.of Detection and
No.of Switches No.of Gas Burners ;initiating Drakes
Total
No.of Ranges No.of Air Conti. Touts No.of Alerting Devices
'Beat Pump Number(Tons I KW 'No.of Self-Contained
No.of Waste posers Totals_ Detection/Alerting Devices
Mttnicipat
No.of Dishwashers Space/Area Heating KW Local El Connection 0 Other
Heating Appliances KW -Security Systems.
.s
Na of Dryers Heating p No.of m. or Equivalent
No.of Water No.of No.of Data Wiring:
Heaters KW Signs Ballasts No.of Devices or Equivalent
i .".: " Eaasz:uas'�'suir» vsir -..'
No.�e Bathtubs jNo.of Motors Total HP S into.of frvices or E ltreaafeatt
,OTHE
' R
Attack additional derail 4-clesired or as reaused by the Impecror of Wires
Estimated Value of Electrical Work: ) C-- (When required by municipal policy.)
Work to Stiff Inspections to be requested in accordance with MEC Rule 10,and upon congiletion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the Iicensee provides prof of Liability insurance including"completed operation"coverage or its substantial equivalent The
undersigned certifies that such it is in force and has exhibited proof of saw to the permit issuing office.
CHECK ONE: INSURANCE BOND 0 OTHER p (Specify:)
I certify,under the pains and penalties of perjtuy,that the informations an this apprication is true and complete
FIRM NAME: A LTC.NO.:
Licensee:--1T: i af-E_ A:�-j r"l n S'tganhtse ;/
LiC.NO.CIc 0
(If applicable itt numb. J Bus.TeL NoLl€'�-5 -C`Z 1
Address: t'7 I T D X G c.c.7 j-<!J �p btA{ Y A (.),�3 t C Alt.Tel.No.:
*Per M.G.L.c 147,s.57-6 ,security work requires D of Public Safety"S"-License: Lic.No.
OWNER'S INSURANCE WA_IYIuR I am aware the the Licensee does-tat have the liability,sul iauu.coverage normally
required by law_ By my sib below,I he*waive Chic requirement I am the(cheek one)❑owner 0 owner's as t.I
Owner/AgentJ P FEE:S 1
Sig talon Telephone No.