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Home My WebLink AboutBlde-22-003282 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-003281 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:12/9/2021 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) 389 WHITES PATH Owner or Tenant Steven Cole Builders 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 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: iNSPECTION&PERMITTING OF WORK DONE WITHOUT PERMITS. 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- ❑ 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. Totalo 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 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: Eric W Drew Licensee: Eric W Drew Signature LIC.NO.: 13118 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 103 MID TECH DR,UNIT A,W YARMOUTH MA 026732588 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:$260.00 3-1 tU fit CO-Le R E C -,,,..to...i, , D ,--- Loolownweak oi Mai.sachaieili , urti—eial C----se Only-- ,--,--.* •••z--- Permit No. zi-32-6( - --w-73_,-. , .:, ,- , Zepariment a/ ire..Service.3 DEC til -.,1'?" F .•, -4,:,d: BOARD OF FIRE PREVE Occupancy and ee CheckedNTION REGULATIONS • - ' ____ •,-..b.. . 112;\ (!Q.‘. L.hankl ---- ' , BUILDING DEPARTMENT BY:---AppucATION FOR PERMIT TO PERFORM ELECTRICAL WORK All cork to be performed in accordance lwith the\Lissachusts Electr1 Cod, (NfEC). 52"CAM 12.0() (PLEASE PRINT 11\'INK OR TYPE ALL INFORAt-iTION) DateLLajf 7-- - -__(_________ City or Town of. • Varyll _ To the Inspector of Wires.' _______By this application the undersigned g \es tiof his or h4:1-inlyition .0 perform t -( el-ctrical A ork described below. Location (Street& :•'4in ber) ki .,--- Owner or Tenant 7 , Telephone No. _ Owner's Address Is this permit in cork'unction with a building permit? Yes LI No ! (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead — Undgrd 7 No. of Meters New Service Amps / Volts Overhead ! 1 Undgrd 1 No. of Meters ---- Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work. 1 • „.„ , Coln)1e6 n,)1 th-i yi.dloiling whie mov 1:e; aireci in t te hrTector of Irii s. ----- 7*-----TSW.Tr— Total No.of Recessed Luminaires No.of Ceil.-Susp. (Paddle) I.ans !Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KV.A - Above 1--- In- r---1 . o. o nreigeThieyTighting No. of Luminaires Swimming P"1 grnd. L---- rnd. !----1 Battery Units No. of Receptacle Cutlets No.of Oil Burners !:FIRE ALARMS INo.of Zones I:No.of Detection and No. of Switches No. of Gas Burners Initiating Devices T Ail No. of Ranges No. of Air Cond. THIS No. of Alerting Devices — 'eat Pump 1 Number TonsKW ,N(-----L-7: 1—cl*.fe 1-75-rifiliTed . No. of 1Vaste Disposers Totals: I Detection/Alerting Devices r--, Municipal 7 , No.of Dishwashers Space/Area Heating KW [1--"al 1.---1 Connection i___, Other 'Securit7syste77 No. of Dryers "------r Heating Appliances KVI. No. of bevices or E9uivalent _ No. of Water Kw No.of ----N-67o f Data! Wiring: Heaters Signs Ballasts I No.of Devices or Equivalent No 'Wiring: No. Hydromassage Bathtubs No. of Motors Total HP I No.of Devices or Equivalent OTHER: , —Attach adc0non.il./41‘0;0 du,/,ed. or(Ls-,.equired by the inspc.-c tor of it'fro. Estimated Value of Electrical Work: (When required by municipal policy. Work to Star: Inspections to be requested in accordance with MEC Rule IC. and upon comp'etion. INSURANCE: COVERAGE: Lnless \vai\c.c by the owner, no permit for the performalce of electrical \vork may issue .mless the licensee provides proof of liability insuranee including"completed operation"coverage or its substantial Null.alem. the undersiened certifies flat such co\eraue is in force. and has exhibited rroof of sa!,21, to the permit issuing oftic'. f CHECK ONE: INSLRANCEBOND 0 OTHER 0 (Specil.y:l (Aa-A,61C{S(Oky 1 certift,under the pains and penalties of perjury. that the information on this application is true and complete. FIRM NAME: C \ , C____ LIC. NO.:_13115A— , _Licensee: eiTc__. Lx-.eLd Signature ___ _______ LIC. NO. rIf appIic chic. ,..,:prer -c,Avnipt. .itlu.':icens,ntimL, r inte.f 13us.Tel.No.: p72S Address: 1,42I . , Alt. Tel. No.: 05 77 *Per NI.C.L. c. kr. s. 57-61,security work re:tuires De arm,. .t of Public Safety "S"License: Lie. No. OWNER'S INSURANCE WAIVER: I ant a.,‘are that the Licensee does not hare the liability insurance coverage normally required by law. By my signature below. I hereby waive this requirement. I am the(cheek one. E owner Q owner's agent. Owner/Agent Signare -- --- Telephone No. PERMIT FEE: S 4r: to D —_____-- U ( (6- -' (