The URL can be used to link to this page

Home My WebLink AboutBLDE-22-001177 r Commonwealth of Official Use Only '�.� ' Massachusetts Permit No. BLDE-22-001177 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/071 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 PR/NT IN INK OR TYPE ALL INFORMATION) Date:9/1/2021 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) 7 TEMPLETON PL Owner or Tenant SAULNIER DONALD J Telephone No. Owner's Address SAULNIER CHRISTINE C, 7 TEMPLETON PL,WEST YARMOUTH, MA 02673 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: Replacement HVAC. 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 1 No.of Detection and 0 Initiating Devices No.of Ranges No.of Air Cond. 1 Ton l No.of Alerting Devices 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 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: 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 EE: $50.00 Ocfr0 0 . Z, .. . CYheR0 L.se \ Commonwealth of Massachusetts 7-------- Orli Permit No.e22-- t I Department of Fire Services Occuoano. and Fee Checked ' -\ V-,„; BOARD OF FIRE PREVENTION REGULATIONS [Rev. 4 051 ''' ,Lu 1 uil A* PLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK >1 ' c,; to 1,;:.pc:col/Thal in a,....ordance wiih tic.N1assachuscas Efectri,--al Code f.`, -.0) 52-CNR i00 I PE. S.L.PRINT IN INK 01? TYPE -ILL 1\1'0164 .4710,1) Date: 0 7 c)- i LLI i c() City or Town of: aral() L-4-41 1 0 To the Inspe tor ol Wires: (,,,) g Bvt,i,1 application the undersiuned gi% s potic_of his or her intention to perform the electrical work described below. Lu ' -zr Loati' n (Street& Number) --r I ,e,trtrtfLtoil ce 044, )1.,Tenant Sasi.ASE--0 Q• 'Telephone No. Her s Address Is this permit in conjunction ssith a building permit? Yes I I No 1-- (Check Appropriate Box) Purpose of Building Utility Authorization No. f----,Existing Service Amps , , Volts Overhead I___j Undgrd I I No. of Meters Ness Service Amps ,- Volts Overhead I 1 Lndgrd 1 1 No. of Meters Number of Feeders and Ampacity location and Nature of Proposed Electrical Work: tl— C.— _ CoinpleriNn(?/'1heti)/101:ing r.;hlt,,.,1‘n-1),'-.,-::1 -e,-1/,..the in.Tectur of 1— I I No. of Total Ii No.of Recessed Luminaires ,No.of Ceil.-Susp. (Paddle) Fans 'Transformers KVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA Above ;I In- -No. of Emergency Lighting No.of LuminairesNo. Swim Pool mino t, grnd. +---1 grnd. 0 Batter:s Units. No. or Receptacle Outlets No,of Oil Burners iFIRE .ALARMS IN°. of Zones 1No. of Detection and No. of Ss itches No.of Gas Burners Initiating Des ices total No. of Ranges No.of Air Cond. T No. of Alerting De ices Tons L._ Heat Pump Number Tons KW !No. of Self-Contained No. of Waste Disposers Totals: iDetectioniAlerting Devices 7\No.of Dishss ashers !Space/Area Heating KW ,L1--LealE lunicipal Connection__0_21iiril_ _ I ''-' - No. of Dryers IHeating Appliances KW Security Svstemi: I No.of Devices or Equivalent No. of Water of of No. No. I KWData Wiring: I heaters Signs Ballasts No.of Devices or Equivalent Telecommunications, 'Wiring: No. II P dromassage Bathtubs No.of Motors Total H I No.of Devices or Equivalent 1 OTHER: .1ItUch(iCidrMal Lie ic:il 11 de,litql, Oi•a,.iViliti,Vd i, 11;e In TeC for or IL ' . Estimated Value of Electrical \\'o k: (When required by municipal policy.) Work to Starr Inspections to he requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless svais::( by the owner. no permit for the -)erformance of electrical work may issue unless the licensee pro\ides proof of liability insurane includinu."completed operation"coverage or its substantial equivalent. The undersitmcd certifies that such COL era:ze is in force, and has exhibited proof of same to the permit issuin2 office. g( tc,-s.(.\ 1 CIII-.CK ONF.: INSURANCI-: a_ 130ND LI OTHER E (Specify:) ',Ai ItC:r5 C.e Oryy h'C-Ab ( -!-Li b I t 1 certifr, under the pains and penalties of pedroy, that the information On this application i•true and co4kte. FIRM NAME: --e—, \A-) 1://;/1(._ki LIC. NO.: 1 i54- Licensee: C6( lye cc) Signature 7/i....----------- LIC. -,l lica..,,,-, Address: k) Pc 141,4 0 -\(7,04 ' U0 *Security System(ontractor.Linse ce requires tbr this‘‘ork: i applicable. enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee toes not have the liability insurance coverage normallv required by law. By my signature below. I hereby waive this requirement. I am the(check one) FT owner 0 owner's agent. OwnerlAgent Signature Telephone No. 1 PERMIT FEE: S