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Home My WebLink AboutBLDE-22-005753 or Commonwealth of Official Use Only 1v, ,,� Massachusetts Permit No. BLDE-22-005753 r 3y 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:4/8/2022 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) 233 PLEASANT ST Owner or Tenant GRIMES THOMAS A Telephone No. Owner's Address C/o ::v -` 7.-ft&JAMES E,233 PLEASANT ST,SOUTH YARMOUTH, MA 02664 Is this permit in conjunctfi n wit a`i u•ding 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: New residence 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. Jlrnd. 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. Tn Total 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 Stens No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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. I /\J INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the lice> 4/(31g� proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies t t such��over�t 'Li is in force,and has exhibited proof of same to the permit issuing office. C l'7 CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) kiQti I certify,under the pains and penalties of perjury,that e t rmati n on this application is ue and Cp7lpl t �. 0 FIRM NAME: Eric W Drew 1 L l 1 (2? Licensee: Eric W Drew St nature _ LIC.NO.: 13118 (If applicable,enter"exempt"in the license number line Bus.Tel.No.: Address: 103 MID TECH DR,UNIT A,W YAR OUTH MA 02673258 (7/ Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requ' es Department of P lic afety" .ce`se: l/ OWNER'S INSURANCE WAIVER:I am awa that the Licen does not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement. am the(c ck one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $180.00 Commonwealth o//7/aiiachtuetts Official Use Only, p cc�� S' Permit No. 2Z -S 75 3— telr1`- �'; e1JePartment n�5ire ervices f{ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1'07) (eat•e blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in acccrdance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN K OR TY E rI NFO .li TIO;\) Date: Le )_—�-� City or Town of: � ] 0 _ To the Inspector of Wires: By this application the undersigned i es notice of hIs or her intention to perform the electrical work described below. Location(Street& Number) oZ - t-'1' . JSi-- - S Owner or Tenant _ Telephone No. Owner's Address ,.___,A,.. Is this permit in conjunction with a building permit? Yes ❑ No C (Check p ropriate Boxt Purpose of Building Utility Authorization Nod 00 t (SStie f Existing Service Amps / Volts Overhead E Undgrd n No.of Meters , �e t- New Service Amps / Volts Overhead C Undgrd fl No.of deters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: W I V eY ;;/i_4 _ g 4 1 i , 1 Completion of the•following table may l:e traived hr the Inspector of Wires. No.of Recessed Luminaires oto.of Ceii.-Susp.(Paddle)Fans No.of "Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above C In- ❑ No.of Emergency Lighting g;rnd, grnd. Batters Units _ No.of Receptacle Outlets No.of Oil Burners IFIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. I ral TaonsAlerting No. of Devices 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 ❑ • Connection Other j � No.of Dryers Heating Appliances KWecS urih'`.ivstems:* No.of bevices or Equivalent No.of WaterNo.of No. of KW Heaters Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: — No.of Devices or Equivalent OTHER: Attach additional detail ifdesired. or as required hr the Inspector of it ares. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule IC. and upon completion. INSURANCE COVERAGE: Unless waives by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including."completed operation"covera`=e or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof-of same to the permit issuing oftic CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) L(0./cc)IC(S�C e /ais1 - "' I certifit, under the pains and penalties ofperjury, that the information on this application is true and complete. FIRM NAME: ,e,4J� (/VI.C- LIC. NO.: I�J( '',4-- t'l Licensee: LC_ 2(,J Signature LIC. NO.:, 7-39 L• /if applicable, enter exem t-jv the license member linea Bus.Tel.No.: S-4, 776 D7d-3 Address: 663 4 -{r r c\ d1 nr 1,/J \,,4._-(, �/ Alt.Tel.No.: .544 737 / L( *Per M.G.L. c. 147, s. 57-61,security work requires De anm t of Public Safety"S"License: Lie.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 Signature Telephone No. PERMIT FEE: $