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Home My WebLink AboutBLDE-22-007093 off...,. Commonwealth of Official Use Only %5;;;7 Massachusetts Permit No. BLDE-22-007093 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to he performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE.9LL INFORMATION) Date:6/7/2022 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) 33 THACHER SHORE RD Owner or Tenant Jim Basler Telephone No. Owner's Address C/O BASLER JAMES& NANCY TRS,42 VESPER LN, YARMOUTH PORT, MA 02675 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: Install conduits from street to gate house. 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 0 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. 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 0 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 Signs 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. 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: $50.00 . : ,t.e:‘,N. ------:„---- _ Commonwealth 0/(irlaiJaChuietti i.):t1clal Use 0:11‘ Perrnit No. Thgparinwnt,2/5ire ......)ervicef Occupancy and Fee Checked -- : 1 dIVP" BOARD OF FIRE PREVENTION REGULATIONS ;'R- ' I (-7]- ______ :t c`r APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perrorrned in acerrdanee with fie NLssachutts Electrical Code(MEC). 5-'7 CAIR. 12.00 (PLEASE PRINT I,‘'INK OR TYPE ALL 1.\1-0?A ATIO Date: I City or Town of: ar-inhTo the Inspector of Wires: By this application thz undersitned !i‘es notice of his o her inlention :o perforh-electrical svork described bclow. Location (Street& Number) 3 Li ., 4 I 0-1.k_ fa& _ Owner or Tenant k A •a_S1 - Telephone No. OP API Owner's ;Address wp.w.10,0 '!._,..,.. ___ _____ Is this permit in conjunction with a building permit? Yes El No J (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Serb ice Amps ; Volts Overhead 7 Undgrd 1 J No. of Meters _ New Service Amps 1 Volts Overhead I 1 Undgrd 71 No. of Meters Number of Feeders and Ampacity ---_, •i Location and Nature of Proposed Electrical Work: l IA 51--ai( cataut\---s- r4e-h Y) .()dye tO 51-reet- “ft'cliti - oN cii c_onau s via on/cch Dri l ( c,,,„,,,te,v, ,h0„/"„„i„..?,,,hfc,„,,,, i,,,„„,,,- ,/in th,,/,„/..,„,or(,/ N tr,, . 1INo. of 'I otal No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle) Fans 'Transformers KVA --s No. of Luminaire Outlets No.of Hot Tubs Generators KVA Above f--- In- ,--- No.of Emergency Lighting No. of Luminaires Swimming PoolLi grnd. 1--- grnd. Batter: Units __r_ No.of Receptacle Cutlets No.of Oil Burners [FIRE ALARMS 1No.of Zones ___ I1No.of Detection and No. of Sw _ itches No.of Gas Burners , Initiating Devices Total No. of Ranges No.of Air Cond. Tons 11;No.of Alerting Devices Heat Pumpl Number lions NW __,:No. of Self-Contained N-o.of Waste Disposers Totals: 1 L ___1: _ Detection/Alerting Devices , Municipal r----: No. of Dishwashers Space/Area Heating K\\ Local E c onnection , . ,,----,,...---- LJ Other ecurny Svstems:- No. of Dryers Heating Appliances KW No.of Devices or Equivalent No. of Water KW No.of No. ,:)f Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent i Telecommunications Wiring: No. FIdromassage •Bathtubs No.of Motors Total HP No.of Devices or Equivalent !OTHER: ] .-ouch ad.i1:,0/1.i!de,•ail doirea'. Or:i. '0010:0 hi.:tic In SP CC r()).Of 1; Estimated Value of Electrical Work: (When required by municipal polic:... Work to Star:: inspections :o be requested in accordance with NIEC Rule 11. and upon completion. INSURANCE COVERAGE: Unless wai\ce by the owner, no permit for the performaice of electrical work may issue anless the licensee provides proof of liability insuram:e including-completed operation-coverae or its substantial equi‘alent. The undersigned certifies that such CO%erai2c is in iorce. and has exhibited rroof of same lir ihe permit issuing()Mei.. , CHECK ONE: INSU-Z.ANCETZ1-___BOND n OTHER El (spec:icy:4 (Ackitkitc{s(okne 8 la-bi 0- --. I certifj,, under the pains and penalties of perjury, that the information on this application is true and complete. FIRM NAME: C lk...) bre..„4,,, tiy/t< - __ LIC. NO.: i - ' Licensee: er7C.,_ Dri-ek) Signature ____ LIC. NO.:, 739 4---- (tir apphcGi,i, eOtter -cxcmptiy th,..";,,c),.,,,minii,e1 lin,,.) Bus. Tel. No.:Sr 776 67a-.3 Address: itOvA, JY1 t C\ 1 e(11 nr 1,6 V4 f”, OV1A- Alt. Tel. No.: OS" 77 (iicl6-t( Per NI.G.I.... c. l4 , s. 57-61, security work re::.uires Deparmt.Tt 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 siunaturc below. 1 hereby waive this requirement. I am the(check one. 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: S