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Home My WebLink AboutBLDE-22-000541 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-000541 ,-.'iLlItt• 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 PRINT IN INK OR TYPE ALL INFORMATION) Date:7/30/2021 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) 32 MARINERS LN Owner or Tenant BRESNER ARLENE I Telephone No. Owner's Address MCKENNA LINDA S, 229 HARTFORD ST,WESTWOOD, MA 02090 Is this permit in conjunction with a building permit? Yes 0 No 0 (Chec . Q 'ox) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ ► I r • O ,0 New Service Amps Volts Overhead 0 Undgrd 0 `i &ir Number of Feeders and Ampacity Z Location and Nature of Proposed Electrical Work: Install generator&boiler. 4 Q O it Completion of the following table may be waive 4IN •ector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of al Transformers 'A No.of Luminaire Outlets No.of Hot Tubs Generators 1 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 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: 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: $200.00 Commonwealth of Massachusetts ; Official Use Only WIN t, Department of Fire Services i Permit No. L22 —e g I Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS '[Rev.9;'t)j] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Al!work to be performed in accordance with the Massachusetts Electrical Code( AEC),5 I CMR ''.0O (PLEASE PRINT IN INK OR Y E AL INFO AL: TIO:V;i Date: ? a---( < -.. City or Town of: Qo To the his ector o •GF ires: By this application the undersign gives notice of his o her intention lo perform the electrical work described below. Location (Street 6 Nu Aber) 33. Marl Ivsix---:S oil Owner or Tenant ' c K.cly- Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes _ No n (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead fl Und rd g ❑ No.of Meters New Service Amps / Volts Overhead I Undgrd No.of Meters Number of Feeders and Ampacity ,/ Location and Nature of Proposed Electrical Work: ei�1 ` — Completion of the follon nu 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 red. grnd. 0 0Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones No.of Switches No.of Gas Burners I No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total �— Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW INo.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW1L,ocal Municipal El ❑ Other No.of Dryers Heating Appliances KWecuritl' Systems:* �` No.o No.of No.of bevices or Equivalent No.of Water fi Kai" Heaters Data Wiring: Signs Ballasts No.of Devices or Equivalent No=Hydramassage-Batlrttsbs-- --- - '!'o ofMotors-- Tota7Til= �eleeernttturrieataons Firing: OTHER: No.of Devices or Equivalent Attach additional detail if desired, or as required hr the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections 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 issuin"office. CHECK ONE. INSURANCE BOND I certifi•, under the pains and penalties o ❑ OTHER 0 (Specify:) (,tJ�C(!S �(n �tGt�l �t,� g(��a..f f perjury, that the information on this application i.true and col lete, ( j FIRM NAME: �� LIC.NO.: 13( / 4- Licensee: C bre j Signature I/fapplicable�ertt enrpt"in th lic ru tuber lira j LIC.NO.: �7pZ3 Address: D YRa `c'A u 6 m. Bus.Tel.No.: To 7s3 *Security System Contractor License require''tld for this work: i applicable,enterthe � er -�1 37 �-� Air.TeL No.: S ere: 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 went. Signature Telephone No. PERMIT FEE: S