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Home My WebLink AboutBLDE-21-006058 co Commonwealth of Official Use Only tin- sit., Massachusetts Permit No. BLDE-21-006058 \---Ir BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked - JRev.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:4/21/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of has 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 (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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Split A/C system. 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 Initiating Devices No.of Ranges No.of Air Cond. 1 Tons Tot No.of Alerting 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 0 Municipal Connection ❑ Other: No.of Dryers Heating Appliances KW SecuritySystems:* y No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.H dromassa a Bathtubs No.of Motors Total HP Telecommunications Wiring: y g 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 ❑ 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 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 7 Z=7 2i63-0(cee7,) - Commonwealth of Massachusetts 1 Official Use Only � ( ®f Permit No. 1� ii 1 Department of Fire Services 'i ; Occupancy and Fee Checked ,r BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9.05] i (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code NEC),527 CMR 12 00 (PLEASE PRINT TV INK OR TY E ALL \'FOR<L4 IO:A) Date: "l, r — D--/ City or Town of: � .a� To the Inspector of Wires: By this application the undersigned g es notice of his or her intention to perform the electrical work described below. Location(Street& Number) 3 �... v�,^ , t ftil cs r I,t Owner or Tenant r Gyps,_ �+�t� l.V 1 Telephone No. Owner's Address 5 ov t__ __ Is this permit in conjunction with a building permit? Yes — No P (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps I Volts Overhead E1 Undgrd — No.of Meters New Service Amps / Volts Overhead!l Undgrd P No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: t,J` 1 .t. SS Completion of the following table mar be waived hr the Inspector of Wires. No.of Recessed Luminaires No.of C.ei1.-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.ofEmergency 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 Initiating Devices No.of Ranges No.of Air Cond. Tonsi iNo. of Alerting Devices No.of`Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Detection/Aler No.of Dishwashers Totals: .T9 Local t� Municipal Connectionng r--esOther Space/Area Heating KW No.of Dryers Heating Appliances security'Systems:* - KW' No.of bevices or Equivalent No.of Water No.of No.of Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs Na.of-MotorsTotal HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: -- Attach additional detail if desired, or as required by the Inspector of!fires. 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 issuing'office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) w�r5 (-Amp/1i';t6 rt' g��-v1).-( I certify, under the pains and penalties of perjure, that the information on this application is true and con lete. FIRM NAME: -EV) ( 0 LIC.NO.: I ( )54- Licensee: try_ (>� Signature LIC. NO.: &7,?- 5 L Ilf applicable ertt'- " •empt"in th lie m tuber-lin,.) Address: � Bus.Tel. No.:.S -7 T va7 2-3 ` • Alt.Tel. No.: S? 737 YJ. .-7 *Security System Contractor License requiree for this work; i applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my sienature below.I hereby waive this requirement. I am the(check one) ❑ owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: S