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Home My WebLink AboutBLDE-21-006346 Commonwealth of Official Use Only tE Massachusetts Permit No. BLDE-21-006346 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:5/4/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 32 BEACH RD Owner or Tenant BUONATO ALTHEA H Tel.,l / Owner's Address LEIVIAN MARIALYCE, 1912 LOCH BERRY RD,WINTER PARK, FL 3 ►� ♦ Is this permit in conjunction with a building permit? Yes 0 No 'A 1 i : I . Purpose of Building Utility Authorizat ; • ♦ �', i I Existing Service Amps Volts Overhead 0 Undgrd El —'—;'i �to # ' New Service Amps Volts Overhead ❑ Undgrd 0 ; •T Number of Feeders and Ampacity D 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 Initiating Devices No.of Ranges No.of Air Cond. 1 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 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens 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 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 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 = '° Commonwealth of Massachusetts —_ ____._______ _ __.. _ ___. ---- - v Department of Fire Services Permit No. c%Zl — (°j (p ' ' O,. inane\ and lee Checked ter BOARD OF FIRE PREVENTION REGULATIONS (Rev )_() ] i;ez °l�l<ink) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Al!vv o k to be 1> iom e d in aced anc-e with lit Alassaeh i,ei s E. e i i� , i ,Code i\]ECG?. `<-<'\•K 12.00 (PLEASE PRLVT L\ INK OR TFP ALL J.VE )R IATI0.`ci Date: City or Town of: ef.0/ To the Itr.s1�c?c t��r of.Wires: B' this application the undersianed fives notice of his or her Mitention lc yer orm the electrical wok described below. I ocation (Street& Number) -S a � �. � d ()1 21 Owner or Tenant _ t X Q S�, `� Telephone No, b au Owner's Address [ 3LY Is this permit in conjunction with a building permit? Yes i_.I No L (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead I:nd rd g IT No. of:Meters _ Ness Service Amps ; Volts Overhead Li L`ndgrd I I No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (Aj[rpx' ctg._ C (a i pa-1i rr othe ii>'lt;a ii< t. il!o may Inc ;. Cd f". ti're ire.,c i no al If'LA:. No. of Recessed Luminaires No,of Ceft. Susp. (Paddle) Fans (No. of Total 1 ITransformers KVA No.of Luminaire Outlets INo.of Hot Tubs !Generators Kt"A No. of Lurtrinaires �bove in- ;No. of Lighting Sswimming Pool ` ❑ i� EmergencyLighting ?-- --- 1' grnd. ,,, • 1I3atterr Units It No. of Receptacle Outlets iNo, of Oil Burners iFIRE ALARMS No. of Zones r I No. of Switches _ 'No. of Gas Burners No, of Detection and --- 1 Initiating Devices No. of Ranges NO. of Air Cond. Tool sI 1No. of Alerting Des ices �� Heat Pump I Number t Tons (Kid I No.of Waste DisposersI No. of Self-Contained -- _ ii Totals: 1 I I � Detection':llcrting Devices No. of`Dishwashers Space'Area Heating KW il..ocal Municipal ConnectionOther ,: _, — 1 No. of Driers Heating Appliances - ecuriri Systems ti0fi No.of besices or Equivalent rNo.of Water 'No.of' No.of Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent �No. tlsdromassa Je Bathtubs 10 of Motors I ota1IIP Telecommunications Wiring: I Nu:of Deli ices or Equivalent !OTHER: � L n '((. .i Ct Ct I L tL113T:C Value" , t't' r 1•� ;!PC,/ c i;,.p . ,,.,. i If., . . flue of Electrical Work: (When re cuiied by municipal polic y.) 1___ \\ o kk to S -,t: Inspections ction to be requested in accordanee itt NI[C Rule 10, rl7i., and upon completion. INSURANCE COVERAGE: Unless t a v ed by tie ovt ner no permit for the e;fonnanec of eleetrical work may issue unless the licensee provides proof of liah,litv insurance includithz -completed operation cove,a2ee or its substantial equivalent. The undersigned certifies that Slid) o era 2:: is in force, fi i has exhibited n, ;tf p of� .ite' t0 the permit i, tiu2 ��'�;uo. cril:e.h e.�Nl I�t.Jl il.�\C I HONK OI.tEI2 1 (Sp e.t,:i tJ�CV� i n l ( sy ( e;l i c,. t ,t.n i ,,r g 4 c�vl o�--t I cettifi, under the_pains and penalties of perjure, that the information on this application t..true and complete. FIRM NAME: -(`, \.,t.-' t�!`,.ki I {�, 4,....--. LIT. NO.: ( 3{ 154- icensee: 6( IJ�e ct.) Signatur --� (Ir a_.t;,tc l 7)7t, P�2 .. �l l' f1.fir rl( t t t � LIC. NO.: r `�t� f 'lad,'7 ( } s}Address: 1n t� VIL4' 1 C.t(r i(}�/ /Ei �tr(i� � 7C �s� /� Bus. "Cell No.:S T G��73 t '' f Air." r .No.: SuU77 tf�}. 7 *Security y System Contractor License regti!reci for this work: i 'applicable, enter the license number here: OWNER'S INSURANCE 'WAIVER: 1 am aware that the Licensee does not have the liability insurance coverage normally required by law. By m) signature below. I hereby waive this requirement. I am the (check one) owner ❑owner' awge?t.Owner;Agent Signature Telephone No. I PERMIT FEE: S i 1