The URL can be used to link to this page

Home My WebLink AboutBLDE-22-002699 0 Commonwealth of Official Use Only -4. ,,fi Massachusetts Permit No. BLDE-22-002699 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:11/10/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform theAGtrical work described bellow Location(Street&Number) 49 GUNWALE WAY ..�iN 7 I �.... Owner or Tenant Telephone No. Owner's Address 49 GUNWALE WAY,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 ( k Appropriate Box) Purpose of Building Utility Authorization ' Existing Service Amps Volts Overhead 0 Undgr• U FM' eters New Service Amps Volts Overhead ❑ Undg i• ��`" � s Number of Feeders and Ampacity I ' Location and Nature of Proposed Electrical Work: Replacement panel ,t,�'4 ,g le �Completion of the following tab r �_,b he 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 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/Alertine 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 Ballasts Data Wiring: Heaters Siens 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: $50.00 RECEI 0 f` Commonwealth o f /a4lac tti Official Use Only " NOVllF Permit O. 2i2(oCtg IM V a -LJaparf»unt?o� iro �e e ces / BUILDING ut „,MENT BOARD OF FIRE PREVENTION REGULATIONS LOccupancy j 07) and Fee Checked By- ----- (leave Mania ____,] 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 INFOR TION) Date: City or Town of: t �j��/j'10 To the Inspector of Wires:By this application the undersigned gt es notice of his or he inter 'onto perform the electrical w rk described below. Location(Street&Number) f LiI G tiV7 Owner or Tenant f P. 1 e..6...4(_0 Telephone No. Owner's Address Q Is this permit in conjunction with a building permit? yes 0 No E. (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead Undgrd No.of Meters New Service Amps I Volts Overhead E Undgrd g 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the followinuable may be waived by the Inspector of Wires. Na.of Recessed Luminaires No.of Cei1.-Sasp.(Paddle)Fans o•os TotaT Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires jSwimming Pool Above[J Ton' No.of Emergency Lighting end grad. 0 Battery Units No.of Receptacle Outlets 'No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches --� lNo.of Gas Burners No of Detection and Initiating Devices No.of Ranges No.of Air Gond. 'Dotal Tons No,of Alerting Devices No.of Waste Disposers Heat Pump Number !Tons KW of Self-Contained Totals: I_..._...._...._,.._...,......_._. Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW .,❑ Municipal Connection `� Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of No.of No.of Devices or Equivalent Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs INo.of Motors Total HP 'Telecommunications Wiring.: No.of Devices or Equivalent OTHER: 1 Attach additional detail If desired,or as required by the Inspector of If'irec, 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 VI BOND 0 OTHER [] (Specify:) o C/ I certify,under the pains and penalties o er u hat the information on this pp ica on'is�t`ue d`co�nlplete. ^a f jrY,{ FIRM NAME: (,U D�et,.j I i 61 1�ji 5 A Licensee: rl �! r< LIC.NO.: '' 'fit Signature LIC.NO.:a'7a3cj k. tlf applicable, enter "ex mpt"'in lice e r umber line.) ` - " Address: �f � e( �u- ( Ja*Kb U}� „ Bus.Tel No..56$7 S Q7 D-3 ' Per M.G.L.c. 147,s.57-61,security work requires D"d1 of �" vvlic Alt.TeL No. OWNER'S �37 1{� �7 OWNER'S INSURANCE WAIVER: I am aware that pthemLicenseetdoes not haveafety liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent. Owner/Agent Signature _ Telephone No. LPERMIT FEE: