The URL can be used to link to this page

Home My WebLink AboutBLDE-22-004792 Commonwealth of Official Use Only 4:14 Massachusetts Permit No. BLDE-22-004792 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:2/28/2022 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) 62 CROWES PURCHASE Owner or Tenant Paul Doyle Teleph i ' • ,r14N)s.-,./Z°.). Owner's Address 62 CROWES PURCHASE,WEST YARMOUTH, MA 02673 ,i 1 Is this permit in conjunction with a building permit? Yes 0 No El4,e' oar Purpose of Building Utility Authorization No. '`"`( ( ./,,: `a, ',.� „� Existing Service Amps Volts Overhead 0 Undgrd 0 e etei'a., , _ x 4 New Service Amps Volts Overhead 0 Undgrd ❑ No.of Iefrs ', "� Number of Feeders and Ampacity : a w. .,„ r Location and Nature of Proposed Electrical Work: Install generator;. ,' r� , Completion of the following table ma be w i 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 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 No.of Detection and Initiative Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices 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 0 Municipal Connection 0 Other: 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: $50.00 ...- . . T---- A%'W Commonweafth of MaJoachu.letb official Use Only - ; , .. ' -miit No ..-----z-'2-- 40 z...... 2)epartmen1 a/gire Servicei c P — Occup-mcv i[Re . l'C and Fee Checked 'rn ( Lae blank) BOARD OF FIRE PREVENTION REGULATIONS APPLICATION pFORcEccrRdanMceIwTth TheO M zsPsacEhuRsetFORM ELMEC,TRICA1L.00 WORK (PLEASE PRINT Iv LVK OR TYPE AIL INFORMATION) Date: 0— —f 1— — .)-- ---- City or Town of: .f(tirrit)(Sall To the Inspector of Wires: By this application the undersigned ivcc notice of his or her imc.ntion :o perfai the electrical .‘vork described below. Location (Street& Number) craits Pcnrchg,A.L 4,4, Owner or Tenant P 4 _ Telephone No. Owner's Address /MAC) j — _ Is this permit in conjunction with a building permit? Yes nj No Ej (Check Appropriate Box) Purpose of Building Utility Authorization:No-- _ — Existing Service Amps / _Volts Overhead E undgrd 11 No. of Meters New Service Amps / Volts Overhead fl Undgrd P1 No. of Meters *Number of Feeders and Ampacity ..... - _ Location and Nature of Proposed Electrical Vork.k • ''L(Are cr.. cc-LI Completion of the fidlowing table tout he wcairtal h the hyspector of Wire; No.of Recessed Luminaires No.of Ceit-Susp.(Paddle)Fans .'o.o Total Transformers KVA _ No.of Luminaire Outlets No. of Hot Tubs Generators KVA gArbnor r-7 Iii No.of Luminaires Swimming Pool " grnd. " Batters.O.OfEflIeEgcñTighting Units No.of Receptacle Outlets No. of Oil Burners :FIRE ALARMS No.of Zones „ of etection and No.of Switches Na.of Gas Burners No. Total ' Initiating Devices No. of Ranges No. of Air Cond. No.i of Alerting Devices Tons I Heat Pump Number Ton7KW.-- .'o.o Self-Contained No.of Waste Disposers Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating K\%' Loca,r-1 Municippl r—i I.j Other '" Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW Yr.of No.of Data •Wirin14- Heaters Signs Ballasts No.of Devices or Equivalent -- - -' -- ....._ .... i Telecommunications- No. Hydromassage Bathtubs No.of Motors Total HP Wiring:I No.of Devices or Eguivalent _ _ OTHER: Attach additamal detail if desired, or as required by the Inspector ci.irire v. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 1C, 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 ;hat such coverage is in force, and has exhibited proof of sarniz to the permit issuing oftic CHECK ONE: INSLRANCE7j--_BOND 0 OTHER 0 (Specify:) (Ack1(.610(S050(te c;' "-. I certifi',under the pains and penalties of perjury, that the information an this application is true and complete. t FIRM NAME: C IA).,_ 'bf,e_ ) tj14_( - — LIC. NO.: i M 6/12_ ,,. Licensee: c-trk,.. . /-eckj Signature LIC. NO.: (If aMicable. enter -axon t lim the lie ens?number!inc.) Bus.Tel.No.: 5-p 7 7 6 07a-.3 Address: 10 34 ( , Alt.Tel. No.: Z4 737 clef *Per M.G.L. c. 147, s. 57-61,security work re.:luires De artm it of Public Safety,-S"License: Lic.No. 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:)D owner CD owner's agent. Owner/Agent I PERMIT FEE: $ Signature _ — Telephone No.