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Home My WebLink AboutBLDE-22-004802 OIL* Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-004802 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.l/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) 7 HOLE IN ONE DR Owner or Tenant Moe Sullivan Telephone No. Owner's Address 7 HOLE IN ONE DR, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appr p x) Purpose of Building Utility Authorization No. , — " .., , Existing Service Amps Volts Overhead 0 Undgrd 0 4 `ar l� New Service I Amps Volts Overhead 0 Undgrd 0 r)o li,( 4.4 t 77, Number of Feeders and Ampacity , '`i <I• iiii, Location and Nature of Proposed Electrical Work: Replacement boiler ° 'F` � � f v Completion of the following table may ive y Mei 'tai . Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of ` , � Transformers * KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above El In- El 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 ❑ 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 ji Conunanbreald ol ifillallachuietts .----------- —:----:----._-----_-.—___, official Lse 0111\ 4_ _ - 1 Pcml. -e-2-2--- e)-7--- , it.`c 0. 2epaPirnenl,,f„fire ! Occu)ancv and ' ' . -'- i _ Fek. CheLiccd -, - --,-,4-., BOARD OF FIRE PREVENTION REGULATIONS Icz,\.. --,-,)- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK L All work to be performed in acecrdance( . ih thN Eletrie:lc06: NfEc . 2 ..1R i1.00PLEASEPRINT1\-1\K E ALL I.V--OR.11.4170A) Date: c) - •D-D- _____________.______ City or To ls-ti of: . a To the Inspector 0/ Wires: By this application th: undersig.ne Ili\es notice o hi or her imention :klerfIrr1 the electric, ,,,Tork described below, Location (Street& Nurnbert tikt 3 . 61I Owner 01'Tenant ' -------:-7;---"—c- -- .1` Owner's Address — Is this permit in corkj unctio with a building permit? Cli.es El No ( heck Appropriate Box) Purpose Of Building__ _______________________ Utility Authorization No._____________ Existing Service Amps Volts Overhead 7 undgrd LI1 No. of Meters New Service Amps I Volts Overhead 0 ( ndgrif El No. of Nieters ------ Number of Feeders and Ampacity Location arid Nature of Proposed Electrical %Nark: 4 , Com)Iert),?..,th(fohoilJny.;ti,ke//:61 /:__________c';,:ril.ed i.: :hi,ht.Te•<tor(?/' ;,1,,,-.;. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans ,Transformers JO A __ No.of Luminaire Outlets No. of Hot Tubs Generators A 1 ---":"7------, -------.0„ .thorer-- II—T-1—i . 'o. o niet—•gene2,--- No. of Luminaires vflgt _____________ Switnling A"' rlid. 1.-- n_j1 d L—I L Battery I.Lnits No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones ----4" --------------- NCT.71)1Witection ante N . of Ss itches No. of Gas Burners Inititina Devices —__ r amr __r No. of Ranges No.of Air Cond. Tons No. of Alerting Devices No.of Waste Disposers Totals: I'Detection/______ gAlertin Des ices _--No. of Dishwashers Space,'Area Heating KW —4,----Munia—a----------n ----7 tt'ucal 0 ,.....,..... ...____C LIonnec'tion °Ill' ..ecurity:s%stems: Heating Appliances KW No.of Dryers No. of_______ obevices or E uivalent _ No. o i'VW-FF-----------7--- Heaters N o.iii---------------s-o—. it---- K N‘ , Si ns Ballai" ' No.of_______ oDevices or E uivalent ------------- — -----4—r---decoc.....nriunicatior—Wirph7,-7— No. Hydromassage Bathtubs No. of Motors Total HP - . •' • _ ___ _____ No.ofADe‘ices or E uival_ent OTHER: ---- - .1,,,,a../:a,/iirt7:777---,,,,,,,:it -,i,.--` 1. -.N •('C'' '' ,1 ir•'/'' 1;,N7:77.---7".. . i4t,. c,t, 0 ti ! 1,Ill C. •.: 1 C t.• ,L,(.11.Of 1:1,'^•, Estimated Value of E •LTtrical Wok: (When required 11,:r. municipal polie.., Work to Start: Inspections to be requested in aecor,:ance with NlEC Rule IC. and upon competion. 7-------7-7---- INSURANCE COVERAGE: L nless waive(i by the owner. no permit for the perti.,rnawe of electrical or I lli:) issue ,mless the licensee provides proolof liability insurancze including -completed operation-coverage or it,substantia equi\alent. The undersigned ceni ties tiat such co\crage is IT fiwce. and has exhibited rrout le it) the pennit Is Oftic,:.. , c.-HEcfc ONE,: INS1_R.ANCEBOND El OTHER 0 (Speci ry:) (4ck/WicCs0;kietto g/d-6/0- --. I c•ert , under the pains and penalties ofpeijury, that the infOrmaticon on this application is-true and comp'!etc. FIRM NAME: C \ Li. I — LIC. /311_EzL.- - „__________ _..._ Licensee: -tr ' 1_IC. Signature c____-=--------- ?Y',"applic.ablc,,,,, ,' elrier -el,'iv? .ntpt1if the,..Th 11,:ense',umbel !file., IiUS. Tel.No.: 4,_, 77_8 Address: r4.2...._ Alt. Tel *Per NI.Ci.L. e. 147. s. 57-61. security work reuires De arum:it of PubTicse: I lc, \o OWNER'S INSURANCE WAIVER: I am aware that the Licensee does'nel hare the liability insurance covei4e normally required by law. Eiy my signature below, I hereby IL aive this requirement. I am the(check one",0 owlier owner's auent. Owner/Agent Signature Telephone No. Fikl HT FEE. S —r*--7