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Home My WebLink AboutBLDE-23-004043 '_. `• Commonwealth of Official Use Only E � Massachusetts Permit No. BLDE-23-004043 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:1/23/2023 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) 39 OUT OF BOUNDS DR Owner or Tenant MEANY MICHAEL J TRS Telephone No. Owner's Address MEANY HELEN TRS, 39 OUT OF BOUNDS DR, SOUTH YARMOUTH, MA 02664 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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement boiler. 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. Total No.of Alerting Devices Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 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:) 1 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 R-EC IVED of Massachusetts 7__._— Official Use Only �. •!�'I tt1'IOtfWec'3'ltl� �� -, l 523 —40 t4 3 Permit No. 23 D -pI� ment of Fire Services -' i Occupancy and Fee Checked aulL ART R� OF FIRE PREVENTION � EGULATIONS ';[Rev. 051 (leave:,lank') I By: --- —_ APPLICATION FOR PERT TO PERFORM ELECTRICAL WORK Ail v:ork to be performed in aco. ..', r .th the:Massachusetts Electrical Code(MEC).527<'llR 12.00 (PLEASE PRINT 1.Y INK OR TY E ALL 1.V•ORMATIO;\;) Date: l--a-j �S City' or Town of: �/�QYl To the Inspector of Wires: By this application the undersigne <gives notice oft s or I er intent on to perform the electrical workwork described below. Location (Street& Number) A- 6 _ ram 1Vt OGCI Owner or Tenant Telephone No. 77V ' p-a` Owner's Address �` cam./Sa Is this permit in conjunction with a building permit? Yes 7 No 7 (Check Appropriate Box) Purpose of Building Utility Authorization No. E\isting Service Amps / Volts Overhead Undgrd No. of Meters New Service Amps 1 Volts Overhead Undgrd No. of Meters Number of Feeders and Ampacity o ` J � Location and Nature of Proposed Electrical Work: CO( re„ `�L! r`'e Completion of the ti?Ilo s ing table may he waived by the Inspector of hires. otal No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of KVA Transformers K�':� No. of Luminaire Outlets No.of Hot Tubs Generators KVA swimming Pool „Above. In- No.of Emergency Lighting No.of Luminaires rnd C' grnd. ❑ Batten Units .m.—, No.of Receptacle Outlets No.of Oil Burners tFIRE ALARMS No. of Zones No.of Detection and No. of Switches No.of Gas Burners I Initiating Devices _ Total No.of Ranges No.of Air Cond. Tons INo. of Alerting Devices Heat Pump Number Tons KW !No.of Self-Contained No. of Waste Disposers Totals: ;Detection/Alerting Devices t kunicipal No.of Dishwashers `Space/Area Heating KW }Local❑ Connection Other Security-Systems:* Jp No.of Dryers ,Heating.Appliances KW No.of Devices or Equivalent No. of Water No.of No.of Data Wiring: Heaters KW Si„ns Ballasts i No.of Devices or Equivalent No. Hydromassage Bathtubs No.of`Motors Total HP jTel No of Devices ors Wiring: 1 No.of D¢ti ices Equivalent OTHER: .Attach additional detail if desired, or as required hi the Inspector of if Tres. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MIEC 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 urdersiencd certifies that such coverage is in force,and has exhibited proof of same to the rmit issuing office. CHECK ONE: INSURANCE ❑ BOND OTHER 0 (Specify:) (, be 11 W 4 T-er5 Co '"as- a3 I certify,under the pains and penalties of perjury, that the information on this appli ton is true and complete. FIRM NAME: --(,tf VA) _ LIC.NO.: I 31( Licensee: f I G 14 Signature� .�'' LIC.NO.: 37 tlf applicable, e er "exenr�t"ti 'e ri4 c;se r e then line) f Bus.Tel.No.: 7 Address: �f1 f3 1( t � ( _ Q! Alt.Tel No.: S 66 737W- *Security System Contractor License required for this wok: if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally reuired by law. By my signature below. I hereby,waive this requirement. I am the(check one) owner ❑owner's agent. Owner/Agent PERMIT FEE: Signature Telephone No.