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Home My WebLink AboutBLDE-22-005163 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-005163 �• 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:3/16/2022 City or Town of: YARMOUTH To the Inspector o/Wires:r By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 71 EARLY RED BERRY LN Owner or Tenant PICKERING SANDRA L Telephone No. Owner's Address 71 EARLY REDBERRY LN, YARMOUTH PORT, MA 02675-1904 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 Meter New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wiring for generator. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA No.of Luminaires Swimming Pool Above ❑ In-d. ❑ No.of Emergency Lighting grnd. grn Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Gas Burners No.of Detection and No.of Switches Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices Space/Area HeatingLocal ❑ Municipal No.of Dishwashers P KW Connection 0 Other: HeatingAppliances KW Security Systems:*ances No.of Dryers PP No.of Devices or Euuivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Euuivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Euuivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq p p y' 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 LIC.NO.: 13118 Licensee: Eric W Drew Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address: 103 MID TECH DR,UNIT A,W YARMOUTH MA 026732588 *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 Z's, tim T _________—..____„______ Commonwealth ol 1 fla,machadetti Official Pi;WiliKIe Permit No. epartmant,715ire e Iftr Ri OCCU _ BOARD OF FIRE PREVENTION REGULAT pancy and Fee Checked IONS l[Rev 1 (r/1 ceave blank) '— 1 . .______________________j APPLICA rioN FOR PERMIT TO PERFORM ELECTRICAL WORK Ail work to be performed in acccrdance with the Mzssachustts Electrical Code(N1EC).527 CNIR 12.00 (PLE.4SE PRINT Lv INK OR TYP ALL IVFOR,t 47-10A) Date: 3i city or Town ofi To file Inspector of Wires: By this application th: undersigned gi es notice of his or her intention-.0 perform the electrical ivor described below. Location (Street& Number) 7 l r Owner or Tenant -t LICILrr Telephone No.e ....32....4.: i t't ----- Owner's Address __ Is this permit in conjunction with a building permit? Yes E. No f (Check Appropriate Box) Purpose of Building Utility.Authorization No. ___... Existing Service Amps— -/ --- --Volts - Overhead 1 1 Undgrd No. of Meters _ Amps / Volts — Overhead Undgrd 1— No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1 .j k re_ ....--- ,,: letL21 the.followin,4-!able mar he named hl the In.s vc-tor of Ir'iA's. ----N-67if---- ota No.of Recessed I.uminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KyA No.of Luminaire Outlets No.of Hot Tubs Generators KVA ----------r-. . o.o ,n01—gelic. No.of Luminaires Swimming Pool .Above In- rirnd. L-1 Battery Units _.,.... , No. of Receptacle Outlets No.of Oil Burners :FIRE ALARMS IN°.of Zones - i ,No.of Detection and No. of Switches No.of Gas Burners ' Initiating Devices Total ' f No.of Ranges No.of Air Cond. Tons No.of Alerting Devices " 'eat Pump 1 Number ITon !KW t.No.of-cif-Contained No.of Waste Disposers Totals: 1 Detection/Alerting Devices r-i No.of Dishwashers Space/Area Heating KWLocal L--1 Municipal Connection Li °ther ........_ —:ecurity Systems:* No.of Dr ers Heating Appliances KW No.of bevices or Equivalent No.of Water KW No.of No. 5 Data Wiring: Heaters Signs Ball _J No.of Devices or Equivalent " elecommunications Wiring: No. Hydromassage Bathtubs _ No- of-Motors -- Total HP No.of Devices or Equivalent OTHER: Attach addiztona!detaildeta 1 if desired, or as-,-equired by the In spat for Qf 1,7r.es Estimated Value of Electrical Work: (When required by municipal polic,.i Work to Start: Inspections to be requested in accordance with NIEC Rule If, and upon completion. INSURANCE COVERAGE: Unless wai\ec by the owner, no permit for the performance of clectrical work may issue finless the licensee pro‘ides 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 satsrie to the permit issuing oftic).. r _CHECK or\i::: iNSLRANCEBOND 0 OTHER Ej (Specify:) Li cl-.&AC(S COINte 8/ /0- a--- I certify,under the pains and penalties of pedury, that the information on this application is irue and complete. FIRM NAME: C.IA,...) btileja.) i/Vt.C". OA- : --"* ---- Licensee: c-r7C ar.eck) ------si-g;.,,---7,7, Lic. NO.:,47,)-39 1-----: di applicable, enter ••exentiN_"..iAsthe license number line.i , Bus.Tel. No.: 5gK 7?S 0 7a.-..3 Address: 103A in, -1--ech int- lb \Az ri, Ws' Alt. Tel.No.: .565 77 (MO-Li *Per M.G.L.c. 147. s. 57-61. security work reuires Deloatimelit of Public Safety-S-License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hate the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one' 0 owner 0 owner's agent. Owner/Agent I Telephone No. PERMIT FEE: S Signature