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Home My WebLink AboutBLDE-22-007175 Commonwealth of Official Use Only i�. t 1 Massachusetts Permit No. BLDE-22-007175 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:6/13/2022 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) 728 ROUTE 28 Owner or Tenant PIRATES COVE EAST INC Telephone No. Owner's Address 728 ROUTE 28, SOUTH YARMOUTH, MA 02664-5158 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 parking lot fixtures. 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 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 0 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:) 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: $100.00 /7 �/ ✓�j� / Lommoruueatth.of✓I'/a.34achusalta Official Use Only ..C.Jepartmvnt o�`lt•re e�' Permit __� trvicea _.._ � BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev. �lee�eblank) ____ [R APPLICATION FOR PERMIT TO PERFORM ELECTRICALWORK All work to be performed in acccrdance with the Massachusats Electrical Co e(MEC),527 CMR12.00 rrOR^(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:,_ -.D--- City or Town of: To the Inspector of Wires: Ely this application the undersigned ive notice f his or her intention to perform the electrical work described below, Location (Street&Nu ben) _I( rY� Owner or Tenant - _ Owner's Address _ - Telephone No. t�fllt'1 _____ Is this permit in conjunction with a building permit? Yes ❑ No E ____ Purpose of Building (Check Appropriate Box) Utility Authorization No._ Existing Service Amps / !Volts Overhead Undgfir No.of Meters _ New Service Amps / Volts Overhead Number of Feeders and Ampaclty El Undgrd No.of Meters _ Location and Nature of Proposed Electrical Work: — _____1202L-1,_ ....____7___________:_____________ Completion of the ollomn table ma,be waived by the Ins ector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans ° ° ___ ota _ T�orrners KVA _ No.of Luminalre Outlets No.of Hot Tubs Generators KVA No.of Luminaires Above Swimming Paol ❑ In--- WTI) nretgency' gGT'hfing grnd. grnd. _❑ Batte Units No.of Receptacle Outlets No.of Oil Burners ---- FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners o.o etection an No.of Ranges Initiating Devices No.of Air Cond.�� °a - • - Tons No.of Alerting Devices No.of Waste Disposers ea�u►np-1�Tum er ops _'Totals: o.o e - ante ne No.of Dishwashers Detection/Alertin Devices Space/Area Heating KW Local❑ Co nrcrpa -- No,of Dryers Connection ❑ Other Heating Appliances KW' No s stems; No.of Water KW 'o. - � 0�7`— No.of Devices or Equivalent Heaters Data Wiring: —' Signs _ Ballasts No. Ilydromassage Bathtubs No.of Devices or EE uivalent No.of Motors Total H P No,of Devices a ecor of De aca runs Wa ngg; OTHER: ices or E ulvalent Attach additional detail i f desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: --_r— (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 •o erage is in force, and has exhibited proof of same to the pe nit issuing office, CHECK ONE: INS( RANCE )l� BOND [] OTHER 0 (Specify:) r r'',l certi/y, under the pains and,>ena 'es of perjury,that the information on thispb,ati is irue f ��FIRM NAME: C pi n is and eo�tptete. Licensee: } �- _� LIC. NO,; ( 31 (If applicable,Jennterr • emir" Signature 5 _ —L-= _VA A e(*cease rmher line. LIC. NO.:c _._ Address: I/Y [) Bus.Tel. No.:*Per M.G.L. c. 147, s. 57-61,security work requir.s Department of Public Safety Mt.Tel. No•s '" OWNER'S INSURANCE WAIVER: ret "S"License: Lie. No. s37.44 %7 required by law. By my signature below,I hereby waive this requiremt the Licenseeent. not am the(check one) insurance coverage nornlally Owner/Agent Signature nt•' owner owner's a ent. _,_ Telephone No._ PERMIT FEE: $' l0 0