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Home My WebLink AboutBLDE-23-000781 off'_., Commonwealth of Official Use Only fe_ ►� iMassachusetts Permit No. BLDE-23-000781 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:8/16/2022 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 TEMPLETON PL Owner or Tenant SAULNIER DONALD J Telephone No. Owner's Address SAULNIER CHRISTINE C, 7 TEMPLETON PL,WEST YARMOUTH, MA 02673 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 ❑ Undgrd 0 No.of Meters : New Service Amps Volts Overhead 0 Undgrd ❑ 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 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 Abovernd. ❑ grnd. ❑ No.of Emergency Lighting 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 Initiatinc 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 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: Heates 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 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties operjury,that the information on this applications true and complete. .f FIRM NAME: ERIC W DREW Licensee: Eric W Drew Signature LIC.NO.: 13118 (If applicable,enter"exempt"in the license number line.) Address: 103 MID TECH DR,UNIT A,W YARMOUTH MA 026732588 A Tel. o.:: Alt.Bus *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Tel.No.: 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 ❑ owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $50.00 I Commonwealth o/9//Ja.mac/zusetti Official Use Only = 2eparintent of 5ire Servicee Permit No. _'�'. BOARD Occupancy and Fee Checked OF FIRE PREVENTION REGULATIONS [Rev. 1/07] leave blank) 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 TY E ,ALL LV /OR.MATION) Date: —U U r ; City or Town of: Ktfing V/ To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) �,Qt,, t P`� (A Owner or Tenant Jn � �✓"r< I6 Owner's Address Telephone No. Is this permit in eon;juncdon with a iTding permit? Yes n No E ---- -- i (Check Appropriate Box)Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead ❑ Undgrd Ej No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (A j t re A j- j‹..4( Completion of the following table may be waived by the Ins ector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of ota 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 AL No.of Zones �� ARMS No.of Switches No.of Gas Burners No•o etection and No.of Ranges No.of Air Cond. Tail Devices .____, Tons j No.of Alerting Devices No.of Waste Disposers `Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local umctpa Connection Other No.of Dryers Heating Appliances KW Security Syystems:* No.of Water �T�No,of No.of Devices or Equivalent Heaters KW No.of Data Wiring: Signs Ballasts L No.of Devices or E uivalent No.Hydromassage Bathtubs No.of Motors Total HP I eleco of Devices or ring: OTHER: No.of Devices or Equivalent Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (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 coverage is in force,and has exhibited proof of same to the permit issuing offic . CHECK ONE: INSLRANCE',BOND 0 OTHER I certify,under the pains and penalties o � (Specify:) L(0./wie�'sez��O 6 �s�a � FIRM NAME perjury,that the information on this application is true and complete. Licensee: r--a• LIC.NO.: Lgj� c_. 'e� Signature {If applicable,enter "exem t"i the lice, a number line.) LIC.NO.: �e}3� [— Address: Bus.Tel.No.: 1'7 f.)6741:3 *Per M.G.L.c. 147,s.57-61,security work requires De artm t of Public Safety"S"License: Alt.T el•No..: D 7 7 '/46-if 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. 1 am the(check one) owner owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE: ,$