The URL can be used to link to this page

Home My WebLink AboutBLDE--23-003005 . (/// ' Commonwealth of Official Use Only '11_ ' / Massachusetts Permit No. BLDE-23-003005 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed the (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Massachusetts Electrical Code (MEC),527 CMR 12.00 City or Town of: YARMOUTH Date To the Inspector/1/2022 By this application the undersigned gives notice of his or her intention to perform the electrical work d scribed of Wires: below.Location(Street&Number) 28 WEIR RD Owner or Tenant TERESA NUNES Owner's Address Telephone No. Is this permit in conjunction with a building permit? Purpose of Building Yes 0 No 0 (Check Appropriate Box) Existing Service Am s Utility Authorization No. P Volts Overhead 0 Undgrd 0 No.of Meters ,�� New Service Amps Volts // Number of Feeders and Ampacity Overhead 0 Undgrd 0 No.of Meters 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 KVA Generators KVA No.of Luminaires SwimmingPool Above In- grnd. ❑ grnd. ❑ No.of Emergency Lighting No.of Receptacle Outlets Battery Units No.of Oil Burners FIRE ALARMS I No.of Zones No.of Switches No.of Gas Burners 1 No.of Detection and No.of Ranges Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Tons Heat Pump I Number I Tons 1 KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: No.of Dryers Connection Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of Heaters No.of Ballasts Data Wiring: Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to start: (When required by municipal policy.) 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:) y I certify,under the pains and penalties ofperjury,that the information on this applicationis true and complete. FIRM NAME: Eric W Drew Licensee: Eric W Drew Signature Tel. NO.: 13118 (If applicable,enter"exempt"in the license number line) Address: 103 MID TECH DR,UNIT A,W YARMOUTH MA 026732588 Bus.Tel.No.: *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Alt.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 0 owner's agent. Owner/Agent Signature Telephone No. / PERMIT FEE:$50.00 t 2-3( 6vA- 6 r 4wUt F7/iC ,T lift r ,Z` Commonwealth of Massachusetts Official Use Only. 'j Department of Fire Services Permit No. Z3 tGb� _' BOARD OF FIRE PREVENTION R GULATIONS Occupancy and Fee Checked [Rev.9%05] (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 TYPE ALL INFORMATION) Date: I(-- -a. City or Town of: ?0,14001-(4To the Inspector of Wires: By this application the undersigneds notice of his or her intention to perform t e electrica work described below. Location(Street& Number) ag W 1 r- r_k ya(MO Owner or Tenant Telephone No.-1'7 el V Owner's Addres c Is this permit in conjunction with a building permit? Yes E No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead E Undgrd 0 No.of Meters New Service Amps / Volts Overhead ❑ Undgrd ri No.of Meters Number of Feeders and Ampacity - b ..- / Location and Nature of Proposed Electrical Work: ~I )7Iv- 0, . 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 r in- ❑ No.of Emergency Lighting grnd. grnd. Battery Units � _..._.1 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS N.o.of Zones No.of Det ��n.._. �mm�No.of Gas Burners ection and No.of Switches Ranges Total No.of Initiating Devices No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local Municipal - Connection ❑ Other No.of Dryers Heating Appliances KW security 3`vstems;* "...... No.of Water 'tio.of No.of Devices or Equivalent KW No.of Heaters Data Wiring: Signs Ballasts 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 1J7res. 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 f.rce,and has exhibited proof of same to the rmit issuing CHECK ONE: INSURANCE ❑ BOND L OTHER g office. ❑ y ap1i 'W t5Cfa� `"aG- a3 I certify,under the pains and penalties of perjury,that the information on this appli lMon is true and complete. FIRM NAME: GO Licensee: LIC.NO.: / Signatur _ LIC.NO.: , 37 (I,applicable,e er "exem t",in e ice se u ber line) • Address: Bus.Tel.No.: 0� *Security System Contractor License required for this wo 7� if applicable,enter the license number here.No.: it OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability re below, I hereby waive this requirement. I am the(check one' owner insurance coverage normally required by law. By my signature owner's a ent. Signature Telephone No. PERMIT FEE: $