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Home My WebLink AboutBLDE-23-004640 + Commonwealth of Official Use Only IL• Massachusetts Permit No. BLDE-23-004640 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:2/22/2023 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) 6 HERITAGE DR Owner or Tenant DEREK MOSS Telephone No. Owner's Address 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: Install 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 20 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 ❑ 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: Donald F Drew ritA L- 04-17,/J Licensee: Donald F Drew Signature LIC.NO.: 8916 (If applicable,enter"exempt"in the license number line.) Address:80 CHRISTINA DR, BRAINTREE MA 021848206 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 CI owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: $75.00 �L'( C �123(2 ; C � •. CZ()talitr al S 4 EM2 ,,�) l 14, Commonwealth oi//laaaachuaatfa Official Use Only • c'� f l , ,� Permit Na. i.,Z w .- apartmsnl o� firs�ervicse z ;: Occupancy and Fee Checked • BOARD 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),5 7 C R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 2 a -�i n City or Town of: s c,Lrry AI. \ To the Inspector of Tres: By this application the undersigned ives notice/of his or er intention to perform the electrical work described below. Location(Street&Number) (-r l— Cr �l Owner or Tenant i c (VI ,S S Telephone Ni ' / • �.��7 Owner's Address Ct r- i r; , e Nt' Is this permit in conjunction with a building/permit? Yes ❑ No E (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service ', ; Amps %.2(i /71-A) Volts Overhead ❑ Undgrd El, No.of Meters U New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters ri.: , Number of Feeders and Ampacity Location nd Nature. of Proposed EIec ri al Wor —it. l 0 : i 90 t, L-6c� 1 ciu ('1.c � s- c 0 f li Sc \, kr) Completion of the followingtable may be waived by the Inspector of Wires. vt otal tlW No.of Recessed Luminaires No.of Ceil.-Sus . Paddle Fans No.oof "TVA �� P (Paddle) Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators AO (� KVA Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool 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 11 No.of Ranges No.of Air Cond. Tons( No.of Alerting Devices No.of Self-Contained No.of Waste Disposers Heat Totals Pum Number Tons ' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Lal❑ Municipal oc ❑ Ott Se stems:*Connection No.of Dryers Heating Appliances KW cNo of Devices or Equivalent No.of Water , No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsofDiesor Equivalent l No.of Devices Equivalent IO TIER: �� Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lec 'cal Work rD ti O (When required by municipal policy.) Work to Start: ' 7 2C Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C GE: 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 BOND ❑ OTHER 0 (Specify:) I certify,under the pains and nalties of perjury,that the information on this application is true and complete. FIRM NAME: Ftvi ( ,)e 4 D r _ LIC.NO.: g2-j 74 Licensee: 'J oc cx 0 F 7)rr-;,� Signature n �_ LIC.NO.: 9/(c) R (If applicable,enter"e,�xeempt"in he license numb?.line.) cry, l C 2(p s g - Address: 2)`5 r C t J., t S} Ca&;lw rvi,\ Alt.Tel No.: *Per M.G.L.c. 147,s. 5 -61,security work requires Department of Public Safety"S"License: Lie.No. 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. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. l PERMIT FEE: $ 7,