The URL can be used to link to this page

Home My WebLink AboutBLDE-23-004338 Commonwealth of official Use Only L � Massachusetts Permit No. BLOE-23-004338 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:2/6/2023 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) 60 CAPT BACON RD Owner or Tenant DIEDRE ARONE Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No ❑ (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 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 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 1 No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons 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 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: $50.00 qE1 Commonwealth of Massachusetts I Official Use Only Permit No. 4336 Department of Fire Services,% ;_ ; ' i Occupancy and Fee Checked c` y' BOARD OF FIRE PREVENTION REGULATIONS {(Rev.9 t)Sj { eatie:,iatik) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK 1 All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 CNIR 12.00 } (PLEASE PRINT IN INK OR TY ALL INFO :[ATIO.V) Date: 1 —3 I ^2-3 City or Town of: Z7F4(0t To the Inspector of Wires: By this application the undersigned a es notice of hi or her intention to perform the electrical work described below. Location (Street& Number) r b 0 Ca.v i tY o Owner or Tenant fD A'Ot Telephone No. 56 - d- o Owner's Address a 173 Is this permit in conjunction with a building permit? Yes E No 7 (Check Appropriate Box) Purpose of Building Utility Authorization No, Existing Service ____— Amps I Volts Overhead J Undgrd No.of Meters New Service - Amps I Volts Overhead fl Undgrd [} No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ) (,� 10� I( /J i Con pletio;;of the=ollowin table may i;e:•wai yed by the Inspector of Wires. I No.of Recessed Luminaires No.of Ceil.Susp.(Paddle)Fans No. Total _ Transsff ormers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Emergency Ligh-ing No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners gFIRE ALARMS No. of Zones 1No. of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump Number Tons kW INo. of Self-Contained Disposers No. of Waste Dis _ Totals: tDetectionlAiertin Devices No. of Dishwashers p S ace/Area Heating KWki.ocai Municipal ❑ Connection ❑ Other i No.of Dryers `Heating appliances K ecurity . sstems:KW No.of tieyices or E uivalent No.of Water 'No.of No.of KW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No. Nydreimassage Bathtubs No.of Motors Total HP Telecommunications Firing: No.of Devices or E uivaTent-- OTHER: Attach additional detail if desired.or as required by the Inspector of flits. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with NIEC 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, rtnit issuing office. CHECK ONE: INSURANCE ❑ BOND I►4 OTHER El (Specify:I ({�t(v(•�c1"fi1 t��YtQt"s coy{f 0 4—as- ?.3 I certify, under the pains and penalties of perjuty, that the information on this applic ton is true and complete. FIRM NAME: g i(A) LIC.NO.: / Licensee: Signature ""� LIC.NO.: 37 ell applicable. gie ;;exempt"ii; • e ice ise r w(;�her line) Bus.Tel.No.:,j C 776 0 Address: �� WL( P7 Xl7 >/ _ Alt.Tel.No.: 5 aye 737 W*Security System Contractor License required for this woif applicable.enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hare the liability insurance coverage normally required by lacy. By my signature below, I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. OwneriAgent Signature Telephone No. PERMIT FEE: $