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Home My WebLink AboutBLDE-23-003514 Commonwealth of Official Use Only ' L., , Massachusetts Permit No. BLDE-23-003514 ` 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:12/28/2022 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) 45 HARBOUR HILL RUN Owner or Tenant DRINKWATER FRANK P Telephone No. Owner's Address DRINKWATER LINDA A,45 HARBOR HILL RUN, SOUTH YARMOUTH, MA 02664 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: Replace SE&meter socket. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans 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 Gas Burners No.of Detection and No.of Switches 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/Alertine Devices Space/Area HeatingLocal ❑ Municipal No.of Dishwashers P KW Connection ❑ Other: HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq P� p y. Work to start: 12/20/2022 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 LIC.NO.: 13118 Licensee: Eric W Drew Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address: 103 MID TECH DR,UNIT A,W YARMOUTH MA 026732588 *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) ❑ owner 0 owner's agent. Owner/Agent 'PERMIT FEE: $50.00 I Signature Telephone No. \ Commonwealth of Massachusetts P Official Use Only t• viC° S Permit No. t. 3 - i�/ x Department �`�� Fire ,Z5 F1: ; BOARD OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked {:cave;dank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 C\IR i_.UG (PLEASE PRINT IN INK OR TYP. .I I:VFC:RMATI0.\) Date: /?-/X//-a— City or Town of: a(/yjj To the Inspector of Wires: By this application the undersignedgives notice of nts or her intention to p rfo i the electric i ork cribed below, Location (Street& Number�)`` Vu5 (&jci ( `� � J� des itift Owner or Tenant LA ' i it t-C }-.f Telephone No. Owner's Address ca,rit.e7 g , is this permit in conjunction with a building permit? Yes 0 No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service_____ Amps I Volts Overhead Undgrd C No.of Meters - -- New Service Amps / --Volts - Overhead — t.'ndgrd C '\o—of Meters - - Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: (7/l� 2'G4'V( ,e4104 __� • Completion of the felioi,lag table may be waived by the:hrcppector of Wires. No.of Recessed Luminaires No.ofCeil:Susp.(Paddle)Fans No.of Transformers KVA KVA No.of Luminaire Outlets No.of Hot Tubs ;Generators KVA _ No. of Luminaires Swimmitx Pool Above In- INo.of Emergency Lighting g hrnd. grnd. 1Battery Units No.of Receptacle Outlets No.of Oil BurnersALARMS ! y — FIR1L xo.of Zones No.of Switches No.of Gas Burners ego• of Detection and ?_ Initiating Devices No.of Ranges No.of Air Cond. Total Tons No. of Alerting Devices No.of Waste Disposers Heat Pump Number Tons K1i' 'No. of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers SpaceJ.rea Heating KW !Local E Municipal Connection ❑ Other fl No.of Dryers 'Heating Appliances KW Security vsteins:* No.of Water ,No.of No.of No.of devices or Equivalent 1 Heaters K�1 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: Estimated Value of Electrical Work: (When requiiredrbyftail municipaldcpolicor y`) eytu,,'I b; the Inspector of wires. Work to Stan: inspections to be requested in accordance with NIEC Rule 10.and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for t`te performance of electrical work may issue unless the licensee pro\ides proof of liability- insurance including"completed operation"coverage or its substantial equivalent. The ur•:dersigned certifies that such coverage is in force.,and has exhibited proof atsatnc to the unit issuing office. CHECK ONE: INSURANCE ❑ [] (Specify:)BOND I?; OTHERC(lt10c it � ers C0 10 4-?8- �3 I certifi', under the pains and penalties ofperjtu3',that the information on this appli t u toon is true and complete. FIRM NAME: g-tkj 0\re,C&) 1! j ___ LIC. NO.: Licensee: - G N fi{e,it� Signature - " 37 gi'an�licable, eater / LIC. \O. ,q/ f �j 'event"). �lre is 4umber ll,rei G�/ 4 vl c)'3 Address: "Z (1 '�fll ',�Jl r(•� Iiti/Ji �(//vi Bus.Tel. 77 Q� *Security System Contractor License required for this wo : if applicable,enter the license number here Alt. Tel.\o.: �� 7 7 y�OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hove the liability insurance coverage normally required by law, By my signature below, I hereby waive this requirement. I am the(check one ❑owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE: S I