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HomeMy WebLinkAboutBLDE-23-002746 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002746 •' 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:11/17/2022 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 ❑ 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 of existing generator and panel. 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 18 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 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent 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 `s, Comm�nonwealth of Massachusetts ! Official Use Only Permit No. . Department of Fire Services 11 s) i Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 1(Rev.9,05 j {:ease clank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC).S_?('�4R 12.00 (PLEASE PRINT 1:A. INK OR TYPE ALL I.yF RMATIO\') Date: 11 5 City or Town of: II/K0 To the Inspector of Wires: By this application the undersigned_Ives nonce of his or 1 er intention to perform the electrical work described below. ��6 Location(Street& `:umber) c k ���n51 c;lephone Owner or Tenant )' tCa 1,04 No. Owner's Address 5 ctAfx-Q is this permit in conjunction with a building permit? Yes —1 No ❑ (Check Appropriate Box) Purpose of Building; Utility Authorization No._ Existing Service Amps - / Volts Overhead 0 Lndgrd E No.of Meters New Service Amps i Volts Overhead Undgrd No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical'Work: (,(,)6 1 ' she` - pa ike_1 Completion of the,following table may be 1 ed by ttheItr reccttor of!Wires. Trrannsformers KVA r'tio.of Recessed Luminaires No.of Ceil:SusP.(Paddle)Fans Ts t otal j No.of Luminaire Outlets No.of Hot Tubs Generators K`A Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Batten'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 Total No.of Ranges No.of Air Cond. Tons 'No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: 1 Detection;Alerting_Devices No.of Dishwashers Space/Area Heating KW Local❑ Connect ion ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No Water K«. No.of r Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent — No.Hydromassage Bathtubs No.of Motors . Total HP TelecommunicationsN .ofDeceor Wiring: g - No.of Devices Equivalent OTHER: Attach additional detail if desired, or as required in the Inspector of H fires. (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 1 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 ❑ (Specit,:} i...6g,1oe t /L�t YS COtM� •e4--ai,- l9'.5 I certify, under the pains and penalties of perjury, that the information on this appli ton is true and complete. FIRM NAME: - (A.) LIC.NO.: C?l Licensee: Y,lfi Signature LIC. NO.: 37 Ai applicable,ewer aexerr_tpt e;lie is P ut'!�c%ilirre(.0 a( Bus.Tel.No.: 7 u�d Address: `��1G, (� l►//1/i► `,'J! VC Alt.Tel.No.: l 7 q7 7 *Security System Contractor License required for this wok.; if applicable,enter the license number here: 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.____ PERMIT FEE: S i i