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Home My WebLink AboutBLDE-23-004046 Commonwealth of Official Use Only (/i! Massachusetts Permit No. BLDE-23-004046 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:1/23/2023 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) 135 SOUTH SHORE DR UNIT Owner or Tenant GINNETTI RICHARD P Telephone No. Owner's Address GINNETTI J E J R&A L, 78 GREENWOOD ST, MARLBOROUGH, MA 0175 L33Q0 Is this permit in conjunction with a building permit? Yes 0 No 0 .• 4beclt, opria •;' ) Purpose of Building Utility Authorizii �in, 'r L'� ` Existing Service Amps Volts Overhead 0 Undg J o • ( New Service Amps Volts Overhead 0 Undgrd �o. 41," , Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace exterior service&panel. (UNIT 39) 84? j . Completion of the,following table may b ,,,b� he Inspector of Wires. :No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of �J Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.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 ❑ 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 Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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: $80.00 Commonwealth of Massachusetts Official Use Only 5- r rs s Permit No. "� ,= a z,> Department of Fire Services I0 j Occupancy and Fee Checked e,y BOARD OF FIRE PREVENTION REGULATIONS i(Rer.9 051 cease Slank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AIi Aotk to be per!a:n ed in accrdancc a Pa the Massachusetts Electrical Code(\MEC). 2'C\IR 12.00 (PLEASE PRINT Li INK OR TYPE ALL I.\FORSIATIO.V j Date: i 6'�3 City or Town of: (a(m To the Inspector of Wires: By this application the undersigned gk'es notice of his or her intention to perform the electrical is rk described below. Location(Street R Number) I OW i'ltfia '. MO 3? 6 Owner or Tenant Telephone No. .gyp ,ie77 I / O) Owner's Address ,f.41—Q l at 1s this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Lndgrd❑ No.of Meters New Service _ Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Atka f 4 sty'l � e -anu, ow rCon—fe_tion,t the ivlir t.itrg table may f=v.rai,'ed by the h i sppec tor of ft Tres. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans T of Tot Tr No \"Aansformers K No.of Luminaire Outlets No.of Hot Tubs Generators K\A Above In- INo.01 Emergency Lighting No.of Luminaires Swimming Poo!grnd. C grnd. 0`Batten Units No.of Receptacle Outlets No.of Oil Burners ,FIRE ALARMS I`o.of Zones p No.of Switches No.of Gas Burners No. n Dete an I nitiatingngon Devices No.of Ranges No.of Air Cond. Toa� s-- No.of Alerting Devices ,Heat Pump Number Tons I KW. No.of Self-Contained No.of Waste Disposers Totals: I -Detection/Alerting Devices 1luicipal ` No.of Dishwashers Space/Area Heating KW Local 0 Connnection 0 Other , No.of Dryers 'Heating Appliances K's Security Systems:" _ No.of Devices or Equivalent C \Vater KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassa a Bathtubs No.of Motors Total HP Telecommunications VI trial: g No.of Devices or Equivalent OTHER: __ .4narh addir,<,, fetail ffdr.irerl.r, . ,rqua,';1 in the bupertor,f itn.,. Estimated Value of Electrical Work: (When required by municipal policy.i Work to Start: Inspections to be requested in accordance with\AEC Rule 10.and upon completion. INSURANCE COVERAGE: Unless waived by the owner.no permit for Me performance of electrical wark 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 free,and has exhibited proof of same to the non issuing office. CHECK ONE: INSURANCE 0 BOND (OTHER 0 i.Spcciiy:l torn t'1( wea-erscoti 4-aa-a3 /certify,under the pains and penalties of perjury,that the information on this oppli i a is true and complete. FIRM NAME: g-1)j Q,6J LAC.NO.: (j((�fJ -ric V1� — Licensee: Signature LiC.NO.: 7 /Uapp!itable.e < ecc1aMnt',(. a ice ice r they line/l,j),1 Bus.Tel.No.: 7 0 3 Address: Lin ►!l( I Wi b(7 1 yt r( Alt.Tel.No.: *Security System Contractor License required for t tis wok;if 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 lase. By my signature below.l hereby waive this requirement. I am the(check ones[]owner ❑owner's agent. Owner/Agent I PERMIT FEE:S Signature Telephone No.