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Home My WebLink AboutBLDE-23-002324 dr rCommonwealth of Official Use Only Massachusetts Permit Na. BLDE-23-002324 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ' JRev.1/071 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:10/31/2022 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 electncal work described below. Location(Street&Number) 60 BUCKWOOD DR Owner or Tenant PESCHIER SUSAN R Telephone No. / Owner's Address PESCHIER JOHN JR,60 BUCKWOOD DR,SOUTH YARMOUTH,MA 02664 ,1. Is this permit in conjunction with a building permit? Yes❑ No ❑ (Check r,. 4;4 Purpose of Building Utility Authorization No. (� Existing Service Amps Volts Overhead 0 Undgrd 0 -1 Of 'w New Service Amps Volts Overhead ❑ Undgrd 0 No f t`y .1 M _ Number of Feeders and Ampacity i w` I ir Location and Nature of Proposed Electrical Work: Install generator (.7 ll v Completion of the following table may be waived by tht.dttsp tps Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of ta� Transformers K No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Lighting AT Rrnd. 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 Inttiatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump I Number I Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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 Steno No.of Devices or Equivalent No.Hydroniassage 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 ❑owner's agent. AIM Owner/Agent Signature Telephone No. PERMIT FE f.$50.00 cti k C pi.0 V U0-60[ t 20 10131 1244=e— _I RE C E1VV - 411k, . �/ (� 2022 4In ..ruuealth of Maaaaeh+.t aslfa Official Use Only ,ryn ` T �j s OL I s.arlmenf o/.re ervicef Permit No. J,23 Zi-k `;.14 j{ �__ ARTMENT Occupancy and Fee Checked 'Z.�-K,=Y '°��l� 13Q - PREVENTION REGULATIONS [Rev. I/O?] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in acccrdance with the Massachusetts Electrical Code(MEC).527 CMR 12.00 (PLEASE PRINT IN INK OR TYP AL.4.1.VFO M TIOV) Date:_ /0 -a-7—a-3— City or Town of: A 610 To the Inspector of Wires: By this application the undersigned ivies notice of his ov er intention to perform the electrical work described below. Location(Street& 4um er) b o {tqU Gf (�-7�1 Or 5'n, ya r Owner or Tenant 4L.S c. li€V Telephone No. Owner's Address SOkite1/4-Q___ is this permit in conjunction with a building permit? Yes ❑ 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 ❑ Undgrd ❑ No.of Meters _ Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: _ ?„.ft. 6 ei Completion of the fbi/owing table mar to waived hr the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tf Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above In- No.of-Emergency Lighting g grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 4No.of Detection and . Initiating Devices • No.of Ranges No.of Air Cond. 7 otal No.a: Devices 'bans � Alerting No.of Waste Disposers Heat Pump Number Tons KW No.of Sel - ontaine' Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local El 'Municipal Connection ❑ Other No.of Dryers Heating Appliances KW 'Security Systems:* No.of bevices or Equivalent No.of Water No.of No.of KW Heaters Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications\%firing: 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: Inspections to be requested in accordance with MEC Rule 1G, 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 permi ssui g ffic . CHECKI ONE: INSURANCE P na BOND 0 OTHER 0 (Specify:) IA f Vie 0 16 VI j-a�j -' I certf ,under the sins and 'es of erjt ry,that the information on this application true and complete. FIRM NAME: (,J 'dew 6�e (� PP is _ LIC.NO.: (311 5A Licensee: kr j(,_ 1( ,e' ,) Signature , ' LIC. NO.: (3-7 a lif applicable,ent "??h�emp ',ttt �errs to ber line.) Bus.Tel.No.: 7 �. Address: ' 'i f ll MI l �1(' ( J 1r kii, V Alt.Tel.No.: 3 *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.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. . PERMIT FEE: $