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Home My WebLink AboutBLDE-23-004044 a. Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-004044 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked —(Rev.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: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) 46 CHRISTMAS WAY Owner or Tenant BOB MORIN Telephone No. Owner's Address 46 CHRISTMAS WAY,SOUTH YARMOUTH,MA 02664 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 ❑ o.of Meters New Service Amps Volts Overhead 0 Undgrd ❑ dy Me6s Number of Feeders and Ampacity tj)_ Location and Nature of Proposed Electrical Work: Replacement boiler. `� Q Completion of the followingl b# actor of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Tr of //� 1 Transformers G/ \ V 1 No.of Luminaire Outlets No.of Hot Tubs Generators /�7OKVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting V7 O grnd. grnd. J3attery 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 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 ❑ Other: Connection No.of Dryers Heating Appliances ICW Security Systems:• No.of Devices or Equivalent No.of Water KM No.of No.of Ballasts Data Wiring: Heaters Stens 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 cernfy,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 .- c lvED c mmonwealth of Massachusetts `Otticial U C OOnnllly '' r ts ! I/ /-3-- 44 T I Permit No. K (/ _-_ :Ai_:�,' `; ,�2D23 partment of Fire Services Occupanc, and Fee Checked _ L-- v ART . D OF FIRE PREVENTION REGULATIONS i[Rev.9 05] BUILD Cease;clank) - By.-- -- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK .sdi,,o;k to IN:perfermcc in acccrdan,:c\\ah 111c\t.t,>u,:husetts Electrical Code(MEC).527 CNIR 12.00 (PLEASE PRINT IN INK OR TYPE LL .VFO MATZO.\) Date: — )-3 ' a--• Cite or Town of: ref elit f'U/ /To the Inspector of Wires: By this application the undersig ed ci •es otice of or her intents n to perform the electrical work described below. Location (Street & N ) 6 I'(S IrYt(S •- yai Owner or Tenant bee pi Telephone No. 7 Owner's Address 5a..44L.Q (- 1 is this permit in conjunction with a building permit? Yes n No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps i Volts Overhead ❑ Undgrd ❑ No.of Meters New Service Amps / Volts Overhead L.. Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: iy? W Completiur: ',(the,tellowing table may be wei,rci l'i'the ir,cpcctor nt 0t•ir1 . al No.of Recessed Luminaires No.of Ceil:Sus (Paddle)Fans No.of TotA P' Transformers K�'A No. of Luminaire Outlets No.of Hot Tubs Generators K\ A Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. C�;rnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners ,FIRF.: ALARMS No.of Zones `o.of Detection and No.of Switches No.of Gas Burners Initiating Devices Total t No.of Ranges No.of Air Cond. Tons No.of Alerting Devices ;Heat Pump Number_.Tons K\'•.• 'N. ._. o.of-Self-Contained No.of Waste Disposers ± -Fotals: Detection/Alerting Devices No.of Dishwashers 'Space/Area Heating KW Local❑ Conne tion al ❑ Other Heating Security'Svstemsi ng Appliances No.of Dryers ances K�1' No.of De.ices or Equivalent No.of Water KW 1No.of No.of Data Wiring: Heaters Signs Ballasts f No.of Devices or Equivalent No. Hydrotnassage Bathtubs No.of Motors Total HP (Tel No of Devices ors VS(ring: �o.of Devices Equivalent OTHER: .-ltruck additional derail 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\IEC 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 rmit issuing office. CHECK ONE: INSURANCE ❑ BOND I! OTHER ❑ (Specify:) t,(tila.�( u rrlr�ers come 4—as- a3 I certify, under the pains and penalties of perjury, that the information an this applic t n is true and complete. FIRM NAME: t✓t j e. ) LIC.NO.: 131(� Licensee: E✓�(. it.e,t �L)y- Signature`'~-- LiC. NO.: d 37 (If applicable, e, er 'etelm�,t' in e ice rse+rr then Inrc/J�� Bus.Tel.NO.:srsi 77b o ra-3 Address: '7,1 0 1 t P,C.°t / W / Alt.Tel.No.: S 66 7 37 y94, *Security System Contractor License required for this we 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. OwneriAgent Signature Telephone No. PERMIT FEE: $ ' t - * . • . ,. . • • . . ____ `•••••