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Home My WebLink AboutBLDE-23-004641 Commonwealth of Official Use Only \C 0 Massachusetts Permit No. BLDE-23-004641 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:2/22/2023 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) 23 TRADERS LN Owner or Tenant BARRY DONALD P Telephone No. Owner's Address 23 TRADERS LN,WEST YARMOUTH, MA 02673 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install generator 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 12 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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. ` q CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) y SS 78 '3• / I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Donald F Drew Licensee: Donald F Drew Signature LIC.NO.: 8916 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:80 CHRISTINA DR, BRAINTREE MA 021848206 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 ; - cA ) 21 S 3t 4.. Commonwealth o/9amachuaetL Official Use Only ■-—,. cc�� cc77 Permit No. 7'•1f; 2epartmenl o�_jire Services li Occupancy and Fee Checked — _,./ BOARD BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICAT"' R PERMIT TO PERFORM ELECTRICAL WORK All 'in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PP' rL INFO TION) Date: 02 — g g o 2. ' -Ito M t8c To the Inspector of Wires: By tti. 'e of his or er intention to perform the electrical work described below. Lot. ! ('CCeC'S LO Owne. N> ,JO-U -f Telephone No( 3 zl LI Owner's , roLele`s ).-- Is this per►. .vith a building permit? Yes ❑ No (Check Appropriate Box) Purpose of B. Utility Authorization No. Existing Service. , vn Amps 1Z0/ ,2 j Volts Overhead n Undgrd No.of Meters New Service Amps / Volts Overhead I I Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Completion of the followingtable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total : ransformers KVA No.of Luminaire Outlets No.of Hot Tubs 1 nerators /� kLJ KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ Igo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Tons Tons No.of Alerting Devices 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 ❑ Connection Other No.of Dryers Heating Appliances KWSecurity Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin : No.of Devices or Equivalent OTHER: �!, Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of le rical Work: -� (When required by municipal policy.) Work to Start: t `� Inspecttons to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C V RAGE: 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 0BOND ❑ OTHER ❑ (Specify:) • I certify,under the pains and penalties of pe (Wry,that the information on this application is true and complete. FIRM NAME: F M C,eyt)eflac LIC.NO.: &';;_37A- Licensee: I JDN4t ld [-, ---i)reuJ Signature \\ : d NO.: tIv- (If applicable,enter "exemptthe license umber line.) rV Bus.Te.. . f3 f�A$�nth Address: 3 S ()►-t- 5+= Co d -ou ✓1Y A- Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,secitsity 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: $ 60- _ _ • i .