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Home My WebLink AboutBLDE-23-005780 Commonwealth of Official Use Only , Massachusetts Permit No. BLDE-23-005780 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:4/19/2023 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) 728 ROUTE 28 Owner or Tenant PIRATES COVE EAST INC Telephone No. Owner's Address 728 ROUTE 28, SOUTH YARMOUTH, MA 02664-5158 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement of damaged meter socket due to fire. 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 KVA 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 ❑ 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 Siens 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 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: $80.00 ( �L� `(l (-z3 k/J 'r` t� Official Use Only REi+ E •ommonwealth of Massachusetts h. Permit No. �Z3-5 / ((� r,, _ tt epartment of Fire Services t _ Occupancy and Fee Checked A' ,�'i La BoIA'D OF FIRE PREVENTION REGULATIONS [Rev.9 051 (leave blank) BUILDINGAF A ION FOR PERMIT TO PERFORM ELECTRICAL WORK BY work to be performed in accerdance with the Massachusetts Electrical Code(MEC).5''7 CMR 12.00 (PLEASE PRINT IN INK OR TYP ALL I.V�P,�R/�:l'IATION) Date: q `g - 3 City or Town of: a V'I11l�U To the Inspector of Wires: By this application the undersigneddddllllgives Oat,notice_of a or her intention to p rform then electrical w rk described below. Location(Street&N ber) 7 R-//(ke 5-a/ tio 1�Q1 Owner or Tenant t(� .$ l o�t, Telephone No. Owner's Address SGtth_.P is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampacity ��p�� n,, ( �'/ t�n //,, �� Location and Nature of Proposed#lectrtcal Work: r tarx �.IfJ Ci{tl,(_ o1 (/l'e I�X.s5 ALP `0 Completion of the foLarinktable near be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell-Sus (Paddle)Fans No.or Total P• Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above In- No.of Lmergency Lighting No.of Luminaires Swimming Pool 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. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained P Totals: Detection/Alertinp„Devices llunlcipsl No.of Dishwashers Space/Area Heating KW Local❑Connection Other Heating Appliances KW Security Systems:* No.of DryersNo.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 Miring: 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 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 f rcc,and has exhibited proof of sand( �i��sngoff� !�-a�_a3 CHECK ONE: INSURANCE 0 BOND l OTHER 0 (Specify:) 4.0, I certify,under the pains and penalties of perjury,that the information on this appli t n is true alndCcompplete.L 3! FIRM N NAME: (A-) NO.:Signatur LUC.NO.: 7 r Licensee:yam ' _ _ ber line l tsus.Tel.No. 7 (If applicable,e er esen t' n e is se u Alt.Tel.No.: Address: *Security System Contractor License required fort is wo :if applicable•enter the license number ere: rage___lly OWNER'S INSURANCE Wtu below,am 1 herebyaware waate this requirement. I am Licensthe(che k one msuowner overaowner's a11ent. required by law. By my signature Owner/Agent PERMIT FEE:$ Telephone No.___•__�— Signature