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Home My WebLink AboutBLDE-23-005466 Commonwealth of Official Use Only IC Massachusetts Permit No. BLDE-23-005466 *r' - 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:4/3/2023 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) 14 GOLFERS CIR e�` Owner or Tenant BAKANAS KATHRYN M Telephone No. f Owner's Address BAKANAS ROBERT S, 14 GOLFERS CIR, SOUTH YARMOUTH, MA 02664 ' A" 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: 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 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 Initiatine Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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 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 ❑ BOND 0 OTHER ❑ (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: $50.00 "4 \2 3 tNi)i-- con --- ' • k Commonwealth of Massachusetts Official Use Only / li y� Permit No. �3— i ,tap Department of Fire Services • V., Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev_9/05) (leaseblank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC).527 C MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Q;i-a'} -a0 9.3 City or Town of: 55tukiN\11�/irMl�O� To the Inspector of Wires: By this application the undersigned gives n^oticLb of his or her intention to perform the electrical work described below. Location(Street&Number) IN (states CA c(It _ Owner or Tenant_14,bkip.(t $g),Y,fi tAd.S Telephone No.rfH-,2% '11368 Owner's Address C.Smut" as tow.Mu< 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❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: tp('f 'e, Completion of the following table mar be waived by the Inspector of Wires. tal No.of Recessed Luminaires No.of Cet1.-Sus P. Fans No.of- (Paddle) Transformers KVA No.of Luminaire Outlets No,of Hot Tubs Generators KVA Above In- No.of emergency Lighting No.of Luminaires Swimming Pool grnd. ❑ grnd. 0 Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones oand No.of Switches No.of Gas Burners 'No.innitlating Detection Devices Tot No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alerting Devices No.of D♦shwashers Space/Area Heating KW Local 0 Connection ❑Other No.of Dryers Heating Appliances KW 15ecurity Svstems:* No.of Des ices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Telecommunications Wiring No.Hydromassage Bathtubs No.of Motors Total HP 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 rce,and has exhibited proof of same tot thepermit issuing office. CHECK ONE: INSURANCE ❑ BOND OTHER❑ (Specify:) (,(ytb(lt(^Ir( w0 1�ScopfiD e -a8-a3 I certify,under the pains and penalties of per ury,that the information on this appli n is true and co�niplete. FIRM NAME: CO 4(0 — LIC.NO.: 131(8 Licensee: Signatur LIC.NO.: , 7 (If applicable,eyy er"exam t"n e 1 senumberline/ Bus.Tel.No.. M %ti - Address: 7 l ri v r1pV �Q( Alt.Tel.No.: IT�Tiirxlt3r �, *Security System Contractor License required for this wogt;if applicable,enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does nor have the liability insurance coverage normally required by law, By my signature below,I hereby waive this requirement. I ant the(check one)0 owner ❑owner's agent. Owner/Agent ant Telephone No, (PERMIT FEE:$