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Home My WebLink AboutBLDE-23-003587 . Commonwealth of Official Use Only .�* ': Massachusetts Permit No. BLDE-23-003587 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:12/31/2022 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 electrical work described below. Location(Street&Number) KINGS CIRCUIT I,. e Owner or Tenant MONTEBELLOS's RESTAURANT Telephone N6>. Owner's Address N.� Is this permit in conjunction with a building permit? Yes ❑ No 0 (Checkropriate Box) Ze Purpose of Building Utility Authorization No. 1 Existing Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters New Service Amps Volts Overhead ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace three EBU's(MONTEBELLO RESTAURANT) Completion of the following table may be waived by the YraspIctor 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 3 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 Initiative 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/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent 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. 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 elephone No. PERMIT FEE: $80.00 lj illi 1 t31/;3 ' ' Official Use Only Commonwealth of Massachusetts 1 C�3_3S�„(/ * ; Permit No. ' 4t Department of Fire Services Occupancy and Fee Checked 1� vBOARD OF FIRE PREVENTION REGULATIONS 1[Rev.9.05] Cease'plank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(\MEC).i'_'C'IR 12.00 (PLEASE PRAT INLVK OR TYPE ALL INFRR.LIATIOA) Date: I a—/L`ol-?, City or Town of: ItaKAaS�t'V J To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical t'ork described below Location(Street&Number) tf S (.L S (ri.f,--if f t \ ydV fl - n()dr* . ` L ItA D�_I r:p i l0 i 10,5 u r- Te•lep lone No. i Owner or Tenant W t TF Cy 111!!! F-s Owner's Address 'COI-e- ls this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps I Volts Overhead❑ Vndgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of'leters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 3 Completion of the foliating le may be haired hr the Ins tee for of it'ire.,. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luntinaire Outlets No.of Hot Tubs Generators KV A Above In- No.of Emergency Lighting No.of Luminaires Swimming Pool grnd. C grad. ❑ Battery Units 0 No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of tones of Detection and pp No.of Switches No.of Gas Burners No.Initiating Devices Total 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 Dishwashers i Space/Area Heating KW Local❑Connec'lunicipal Connection ❑Other No.of Dryers `Heating appliances K\t" Security Systems:* No.of Devices or Equivalent No.of Water KW' No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassa a Bathtubs No.of Motors Total HP TelecommunicationsN . fDe,icesor V.ui al g No.of Devices Equivalent OTHER: Ancrch additional detail if dowsed.or as-,-egai,rd hr the Inspector of!fire... Estimated Value of Electrical Work: (When required by municipal policy.i Work to Start: Inspections to be requested in accordance with NIEC Rule 10.and upon completion. INSURANCE COVERAGE: Unless waived by the owner.no permit for Me performance of electrical work may issue unless the licensee pros ides 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 rm;t issuing office. ab_a CHECK ONE: INSURANCE 0 BOND f`tYX�-OTHER 0 (Specify:) (.(ttbclt{'.,'�(, W rsGory, 4.- 3 I eertifj•,under the pains and penalties of perjury,that the information on this applieatt n is true and complete. FIRM NAME: t✓ic1 10) LIC.NO.: 1 311 Licensee: Signature LIC.NO.: d.37;:q II/applicable,efli r W.terr.rp!"1the is se a fiber line t Bus.Tel.No.:c j v�y 77Ao rC}: Address: `7,i L 1 ll/it/I.I`,i �( ( 017 W 1 Alt.Tel.No.:..S/96 737 t//jd *Security System Contractor License required for this wok:if applicable.enter the license number here: OWNER'S INSURANCE WAIVER: I ant 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 onei❑owner ❑owner's agent. Owner/Agent I PERMIT FEE:S Signature Telephone No.