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Home My WebLink AboutBLDE-23-005781 Commonwealth of Official Use Only A•,t V Massachusetts Permit No. BLDE-23-005781 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) 379 WEIR RD Owner or Tenant KARRAS STEVEN J TRS Telephone No. Owner's Address KARRAS CHERYL A TRS, 379 WEIR RD, YARMOUTH PORT, MA 02675 /� Is this permit in conjunction with a building permit? Yes 0 No 0 eck Appropriate o ,j v WO Purpose of Building Utility Authorizati No. 12638599 () ,104. Existing Service Amps Volts Overhead 0 Undgrd ❑ No.of Meters if,l 277 New Service Amps Volts Overhead ❑ Undgrd Number of Feeders and Ampacity �, ?‹." Location and Nature of Proposed Electrical Work: Wire barn/studio _ ,./' `. f Completion the following of y•' ,1 y 771ctor of Wires. No.of Recessed Luminaires No.of Ceil:Sus . Paddle FansNo.of '�P p( ) Transformers iii .4 No.of Luminaire Outlets No.of Hot Tubs Generators No.of Luminaires Swimming Pool g bove ❑ II and ElNo.of Emergency Lighting rnd. 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 ❑ 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. 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: $150.00 [(77 (1—‘11 $-! 1 /23 •- \ Commonwealth of Massachusetts 1 Official Cse Only , 1 Permit No. V1-3'$763 Department of Fire Services i x 1 `, Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS I[Rev.9.051. Cease_ilankl APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Ali cwrk to be performed in accordance'a it rho AIassacinuatts Elccareal Code i Aitd. i_-C V R 1 Z 0.1 (PLEASE PRINT i.V INK OR TYPE ALL LVF' S!ATI0.V Date: k—1 - 2-3 City or Town of: '4 ( lf)l4 To the Inspectorof Wires: By this application the undersigned¢Ives notice lloft bin or Iter(�t tion t performf the l etrical to rk described helots. Location(Street&Number) 7j Q td 1 F7/� �d drip fl Owner or Tenant S 7,(/t,C _. • 1s Telephone No. Owner's Address is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Bo Purpose of Building Utility Authorization No, if 9-f� Existing Service Amps / Volts Overhead❑ Lndgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Endgrd❑ No.of Meters Number of Feeders and.Ampacity 1 1 Location and Nature of Proposed Electrical Work: (di re ber4 ,,,i(6 Completion n;the billowing table sear be:,ai,ed I,r the Lis ector of I t trees. No.or oral No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators iv\\ Above ►n- O. Lmg No.of Luminaires Swimming Pool grnd. C grnd. Battenof'Lniertsency Lighting No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS \o.of Lones . No.of Detection and No.of Switches No.of Gas Burners Initiating Devices of Alerting No.of Ranges No.of Air Cond. Tons Total No. Devices Heat Pump Number 'Ions KW. 1No.of Self-Contained No.of Waste Disposers Totals: inetection/alerting Devices {` a No.of Dishwashers Space:Area Heating KW [Local❑M Connectunicipioln ,_,71 Other ,Heating Appliances KW' Security Systems:` No.of Dryers No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters K\\' Signs Ballasts No.of Devices or E uivalent Telecommunications ring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail ir'desired.or.ir required by the Inspecno'of tares. Estimated Value of Electrical Work: (When required bb municipal police.i Work to Start: Inspections to be requested in accordance with\IEC Rule If,and upon completion. INSURANCE COVERAGE: Unless waived by the owner.no permit for tee 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 fie;and has exhibited proof of sat ;` Wmtt to si n office. Q._as_a 3 CHECK ONE: 1NSLRANCE ❑ BOND OTHER 0 (Specify:) • er ut that the information on this appliezet n is true and cco\pplete. _ _ I certify,under the pains and penalties oIP I 1'� _IL2f-14t e. F1R\t NAME: L1C.NO.: 3-./7 a / \ Signatur B_s.Tel.No: Licensee: Mt"'e►.No.:s�1 7 d Il(applicuhle.e Cr 'exert n-,in a ice ue r u iher line 1 Address: for this veo :if apph°able•enter the license number here: _-------- *Security System Contractor License required caner owner's a eta• v signature below.I hereby waive this requirement. 1 am the(check • pER1° FEE: OWNER'S INSURANCE WAIN ER: i am aware that the Licensee does not hair the liability insurance co�crage normally v required e law. By Telephone No.____._.-------- OwneriAgent Signature