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Home My WebLink AboutE-18-2810 • II Commonwealth of Official Use Only Massachusetts Permit No. BLDE-18-002810 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:11/13/2017 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) 32 NEW HAMPSHIRE AVE Owner or Tenant BITSOLI DEBORAH A TR Telephone No. Owner's Address 5 MYRNA RD, FRAMINGHAM, MA 01701 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 ❑ No.of Meters New Service Amps Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity - Location and Nature of Proposed Electrical Work: Final inspection for guest house(Permit E16-6927 expired) Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 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 ❑ 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 Data Wiring: Heaters Signs Ballasts 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: A J PULLEY Licensee: A J Pulley Signature LIC.NO.: '21843 (Ifapplicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:289 QUAKER MEETING HOUSE,RD,E SANDWICH MA 025371366 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 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:$50.00 a Commorat �/y/of/t/aaeackac(f! Ofncisl Use Only fiija t- . tt�`� • c7 Permit No. BOARD OF FIRE PREVENTION REGULATIONS 'Rev. 1/ 7] and Fee Cnk) - J 10p7) S33.,)‘\ . r APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or Town of: YARMOUTHTo the Inspector of Wrres: By this application the lmdersigaed gives notice of histor her intention to perform the electrical work described below. Location (Street&Number) 3n. New 1-14.hp54let A(t.a OwnerorTenant 'bDJu S*14l,1DOS Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No Er (Check Appropriate• PP PSN Boz) Purpose of Butldtng D t„I.e. I LIN J t Chitty Authorization No. Existing Service_ Amps / Volts Over-field ❑ Undgrd ❑ No.of Meters -- New Service _ Amps / Volts Overhead❑ Undgrd ❑ No.of Meters aNumber of FA eeders and mpacity • �(J Location and Nature of Proposed Electrical Work: Ih ♦I. r( or u f- 1 N 14aU$'- - A CarxY frofnr C P1/2rwi DO Completion of the followaez table may be waived by the Inspector of Wirer, W O No.of Recessed Luminaires INo.of CetlSusp.(Paddle)Fans INC.of Total V Transformers KVA p I No. of Luminaire Outlet 'No.of Hot Tubs (Generators • ICVA ' w Na,z of Luminaires (Swimming pool Above In.- 0 No,at E mergency Leghnng - Ce erred. erred. (Battery Units No. of Receptacle Outlets No.of OR Burners (FIRE ALARMS No.of Zones No.of Switches INo,o£Gas Earners No.of Detection and • Initiating Devices No.of Ranges INo. of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number Irons I KW IN o.of Self-Contained Totals: Detection/Alert:nu Devices No. of Dishwashers Space/Area Heating KW LowMunicipal ❑ Ction 0 Other INo. of Dryers Heating Appliances KW SecponnecNo.of Devices or E No. of Water quivalent No. of N Heaters KW No.of Data Wiring Sins Ballasts No.of Devices or Equivklent No. Hydromassage Bathtubs No. of Motors Total PIP Telecommunications Wiring: Na of Devices or Equivalent OTHER _ Attach additional derail if desired or as required by the Inspector of Il era. Estimated Value of Electrical World (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 force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) f cern)", under Lk pains and pen1,76es of perjury,that the information on this application is true and complete. FIRM NAME: • Cer,r .Gvc< LIC.NO.:A VI$y3 Licensee: A ( (,I' Signature LIC.NO.: (If applicable, enter "exempt"in the license mtmher line.) Bus.Tel.No. 3301 GNtc(— Address: ant{r /A4rn c-i- Mar< Fon( Mi tic Alt.TeLNo. J "Per M.O.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. —� .7c 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 am the(check one)0 owner 0 owner's agent. t Owner/Agent 01 Signature Telephone No. I PERMIT FEE: $