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Home My WebLink AboutE-18-2809 Official Use Only Commonwealth of ? % Massachusetts Permit No. BLDE-18-002809 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install cable&power for TV in great room.(Main House) 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 0 In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 1 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 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: 1 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 ❑ 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 (If applicable,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"5"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) ❑ owner 0 owner's agent Owner/Agent Signature Telephone No. PERMIT FEE:$45.00 .Hr J'_' 4 Comnar-wealth 01 ya3aaa.6 ettO sf—ocial Use Only j �/ Permit No. .� --'rel- 2eparimuni o{.y�7 ire-feriae' ed :• Occupancy and Fee Checked __ \ , BOARD OF FIRE PREVENTION REGULATIONS 1 •ev. 1/07] ' (]cave blank) \�j APPLICATION FORJPERM[T TO PERFORM ELECTRICAL WORK �• All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 121)0 (PLEASE PRINT IN INK OR TYPE ALL INFORM,4TI011J Date: 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) frk • Owner rStreet n r) /1V e� MpShlrc.. i-u4, 'Chi 4A Houst. I ) . cI qt n Ct I S Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) 0 " F Purpose of Btuldiag r\,,,`(I u, S Utility Authorization No. w Eesti o W �� Service Amps / Volts Overhead ❑ Uadgrd❑ No.of Meters _ > J�V E New Service Amps / Volts Overhead Undgrd ❑ ❑ No. of Meters _ 'CO a. Number of Feeders and A opacity • V 1 o 0 Location cad Nature of Proposed Electrical Work: II II W 2 p t u_ _ in _5 recd- leo i)fl. Add C 4Fdl l° 4 nu� fOpW e / . .. J et: j „ Completion of the fo➢owme sable maybe waived by the Inspector of Parra II m m No.of Recessed Luminaires INo.of Celt-Sump.(Paddle)Fans • No-oTotal Transf formers KVA . No. of Ltrminafre Outlets INo.cif Hot Tubs Generators • KVA ' • • No. of Luminaires 'Swimming pool Above In- No.or emergency Ligating and. ernd_ IBattervDi s No. of Receptacle Outlet No.of Oil Burners 'ETRE ALARMS INo.of Zones No. of Switches No.of Gas Burners No.of Detection and • Initiating Devices No.of Ranges INo_of Air Cond. 1 oral Tons No.of Alerting Devices • Heat Pump I Number Tons KW No.of Self-Contained Totals: Detee ion/A.lerting Devi No.of Waste Disposers ces No.of Dishwashers Space/Ana Heating KW Local Q Connection 0 other No. of Dryers Heating Appliances KW Security Systems:* No. of Water No.of Devices or Equivalent Heaters KW 1�0. of No.of Data Wiring Signs Ballast Na of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent W HIR — Attach additional detail ifdesired ores required by the Inspector of Wires. Estimated Vahie of Electrical Workk (WhenWork to Start required by municipal policy.)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 OIHER 0 (Specify:) I certrfy,ander the pains and penalties of perfu.ry,t at the information on this application is true and complete. FIRM NAME: f . f r Cc LIC NO.cin IntLicensee: AT lea, Signature ....7 LeC.NO.: (If applicable, enter "exempt"lin the license number line.) Address: Bus.TeLNo.: �— j Per M.G.L.c. 147,s.57-61,securitywork requiresAlt TeL No.:: OWNER'S INSURANCE WAIVE : I am a thathDepartment does not have the liability insurance coverage normally wne required by law. By msignature below,I hereby waive this requirement. I am the(check one) owner 0owner's agent Owner/Agent Signature Telephone No. I PERMIT FEE: $ ,