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Home My WebLink AboutE-19-1339 �� Commonwealth of dOfficial Use Only €r Massachusetts Permit No. BLOE-19-001339 �s..T7 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked f Rev.I/071 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:9/4/2018 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) 18 CHANNEL POINT DR Owner or Tenant BURKE JAMES Telephone No. Owner's Address BURKE PAMELLA P,200 N KING ST,NORTHAMPTON,MA 01060-1120 Is this permit in conjunction with a building permit? Yes ❑ 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 ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Septic pump&alarm. 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 grnd.Abovg e ❑ gni-n(1. 13 Battery of Emergency Lighting _ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas BurnersNo.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 1 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 1 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 (If applicable,enter"exempt"in the license number line.) Bus.TeL No.: Address:289 QUAKER MEETING HOUSE,RD,E SANDWICH MA 025371366 Mt.Tel.No.: 'Per M.G.L.c.147,s.57-61,secunty 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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$50.00 t A //77 /yyyyt� .1: , l.ommorgan&°I Mc:Machrwdb Official Use On _:- �c9.- 13 9 .yr cc'� c7 nn I� .UsParfmsal o{.lin...cervical Permit No. �'� Occupancy and Fee Checked ' BOARD OF FIRE PREVENTION REGULATIONS . 1/07] ' (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK ORTYPE ALL INFORMATION) Date: 9 y./g City or Tower of: YARMOUTH To the Inspector of Wires: . By this application the yndersigned gives notice of his or her intention to perform the electrical work described below. . Location(Street&Number) Ifj (dANM'l. P0' ))a, ((j2F,{T /sa..0.u,$) Owner'orTenant /(AO 3A-14 SNAnrKgt Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No [c} (Check Appropriate Boz) ' Purpose of Building /?FSrlbts,rnet L Utility Authorization No. Existing Service_ Amps / Volts Overhead 0 Undgrd❑ No.of Meters — New Service _ Amps / Volts Overhead❑ Undgrd rd ❑ No.of Meters Number of Feeders and Ampacity -- • Location and Nature of Proposed Electrical Work: • Completion of the followinqtable may be waived by the Inspector of Wires, No.of Recessed Luminaires No.of Cell-Sam.(Paddle)Fsas No.of Total Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swfmmmg pool Above 0 In-d. 0 BaNo.ofttery UEmergency Lighting krnannits — No.of Receptacle Outlets No.of OR Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and • Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons ICW No.of Self-Contained Totals:I I I Detection/Alerting Devices No.of Dishwashers Spaee/Area Heating KW' Loth 0 Municipal — Connection 0 Oter No.of Dryers Heating Appliances ,y Security Systems:• No.of Water No.of Devices or Equivalent No.of HeatersKVV No.of Data Wiring 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 f desired or as required by the Inspector of Wires. Estimated Value of Electrical Work (When required by municipal policy.) Work to Start: %-:.J-/g 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 a-BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. FIRM NAME: i 13ut2..y r r•,Rte,it ',.g . LIC NO.: Licensee: 4.7, RntF Signature _ LIC.NO.: (If applicable.enter"exempt"in e license number line) Lia'i�-3 Address WCt4AAtn., Sr. t-u..•�r• -ftp OZtoV� Bus.Tel.No.:___ SA� AIL Tei.No.: J 'Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety — OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally wc required b law. B Owner/Agent By my signature below,I hereby waive this requirement. I am the(check one)❑owner 0 owner's agent i Signature . I Telephone No. PERMIT FEE:$ 1