The URL can be used to link to this page

Home My WebLink AboutBLDE-19-001608 v Ja Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-001608 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked _ JRev.1/07j 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:9/17/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 42 REID AVE Owner or Tenant COELHO OTACILIO Telephone No. Owner's Address PAULA ROSE M,42 REID AVENUE,WEST YARMOUTH,MA 02673 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (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 0 Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install service for septic&wire system. 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 ❑ In- o No.of Emergency Lighting grnd. grn . 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 0 Municipal ❑ 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 ❑ (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) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 ga_ 7/2i ( e e; ---d la'mmona sch of t//aatact'iaaeKl UseOrly/ apartment / &Vial Permit No. N = re =`fly o !l Occupancy and Fee Checked - BOARD OF FIRE PREVENTION REGULATIONS . UV] • (leave blank) APPLICATION FOR,PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALLINFORIVATIOlV) Date: 7 n IR City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives n lice of hisAir her intention to perform the electrical work described below- , Location (Street&Number) H 9% Ne ft:A itti Owuer'or Tenant CO Pel-h p 0 ilk,' I I h Telephone No.7ly- (otl Owner's Address 5 0 ftp 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 kr\ New Service _ Amps / Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampadty asectriCtSt PPc � cal,aksit1 istis Ill_e�,QX., 1-pe... 1 rt o i— don and Nature of Proposed Elects-jot!Work 1 Cl ue,LSejlhz. Sys\--rf\ l °'3etftpit IBJ 0ba" oN riru Completion of thefollowin&table m be waived by the I !sector ofWires.No.of Recessed Luminaires No.of CeIL-Susp.(Paddle)Fans No.°5 Total Transformers KVA i i N .of Luminaire Outlets No.of Hot Tubs Generators KVA w co : of Luminaires Swimming Pool Above ❑ In- No.of Emergency Lighting - grad- grod- 0 Battery Units N 1�N of Receptacle Outlets No.of Oil Burners • FIRE ALARMS 1No.of Zones C- iw W '" ct of Switches No.of Detection and } I No.of Gas Burners (� �- +�� Initiating Devices W i gci of Ranges No.of Air Cond. Total IJ I N ' Tons No.of Alerting Devices i3Vo.of Waste Disposers Heat Pump 1 Number Tons KW No.of Self-Contained 1 Totals: Detection/Alerting ng Devices Nor of Dishwashers Space/Area HeatingKW' meal Loral❑Connection 0 °tiler No.of Dryers Heating Appliances KW Security Systems:* - No.of Water No.of Devices or Equivalent Heaters KW No.of 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: IO/I^ I Attach additional detail ifderirea or as required by the Inspector of Wires. Estimated Value of Electrical Work Yj (When required by municipal policy.) Work to Start 3,000Inspections 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 cernfy,under the airs and penalties ofperju ,that the information on this application is true and complete. FIRM NAME: eX >r>r�� 1,Tu` LIC.NO.: Licensee: R3 u110_57 Signature n,, III A LIC.NO.: (Ifapplieabf criLt G�yrc�mpai' mC[ fi a m��b_er fine.) ` Bus.Tel.No. 1 O- I Address �g le l IItiN 7 r o>,a� m1)15 MR' OA.6ei J "Per M.G.L.c. 147,s.57-61,securiwork Alt.Tel.No.:ry rc quires Deparunent of Public Safety"S"License: Lic.No. ei OWNER'S INSURANCE WAIVER: I am 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 one)0 owner ❑owner's agent. Owner/Agentg j SignatureTelephone No. I PERMIT FEE: $ 1`9. 1