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Home My WebLink AboutBLDE-19-001535 r Commonwealth of Official Use Only at* Massachusetts Permit No. BLDE-19.001535 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked rRev.1/071 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:9/13/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertonn the electrical work described below. Location(Street&Number) 744 WILLOW ST Owner or Tenant SMITH EDWARD F TRS Telephone No. Owner's Address SMITH LOUISE DEPARDIEU TRS,4925 GLENN DR,NEW PORT RICHEY,FL 34652-4414 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 0 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 greenstar unit,CO detector,&receptacle. 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- CINo.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 1 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 Systema:" 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:) /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.: 7744— 7(9(2 addict 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 0 i /V'a C 39 r j Apartment cyy�� ee77 ��77 Permit No. rc .1J ..firo�Jsrvice� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS • .1/07] cave blank •' APPLICATION FOR PERMIT TO PERFORM ELECTRICAL ORK \ o\� All work to be performed in accordance with the Massachusetts Electrical Cod C) t) 5 CMR 12.00 r`rJy`T3 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ja.!� City or Town of: `/Ac MO OVI. To the Inspector of Wires: By this application the undersigned gives notice •f his or•er intention to perform the electrical work described below. Location(Street&Number)� i p I�. Owner or Tenant , fir a TekphoneNo.7a,7- {5-5�145 Owner's Address (t N1� Is this permit in conjunction with a building permit? Yes ❑✓ No 0 (Check Appropriate Box) Purpose ofBuilding Residential 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 \ tion d Nature of Proposed Electrical Worlc I rt. �5 G(� )c��-jx- (J N t S (aj��, CO bl\ Q ec r) PIaa € \ Fbr Gouade,Jsf3 t 90r\ '0 Completion Foam/.the foil ng�table may be waived by the Inspector of Wires._ Na of Recessed Luminaires Na of Ctul asp (Paddle)Fans Trransft ormers TKVA Na of Luminaire Outlets No.of Hot Tubs Generators KVA Na of Luminaires swimming pool Abovsend e ❑ In- ❑ PBatru tery Uor P mernitgsency Ltghtmg t rnd Nit of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Sones 14o./Of Switches - No.of Gas Burners No.of Detection and Initiating Devices W 3`22 iiiia,bfRanges No.of Air Cond. Total Na of Alerting Devices ..,o.tbf Waste iHs rs Heat Pump Number Tons KW No.of Self-Contained — `FI.m „ i P Totals: Detection/Alertin Devices LU iv - V\� rLti �fDishwashers Space/Area Heating KW I oral❑ Connection ❑ Other W U� Security Systems:* tw 004 of Dryers Heating AppliancesKW Na of Devices or Equivalent Pio.of Water KW No.of No.of Data Wiring: J ft m e; Heaters Signs Ballasts No.of Devices or n ent IVa Hydromassage Bathtubs No.of Motors Total HP TelecommunicationsNa f Devices or Eq st at OTHER Refer to drawings submitted to Town as part of associated building permit Attach additional detail tfdesired or as required by the I • for of Wires. Estimated Value o E • Work 70:51.00 (When required by municipal policy.) Werk to Start 1 Inspections to be requested in accordance with MEC Rule 10,and upon corn•i etion. INSURANCE C VERAGE: Unless waived by the owner,no permit for the performance of electrical work ,.: issue unless the!licensee provides proof ofliabiiity insurance including"completed operation"coverage or its substantial-. tat The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 2 BOND 0 OTHER 0 (specify.) I canto",under the pains and penalties ofperjury,that the mfonnanon on this application is true and comp ,e. FIRM NAME: Rex Burger Electrical, Inc. LIC.NO.: Licensee: AJ Pulley, Principal Signature �� LW.NO.: • 1843 (Ifapplicable,enter "exempt"in the license number line.) Bus.TeL No.- *8 250-2514 Address: 2045 Main Street Marstons Mills,MA 02848 Alt.Tel.No.: *Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee doer not have the liability insurance coy=.:•e normally required by law. By my signature below,I hereby waive this requirement I am the(check one U owner I owner's :_ Owner/Agent Cianstnr► Tnlnnhnnn Na. PERMIT 'I E'E: . CV