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Home My WebLink AboutE-19-2257 of Commonwealth of Official Use Only i. (L Massachusetts Permit No. BLDE-19-002257 - BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.l/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:10/17/2018 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) 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 ❑ (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 conduits for future sub panel&data. 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- CINo.of Emergency Lighting Qrnd. Rind. 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 lnitlatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump __Number Tons KW No.of Self-Contained No.of Waste Disposers 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 Of 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"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 �icr -`1n"^' *Cer&oinr- / Olt 15/Is >, " Commonwealth of yyaeaach aeette Official Use Only\ . I cy c7 22 S'7 �r_li . 2epartment ofline Serviced Permit e3 Occupancy and Fee Checked �. d ,x BOARD OF FIRE PREVENTION REGULATIONS Rev. 1/0 tri—a6 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cod](M 527 CMR 12.00 (PLEASE PRINT IN INK OR`TYPE ALL INFORNL4TION) Date: /O16110 City r Town of: z I'm bl)kiNn To the Inspector of Wires: By this application the undersigned gives notice of his or h intention to perform the electrical work described below. Location(Street&}�umber) 1B CPeriJN€L VOINr tr Owner or Tenant KRBT tV/ P)SH kJ K AK Telephone No. (Y�Lp' Owner's Address SA / • Is this permit in conjunction with a building permit? Yes ❑ No 114 (Check Appropriate Box) , Purpose of Building Utility Authorization No. Existing Service_ Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service _ Amps / Volts Overhead❑ Uudgrd❑ No.of Meters Number of Feeders and Ampacity I Location and Nature of I�( oposed Electrical Work: I,j5 YM\ GD ticaul t s rOC" F Utvre 503 ea f3(3hJtt AJUZA, Afactfl 'NI t firN WCompletion aline followin• table may be waived by the Inspector of Wires, titNo.of Recessed Luminaires No.of Cell:Susp.(Paddle)Fansei Transformers KVtA 4 No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above in- No.of Emergency Lighting l No.of Luminaires Swimming Pool t r nd. ❑ grad. ❑ Battery Units J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and z. Initiating Devices I Lt No.of Ranges No.of Air Cond. Total No.Tonsf Alerting Devices Heat Pump flihnbet. Tons KW No.of Self-Contained i� �• Na.of Waste Disposers Totals: " " Detection/Alertin Devices �N r No.of Dishwashers S ace/Area Heating KW Local❑ Municip� 0 Other 1L r tiro i< P Connection `gtr—.t �N .of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent *.sI of Water No.of No.of Data Wiring: ILII Iry 1 Heaters I{W Signs Ballasts No.of Dvices or Equivalent Telecommunications Wiring: tj N .Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent Iii LOTHER: ✓ ' Attach additional detail if desired,or as required by the Inspector of Wires. ------'—"Estimated Value of El trical Work: 550.00 (When required by municipal policy.) Work to Start: I Oi(Col 15 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 N. BOND 0 OTHER D (Specify:) I ca tfy,under thniatnspJa penalties o perju ,that the information on this application is true and complete. FIRM NAME: Dicier Lcc.� '1al._ t C- LIC.NO.: Licensee: \\& tr)O Ir...., Signatureiii LIC.NO.: rc).i LI Of applicable. enter••exem t"in th licengrankr line.) (t(`ryl' Bus.TeL No.. IM Address: .;4615 if fi la Sr 111 f)t'fi1b,J S (\d�ti 1' 0- O ' 53 Alt.TeL No.: 'Per M.O.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. 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 0 owner's agent. Owner/AgentPERMIT FEE:$ �j o -' SignatureTelephone No.