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Home My WebLink AboutBLDE-18-007080 • k�`/ Commonwealth of Official Use Only Massachusetts Permit No. BLDE-18-007080 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.l/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work td be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:6/13/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 50 SOUTH SEA AVE Owner or Tenant GALVIN MARTIN J JR Telephone No. Owner's Address GALVIN PAULA F,50 SOUTH SEA AVE,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 ❑ 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: Remodel per attached. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 14 No.of Cell:Susp.(Paddle)Fans 1 No.of Total Transformers KVA No.of Luminaire Outlets 5 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Rattery Units No.of Receptacle Outlets 16 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 16 No.of Gas Burners No.of Detection and -Initiating Devices • No.of Ranges No.of Air Cond. 1 Total 3 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 onnection ❑ Other: C No.of Dryers 1 Heating Appliances KW Security Systems:" Na.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 (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"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 (201)6£1 Wient9 l� PIia& tab r7/(E3 , g t _ ammeawn&of rrlassachasetts Official Use Only r , cy� `�. s go eco n�� 2epartmenf a !ra erviced Permit No, r I I= Occupancy and Fee Checked /c� BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07j (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 OR TYPE ALL INFORMATION) Date: "1:3c )3� WI r City or Town of: YARMOUTH To the Inspector of Wires: . By this application the lmdersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) SO SOorti SFri AW , w lif R. .Owner'or Tenant 6.t, ,,,,,,/ +t-,q,e,nr,r ¢' 21.0.4 Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes Q No 0 (Check Appropriate Box) Purpose of Building t ?sc' -" t Utility Authorization No. Existing Service `Amps / Volts Overhead Q Undgrd Q No.of Meters �' New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters Fou amber of Feeders and Ampacity V7 z • L11 _ w cation1d{Nature of Proposed Electrical Work: �� i ?Nature IVtR.F rctta/,f4 Gb.r nnlf.N (2) t...900734 Fes [�1wh/ �, w t.r.4tt (3) Nrrt 1 !v'S t rs� ,q � s�crF,., : . W .�-•r w Completion of the jolfowfny table may be waived by the Inspector of{Foes, 5 No.of Recessed Luminaires t.+ No.of CeiL-Sasp.(Paddle)Fans 'i Transformer 0 Ail V z I No.of Luminaire Outlets L No.of Hot Tubs D Generator a KVA L!1 � I O No.of Luminaires Above In- No.ol Emer en Lt htin r r i q Swimming Pool grand. r--1 In- ❑ Battery Units Emergency g g (� • R m No.of Receptacle Outlets-t/ ,it.4 No.of Oil Burners 0 FIRE ALARMS INo.of Zones Q No.of Switches Kt No.of Gas Burners Q No.of Detection and ' Initiating Devices O No.of Ranges 0 No.of Air Cond. Total I Tons 3 No.of Alerting Devices 0 No.of Waste Disposers 0 Heat PumpNumber Tons KW No.of Self-Contained Totals:I I. I Detection/Alerting Devices 0 No.of Dishwashers (� Space/Area Heating KW' Loral Municipal ❑ Connection ❑ Ot&s No.of Dryers ' ® Heating Appliances 0 Kw Security Systems:' No.of Water No.of Devices or Equivalent Heaters KW No.ol No.ol Data Wiring: 8 Signs Ballasts No.of Devices or Equivalent 0 No. Hydromassage Bathtubs 0 No.of Motors (] Total HP Telecommunications Wiring: No.of Devices or Equivalent et OTHER: �C Attach additional detail ijdesired or as required by the Inspector of Wires. Estimated Value of Electrical World (When required by municipal policy.) Work to Start: 4 -/z -rap, 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 1;1-130ND 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: LIC.NO.: h Rnf n,rLr.rrt E6*re A.e fly t .L. Licensee: A..3 , an.,6-V Signature /ii-- LIC.NO.:AL/Ca/3(If applicable,enter"exempt"in t e license number line.) Address. 2pur ~is-, S}. f...4..4.4. O2ttrfy Bus.Tel.No: J 'Per M.G.L.c. 147,s.57-6I,security work requires Department of Public Safety"S"License: At. 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 D owner's agent Owner/Agent Signature Telephone No. I PERMIT FEE: $