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Home My WebLink AboutBLDE-19-002508 \ ofCommonwealthL`� Official Use Only Massachusetts Permit No. BLDE-19-002508 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.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:10/29/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives nonce of his or her intention to per ono th eeRf. i work descr' ed below. Location(Street&Number) 67 SWIFT BROOK RD Q f'i Owner or Tenant OHARA VERA S TR Telephone No. Owner's Address C/O ATOUI SAM &CARLA,56 EUNICE CIR,WAKEFIELD, MA 01880 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: Replacement HVAC 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- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 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. 1 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 ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Watery 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 fdesired,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: AJ 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: $200.00 0,4- (o(3o/e vg....., t\-1A-J tHH-a ( 8 It Commonwealth q/�/ 13562/285 �'' .�- Commonwealth of fl aaeachusetts Official Use Only 'S arm— t cy� Permit No. E m`_�ta z ..UePartmant of�iro Services -'- i BOARD OF FIRE PREVENTION REGULATIONS Ovcupancy and Fee Checked [Rev. (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK R. 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: October 26,2018 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. w Location(Street&Number) 67 Swift Brook Road,S.Yarmouth M Owner or Tenant Atoui,Sam R. %Reid, Patricia A. Telephone No. Owner's Address 452 Old Craigville Road, Centerville, MA 02632 Is this permit in conjunction with a building permit? Yes 0 No ✓❑ (Check Appropriate Box) ZPurpose of Building Commercial Dwellings 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: Reconnected furnace swap, [mailed thermostat wire,wired a/c condensor. Completion ofthe following table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.Susp.(Paddle)Fans Tof TrNoKVAansformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 15 temp strings Swimming Pool Above ❑ In- u--, No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 24 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 AlertingDevices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ 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 NofDeiceor Equivalent No.of Devices Equivalent OTHER: Refer to drawings submitted to Town as part of associated building permit number B70138 E Attach additional detail iidesire4 or as required by the Inspector of Wires. $ Estimated Value of Electrical Work: (When required by municipal policy.) •1 Work to Stan:7/14/18 Inspections to be requested in accordance with MEC Rule 10,and upon completion. E INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless Cthe 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 ❑ OTHER 0 (Specify:) c I cert,under the pains and penalties ofperjury,that the information on this application is true and complete. t FIRM NAME: Rex Burger Electrical, Inc. ✓✓n ��*'� LIC.NO.: 0 .� Licensee: AJ Pulley, Principal Signature �� LIC.NO.:A21843 • (If applicable,enter "exempt"in the license number line.) / Bus.TeL No: (508)250-2514 m Address: 2045 Main Street, Marstons Mills, MA 02648 Alt TeL No.: E *Per M.G.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)❑owner 0 owner's agent. Owner/Agent PERMIT FEE: $ Signature Telephone No. ajohnpulley@gmail.com