The URL can be used to link to this page

Home My WebLink AboutE-18-3177 Commonwealth of OfiicialUseOnly � � Massachusetts Permit No. BLDE-18-003177 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked i[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:11/30/2017 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. Location(Street&Number) 335 ROUTE 28 Owner or Tenant ZAMBELIS EVANGELIA TR Telephone No. Owner's Address Y HOUSE REALTY TRUST,335 ROUTE 28,WEST YARMOUTH,MA 02673 Is this permit in conjunction with a building permit? Yes 0 No El (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: Repair frayed wire on freezer door. Modify the mounting of ceiling fixtures to meet code. Completion of the following tab m j�Pw • ed by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No,ns � �, O nl Total No.o fo d_ <Nezisils.:VA KVA No.of Luminaire Outlets 12 No.of Hot Tubs Generators No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergen grnd. grnd. Batten,Units //� V No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. O<K Acs/l/N ' No.of Switches No.of Gas Burners No.of Detection and nt/,_l<V V//" Initiating Devices O No.of Ranges No.of Air Cond. ToTotal No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons 1 KW No.of Self-Contained 71/1/ Totals: Detection/Alerting Devices No.of Dishwashers Space/Area(Heating KW Local 0 Municipal 0 Other: Connection /9 No.of Dryers Ileating Appliances KW Security Systems:* // No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total IIP 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 ❑ 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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$100.00 • J •• "' �_ Co pig efMaelaeLdettd . //�� Ofncial Use o/nlly L apartment 4.71/44.71/4..So •Permit Nam{ U / en/cel ' = BOARD OF FIRE PREVENTION REGULATIONS l OcenpancyandFeeChecked Rev. I/D7) (Irzve blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR I/D0 (PLEASE.PRINT INWIC ORTYPE ALLINFORMATION) Date:_/t/p,,• ao17 City or Town of: YARMOUTH To the Inspector of Wires: By this application the pndersigned,gives notice of his or her intention to perform the electrical work described below. • Location(Street&Number) 3 3 5 R4:. a ? Owner orTenant \Jqf kit„HI Hhu co_ Ret . (K,...0); arc,iers el Telephone No. oq Owner's Address y Is this permit in conjunction with a building permit? Yes ❑ No •, Z (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Uadgrd❑ No.of Meters _ New Service .4mps / Volts Overhead �' ❑ Undgrd ❑ No,of Meters Number of Feeders and Ampacity • Location and Nature of Proposed Electrical Work: gem„.„ l ore a. I,ski. 4c4-0_04. In l'y're/.& qty,/ ha all. • • 3 ,, c4. , WI 1 ■ ----..-(.v- G Dins _ cReP41r Crimpletia of the following,table m be waived b the! of , rit yo 1 fo Y Inspector Wires. / ul No.of Recessed Luminaires IND,of Ceti-Snsp.(Paddle)Fans No,of Total 'Transformers KVA Id WI-I- I No.of Luminaire Outlets INo..of Hot Tubs 'Generators • KVA ' F f ee2 tar • No. of Luminaires ISv7mnring Pool Above ❑ In- ❑ Na,to 1',mergency Laghuag erad. erttd. IBatte1 IInits • No. of Receptacle Outlets No.of Ott Burners IFERE ALARMS INo.of Zones No, of Switches No.of Gas Burners • No.of Detection and InitiNo, of Ranges Total ate'Devices -J No.of Air Cond. Tons No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number Irons I KW INo.of Self-Contained Totals: _ }Detection/Alerting Devices No.of Dishwashers SpacelArea Heating KW I,owalM .clpal ❑Connection ❑ Other 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 Hiring: No.of Devices or Equivalent R _ 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 Inspections to be requested in accordance with MEC Rule 10,mid 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 ❑ BOND 0 OTHER 0 (Specify;) f certify, under Of pains and penalties of perjury,that the information on this application is true and complete AatsYi FIRM NAME: Ke1 3 v I- Ar LIC NO.: Licensee: Rc4 n„r _ Signature I Ir LIC NO.: (ifapplicable,enter "ezernSt"in the license number line.) Addresr, all(4C AAri , `( 4, ktC titil Bus.TeLNo:_-- J 'Per M.G.L.e. 147, s.57-61,securitywork requiresS Alt Tel.No:�_ Department of Public Safety"S"License: Lie.No. - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally S Ownerequirr/Agent by law. By my signature below,I hereby waive this requirement. I am the(check one)❑ owner 0 owner's agent Signature Telephone No. I PERMIT FEE: $