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Home My WebLink AboutBLDE-20-001090 or p\\1 Commonwealth of Official Use Only Massachusetts sPermit No. BLDE-20-001090 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] 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:8/27/2019 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) 25 FILLMORE RD Owner or Tenant HANDRAHAN HOLLIE Telephone No. Owner's Address 25 FILLMORE RD,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity oast Location and Nature of Proposed Electrical Work: Replace panel&wire for septic pump&alarm = � , 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- ❑ No.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 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 1 Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 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 Siens 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 ^ 1 Telephone No. PERMIT FEE:$50.00 tsars e//c fr? fc I._* Commonwealth oladsaciuessf#s Official Use Only _=ror • )spar msnt o�fir.srvirsd Permit No. -- (0CIO a BOARD OF FIRE PREVENTION REGULATIONS Occupancy 1/ancy.and Fee Checked ".`- [Rev. 1/07] (leave blank) APPLICATION FOR=PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: (MEc),527 CMR l z.00 ` a.. y City or Town of: YARMOUTH e ZT-�9 - .--` z y To the Inspector of Wires: it this application the undersigned gives notice of his or her intention to perform the electrical work described below. n oration(Street&Number) Z S r,L� — — L . weer or Tenant C�q v D i o 4/ T��T Telephone No. I Li4, ' � 'o wner's Address i o , L 4:this permit in conjunction with a building permit? Yes 0 No (Check ropriate Box 1 ;uj Li i ` 19 Purpose of Building las., ,A Utility Authorization o. l 'T`.-—.'.J=, • - g Service /00 Amps 2 3 c Cn 3? F f zp Z�f p Volts Overhead Undgrd 0 No.of Meters ' / Volts Overhead Undgrd ❑ No.of Meters '' New Service I I Amps Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Rc Po,...." ,�.4['f P,�cT:l`/rZe�T-[FD �02�/i1„ �.rr 4,).ee. IAAr2r v.,Ft., SFfrte 64,4....RF/L 4• /�C.a''AT &a.,,,rrr1F.1'- Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cei1.-Busy.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- No.of Emergency Ughung - grnd. srnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 1No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No. of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number Tons I KW No,of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Local❑ Municipal - Connection ❑ Om� No.of Dryers Heating Appliances KW Security Systems:* No.of Water No. of No.of Devices or Equivalent Heaters ' No.of Data Wiring: - Signs Ballasts No.of Devices or Equivalent No.Hydroinassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 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:_e-ZL y 9 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. undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. The CHECK ONE: INSURANCE !—BOND ❑ OTHER 0 (Specify:) I certiA, under the pains and penaltties of perjury,that the information on this application is true and complete. FIRM NAME: R. C r� ."Je ' LIC.NO.: Licensee:•-i�� h� —_ (If applicable.enter exempt n the license number line.) Signature LIC.NO.: Address: s Bus.Tel.No.: ,.r T. iyS kw Per M.Address: 147 s o t-61,security work requires Department of Public Safety 'Mt.Tel.No.c. : Q OWNERby law.'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n— ormfly Ownred Agent By my signature below,I hereby waive this requirement. I am the(check one 0 owner ElSignature owner's a enL Telephone No. PERMIT FEE: X