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Home My WebLink AboutE-19-5172 or Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-005172 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:3/14/2019 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) 44 MATTACHEE RD Owner or Tenant GIGLIO ROBERT P Telephone No. Owner's Address GIGLIO MARIANNA, 70 POND ST, STONEHAM, MA 02180-2841 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: 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/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 1 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 ❑ (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) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 ge tu-tit . C-(9ekout.T lip/(9 Wc0 7/ ( 13562/285 Official Use Only //�� aa// / C,ontnwncveaLth o fa�dachuie it �� / Permit No. e =r►_ $ 2epartment ol�ie�ervicsd _°;_�_j_ Occupancy and Fee Checked "-a�- BOARD OF FIRE PREVENTION REGULATIONS [Rev. I/07] (leave blank) CI APPLICATION FOR PERMIT TO PERFORM ELECTR ICAL 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: 03/13/19 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) 44 Matachee Raod Owner or Tenant Giglio, Robert and Marianna Telephone No. Owner's Address 70 Pond Street, Stoneham, MA 02180 -.,..,.,...---'Ts t is permit in conjunction with a building permit? Yes ❑ No Q (Check Appropriate Box) i r•-...._- _.... rll`pse of Building Residential Dwelling Utility Authorization No. i Lli E c._,-) i ast�ng Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters t ' f1ww ervice Amps / Volts Overhead E Undgrd ❑ No.of Meters 1.W NQm, r of Feeders and Ampacity i t� Inca on and Nature of Proposed Electrical Work: Wire new septic pump,floats and alarm. House currentlyunder P 1 ii.i P - . c%�s ction-other electrical wiring, including service and panel, to be installed by other. L..."""`�- Completion of the followin&table may be waived by the Inspector of Wires. No. ------n.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA AboveIn- No.of Emergency Lighting No.of Luminaires 15 temp strings Swimming Pool grnd. r-i grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones of No.of Switches No.of Gas Burners No. InDetection 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 Totals: _ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal El Other Connection No.of Dryers Heating Appliances KW -gecurity 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: Refer to drawings submitted to Town as part of associated building permit number B70138 E Attach additional detail if desired, or as required by the Inspector of Wires. o Estimated Value of Electrical Work: (When required by municipal policy.) 'co Work to Start: 03/14/19 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 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 ❑ OTHER 0 (Specify:) c I cert�,under the pains and penalties of perjury,that the information on this application is true and complete. s FIRM NAME: Rex Burger Electrical, Inc. LIC.NO.: A21843 0 co Licensee: AJ Pulley Signature G LIC.NO.: . (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.: (508)250-2514 E Address: 2045 Main Street, Marstons Mills, MA 02648 Alt.Tel.No.: w *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 ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ 7 S—