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Home My WebLink AboutBLDE-19-006056 S1 ' Commonwealth of Official Use Only f1 Massachusetts Permit No. BLDE-19-006056 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:4/25/2019 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) 3 ANDRINA RD Owner or Tenant BERDICHEVSKY DMITRY Telephone No. Owner's Address BERDICHEVSKY MARINA, 89 ADELINE RD, NEWTON, MA 02459 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: Work per attached. Completion of the following table may be waived by the Inspector of Wires.20 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 g nd. 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 Totals: Detection/Alertine Devices -� No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other: `�n7 Connection m No.of Dryers Heating Appliances KW Security Systems:* 3 No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens Ballasts No.of Devices or Equivalent o No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: C 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 fit 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 Commonwealth of///Ma��ach/u�e� ffi Ocial Use Only (� Q f� ►F_=_ _ J c�r� Permit No. _��__ 2)epartmenl o/]ire�ervicee i_c, Occupancy and Fee Checked �'-- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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: April 24, 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) 3 Andrina Road 0 Owner or Tenant Dmitry Berdichevsky Telephone No. Owner's Address 89 Adeline Road, Newton, MA Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Single-family Dwelling Iiiity Authorization No. Existing Service 100 Amps 120/240 Volts Overhead Undgrd❑ No.of Meters 1 . ,� - NewSefvice Amps / Volts Overhead❑ Undgrd El No.of Meters i ,NuIDbgr of Feeders and Ampacity �Loc tiOn and Nature of Proposed Electrical Work: See Addendum B of client's contract depicting work to be done. i -A i ' \) , , I Completion of the following table may be waived by the Inspector of Wires. Y ' No.of Total J �C No`of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA .,v, :..._.. —No;ofLuminaire Outlets No.of Hot Tubs Generators KVA -, '—'Nu::wf'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 oNo.of Switches No.of Gas Burners No. Initiating and on Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices g Tons No.of Waste Disposers Heat Pump Number._Tons . KW No.of Self-Contained p° Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of D ers Heating Appliances KW Security Systems:* rY No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent dromassa a Bathtubs No.of Motors Total HP Telecommunications Wring No.H Y g 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: 4/29/19 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 ❑X BOND ❑ OTHER ❑ (Specify:) E• I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. • FIRM NAME: Rex Burger Electrical, Inc. LIC.NO.: E Licensee: AJ Pulley, Master Electrician Signature`. LIC.NO.:A21843 @j (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.: • *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety"S"License: Lic.No. EL OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally o required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner ❑owner's agent. O Owner/Agent PERMIT FEE: $ 7S� Signature Telephone No. Lewis Bay Management,LLC 3 Andrina Drive,West Yarmouth 04/19/19 Addendum B (Wiring breakdown by room) *denotes appliance/fixture to be supplied by other. *denotes appliance/fixture to be supplied by Rex Burger Electrical, Inc. Grade Level Kitchen • Wiring,splice and electrical box for(1) 120V 20A standard dishwashing appliance* with a single pole toggle*disconnecting means,using existing circuit. • Wiring,splice,electrical box and device for(1) 120V 20A receptacle*for a wall microwave/hood appliance*. • Wiring and splice for(6) recessed 4-inch LED wafer light fixtures*over and around the perimeter of the island,and (1) new switch*. • Wiring and splice for(3) hanging ceiling pendant light fixtures*over the perimeter of the island to be switched via existing switches*. Large Area Room • Replace (2) surface-mount ceiling fixture with (6) new recessed 4-inch LED wafer light fixtures*to be controlled by existing switch(s)*. • Wiring,splice,electrical boxes,devices and plates for up to (6) 15A 120V tamper-resistance duplex receptacles*in new and existing walls. 5