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Home My WebLink AboutBLDE-20-004478 AorCommonwealth ofoffic8ial Use Only € MassachusettsPermit No.BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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 BLDE-20-00447 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:2/13/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned yes n lice of his or her intention to perform the electrical work described below. Location(Street&Number) 1 ROUTE 28 Owner or Tenant ZAMBELI V GELIA K TR Telephone No. Owner's Address THE TASTY TIDBITS RLTY TRUST,335 ROUTE 28,WEST YARMOUTH, MA 02673 , , Is this permit in conjunction with a building permit? Yes 0 No 0 (Check r. t' _ Purpose of Building Utility Authorization No. O / Existing Service Amps Volts Overhead 0 Undgrd 0 t h New Service Amps Volts Overhead 0 Undgrd 0 No. ' i adr _ w wort Number of Feeders and Ampacity ' Q 4 I v Location and Nature of Proposed Electrical Work: Install ten luminaires. CC 57. ' 0I Completion of the following table may be waived by the Inspect -' ires. 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 10 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 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: , 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 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:) certify,under the pains and penalties of perjuty,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: $80.00 ."'J \ USIN /� m �! C..omonwsa[th o/rigaeeachneslfa �Offiiciial,�Usee rOnnly� ('�7 p. V ,./ c� {7 Permit No. G� - +' "� "- f 6 .I 25spartmsnt of irs&rules,' I;-: Occupancy and Fee Checked FQ v 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 INFORMATIONI Date: 2-/1 -ZoZo 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) ,7 S .2A,rF z Y w. /42 ', ,nA2w.4 /? c r/I v2A+vT Owner or Tenant Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No EK (Check Appropriate Box) Purpose of Building Co yin rv►FA.r.h.4 L Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: „vs 740. t D Li,,,,,,i,rs ,.-. G=r".✓t, .01 e4A,r,/ . a`. •!0 Completion of the following table may be waived by the Inspector of Wires. '' No.of 'Total ‘.11 No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Transformers KVA t No.of Luminaire Outlets No.of Hot Tubs Generators KVA 1` --) Above In- 'No.of Emergency Lighting No.of Luminaires (l Swimming Pool grnd. ❑ grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones 4. No.of Switches No.of Gas Burners No.of Detection and K` Initiating Devices l':- Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Disposers Heat Pump Number Tons _ KW...._. No.of Self-Contained No.of Waste gyp° Totals: Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ other Connection No.of Dryers Heating Appliances KWSecurity Systems:1 No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent 1,..�-. Telecommunications Wiring• • CI y � �N0.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent Lu VCS,_. :�L• R: I &-c:1---: �-- Attach additional detail if desired,or as required by the Inspector of Wires. _�` i .� st i •ted Value of Electrical Work: (When required by municipal policy.) ! •-� ;d 4I l to Start: 2-/e-zo.o Inspections to be requested in accordance with MEC Rule 10,and upon completion. - '� RANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless y () ..> '^1 .: e 1 I censee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The 1 Lu til Li.. nn•.` •igned certifies that such cove a is in force,and has exhibited proof of same to the permit issuing office. uj HECK ONE: INSURANCE p.- OND 0 OTHER 0 (Specify:) 1 ccetttfy,under the painsr� and penalties of perjury,that the information on this application is true and complete. _T" � "'FSM NAME: ICS 1�J,21n�i2 e�n2ta4c/ ,..>c, LIC.NO.: Licensee: A.T. RA, Signature �� LIC.NO.: ,.I Z,1.--V3 (If applicable.enter"exempt"in t license number line.) Bus.Tel.No.'_/_x S/ Address: Zpc/S 1.t.,Ar,v S rit(a'r Kt AO OVA'S 11.1,L, < 02_64 t". Alt Tel.No.: *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)0 owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $