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HomeMy WebLinkAboutBLDE-21-001612 Commonwealth of Official Use Only ' Permit No. BLDE-21-001612 _� Massachusetts 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;9/28/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intentio o pertorm the electrical work described below. Location(Street&Number) 76 COTTAGE DR �F\�.OVi 5 o`V i-1.g0 _g(2__ 1 Owner or Tenant WILLIAM COIUTINHO Telephone No. / Owner's Address 76 COTTAGE DR,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 Amps Volts Overhead ❑ Undgrd 0 New Service Amps Volts Overhead 0 Undgrd ❑ r ,, 1 e Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service&remodel kitchen and bat n p ° .. Completion of the following table may be waiv 1,0,4 for 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 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Munpal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No No.of Devices or Equivalent HeatersWater KW No.of No.of Data Wiring: 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:) 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.l NO.: 21843 (If applicable,enter"exempt"in the license number line.) Address:289 QUAKER MEETING HOUSE,RD,E SANDWICH MA 025371366 A . Tel o.:: Alt. *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Tel.No.: 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 elephone No. 'PERMIT FEE:$100.00 fiC.P 11 Co H Gl /°( /-1 'c Commonwealth o///laaackir-4db Official Use Only ---:_EARL--_-_---# .Apartment(Pipe..,tire&ruiced Permit No. %% 1 1 0 " 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: 09/22/2020 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) 76 Cottage Drive, West Yarmouth Owner or Tenant William Coiutinho Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No X❑ (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service 100 Amps 120 / 240 Volts Overhead® Undgrd'❑ No.of Meters 1 New Service 100 Amps 120 / 240 Volts Overhead Q Undgrd El No.of Meters 1 Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Wire new kitchen and bathroom, replace service. Sheetrock removed in entire house-wiring to stay as is. Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. f To.Transformers KVAVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grad. 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. Tots No.of AlertingDevices 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 Connection ❑ Other No.of Dryers Heating Appliances KW Secu N f Systems:* or Equivalent No.of Water Heaters KW No.of No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin 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: 09/26/2020 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 ® BOND ❑ OTHER 0 (Specify:) o I certify,under the pains and penalties of perjury,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 © (If applicable,enter"exempt"in the license number line) LIC.NO.: A21843 >, Address: 2045 Main Street, Marston Mills, MA 02648 Bus.Tel.No.; (508)250-2514 *Per M.G.L. c. 147,s. 57-61,security work requires D Alt.Tel.No.: apartment of Public Safety"S"License: Lic.No. ac 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/Agent ❑owner's agent. Signature Telephone No. I PERMIT FEE:$ I