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Home My WebLink AboutBLDE-21-001211 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-001211 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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:9/9/2020 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) 48 EILEEN ST Owner or Tenant SUE FORD Telephone No. Owner's Address 48 EILEEN ST,YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appr./ " e ox) 0 Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 Q I. New Service Amps Volts Overhead 0 Undgrd ❑ ,o s , �'r citir Number of Feeders and Ampacity ��g i , ,rfilb Location and Nature of Proposed Electrical Work: Install receptacle for fire place blower. l .f"�,l j O v Completion of the following table may be waived by . ..�. Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of ar Transformers KV No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool grnd e ❑ grnd. ❑ No.of Emergency Lighting Battery Units No.of Receptacle Outlets 1 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 Municipal 0 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.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:$50.00 I _ Commonwealth.of'//laaaaclivaelfa Official Use Only �! l ®� S Permit No. Lt.(t � ( �► 3 epar of of ire ervice4 1!-f 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: 09/08/2020 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) 48 Eileen Street, Yarmouth Port Owner or Tenant Sue Ford Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Residential Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters - --blew Service — - Amps -/ Volts Overhead-El Undgrd 0 No.ofMeters - Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install receptacle in fire place for gas insert 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. grad. ❑ B, atter_y Units No.of Receptacle Outlets 1 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. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number... Tons KW No.of Self-Contained Totals: _.__._.._ __ Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW Municipal pa Local❑ Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent Heaters 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: 09/08/2020 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. E CHECK ONE: INSURANCE [X, BOND ElOTHER 0 (Specify:) oE I certify,under the pains and penalties ofperjury,that the information on this application is true and complete cii 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 m Address: 2045 Main Street, Marstons Mills, MA 02648 Bus.TeL No.: (508)250-2514 - *Per M.G.L.c. 147,s. 57-61,security work requires Department of Public Safety S License: Alt.Lic elNo.. oc 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 0 owner's agent. Owner/Agent Signature Telephone No. ` PERMIT FEE:$ I