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Home My WebLink AboutBLDE-21-004778 Official Use Only or Commonwealth of i _ .\ Massachusetts Permit No. BLDE-21-004778 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:2/23/2021 To the Inspector of Wires ! '7 a City or Town of: YARMOUTH i Lt 3y this application the undersigned gives notice of his or her intention to pertorm theit electricalel work d cribed.b ow. ^` 8 Location(Street&Number) 232 SOUTH SHORE DR 1 V 1QX. V4. , I Y 1,,' Owner or Tenant Telephone No. Owner's Address T, 232 SOUTH SHORE DR, SOUTH YARMOUTH, MA 02664 Es this permit in conjunction with a building permit? Yes 0 No 0 (C Purpose of Building Utility Authorization No ..: r i l- Existing Service 100 Amps Volts Overhead 0 Undgrd 0 -4. ; ' .s New Service 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade service, install generator, upgrade grounding, &replacement boiler. Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators 1 KVA 22 SwimmingPool Above ❑ In- ❑ No.of Emergency Lighting No.of Luminaires grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and No.of Switches No.of Gas Burners 1 Initiating Devices No.of Air Cond. Total No.of Alerting Devices No.of Ranges Tons No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices 0 Municipal ❑ Other: No.of Dishwashers Space/Area Heating KW LocalConnection Security Systems:* 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 Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP 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 LIC.NO.: 21843 Licensee: A J Pulley Signature Bus.Tel.No.: (If applicable,enter"exempt"in the license number line.) Alt.Tel.No.: Address:289 QUAKER MEETING HOUSE,RD,E SANDWICH MA 025371366 *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 0 owner ❑ owner's agent. signature below,I hereby waive this requirement.I am the(check one) I Owner/Agent I PERMIT FEE: $75.00 Signature Telephone No. Vt6 c4 4 C-Agil 3( `181'74 C `d aItteZi ,per �//� / Official Use Only Q Commonwealtho/�Y/a�eachu�e n v '(�'� lT7 t _'`._ 't Permit No. / !mot Te artment ol Jire�erviceo ;' N= 4 P Occupancy and Fee Checked 'i BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07 �3 (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: a/zz/z 1 City or Town of: imam,:c:�► To the Inspector of Wires: By this application the undersigned gibes notice of his or her intention to perform the electrical work described below. Location(Street&Number) Z 3 2_ )-,,,,;ram, 5 r4 „:t- il A S• /.4 tZ Owner or Tenant NCI l c,L S is 4,lat. Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes 0 No Er (Check Appropriate Box) Purpose of Building i2r 5 '),u_;_-,: , Utility Authorization No. Existing Service i ov Amps 1 -5 / zLi0 Volts Overhead a Undgrd❑ No.of Meters ( New Service 2.0.) Amps ►?,; / 2 4 n Volts Overhead 0'. Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: -9r,,.._A 6& .% ,,;,r --,, L..-O 4 tN S it zz v_-'^' C"ev olre r;:i. >�l.e w PA-",,,a_O ,,,, f,-A__3 ce,L,— / -ra-,'Yr)S.r'ri.-... S-:�,cc r) 4 6i,.+v.:'..1 first-, !1-c NL-r'- "ri// alic tit t r l;n C I2- t Y Completion of the following table may be waived by the Inspector of Wires. No.of Total No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators l'L KV 2 Z Above In- No.of Emergency fighting No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones � No.of Detection and No.of Switches No.of Gas Burners l ` Initiating Devices Total No.of AlertingDevices No.of Ranges No.of Air Cond. Tons Heat Pump I Number 1 Tons I KW No.of Self-Contained No.of Waste Disposers Totals: ( Detection/Alerting Devices Municipal Other No.of Dishwashers Space/Area Heating KW Local❑ Connection ❑ HeatingAppliancesSecurity Systems:'* No.of Dryers KW No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: KW Ballasts No.of Devices or Equivalent Heaters Signs Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivaent 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: 3/21 Z) 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 CY BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and LIC.complete. FIRM NAME: 14 A i v Ok , C;4FG'Ln `c NO.: LIC.NO.: 4Z/y'4/3 Licensee: '5 r u 0- Signature No.: S"� f� 3�"3/ A Bus.Tel. Z)y (If applicable,enter"exempt"in the license number line.) ✓ Alt.Tel.No.: Address: Pt?"lit) /t,/C 1 . . 4. ."'S 1 AAA 0Lici 0 *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) IT ownerF 0 owner's agent. I Owner/Agent Telephone No. I Signature