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Home My WebLink AboutBLDE-23-003846 WCommonwealth of Official Use Only 0\tfilhk ` Massachusetts Permit No. BLDE-23-003846 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:1/17/2023 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) 6 WARREN RD UNIT 32A Owner or Tenant XENAKIS GEORGE J Telephone No. Owner's Address XENAKIS TONA M, 6 WARREN RD,YARMOUTH PORT, MA 02675 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: Replacement furnace 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. grnd. ,Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 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 ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs 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 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: $50.00 61L L //23 ;�,'�y ommonwea nh o l ///aalacueelf.� Official Use Only 1 F OK Ito* ( Permit No. ' Theparlment o j.}c7 ire J�ervice� Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. /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: i—tl,..j City or Town of: yrt-ilm-tov.r W To the Inspector of Wires: IR By this application the undersignedes notice of his or her intention to perform the electrical work described below. IR Location(Street&Number) 6 v,.;�yj� , 1'Zt s o,c�Lt—fr 'Al l,)g .8�t ?' Owner or Tenant ''T'a fv A q En7,4ki S Telephone No. *id It Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No E (Check Appropriate Box) Purpose of Building a N,b;;-), T.di L._ 6„t%.4_,}1,;{Q, Utility Authorization No. g UExisting Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters J Number of Feeders anti Ampacity Location and Nature of Proposed Electrical Work: t R plAt `r;,ir.,. :: _ _LAN 1i' k r',.A.,,.!t,#'.if n Completion of the followingiable may be waived by the Inspector of Wires. 4 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 .69 Above In No.of Emergency Lighting „� No.of Luminaires Swimming Pool grnd. ❑ grnd. ❑ Battery Units b No.of Receptacle Outlets Cr No.of Oil Burners FIRE ALARMS No.of Zones No.of Detection and j I No.of Switches l ` i No.of Gas Burners O Initiating Devices Total 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 Municipal No.of Dishwashers Space/Area Heating KW Local 1-1 Other itii- Connection No.of Dryers Heating Appliances KW lecurity Systems:* tilNo.of Devices or Equivalent No.of Water KWNo.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: /—Ib.23 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 ❑ (Specify:) I certify, under the pains and penalties of perjury,that the information on th" application is true and complete. FIRM NAME: Fi•lr-u_ all_ LIC.NO.: Licensee: 41 '2j , Signature LIC.NO.:Azj &/3 (If applicable,er(er "exempt"i the license number line.) Bus.Tel.No.: Car" 3121 Address: 11.1 aIV I 1 i $_ ,'A-iivJi c f ,IAA t 2&(tO 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $