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Home My WebLink AboutBLDE-23-004881 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-004881 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:3/6/2023 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) 40 MELVILLE RD Owner or Tenant WALSH JOHN N Telephone No. Owner's Address 40 MELVILLE RD, SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check ApproprijAte Box) • Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ o;of Meters �"/,.. New Service Amps Volts Overhead 0 Undgrd 0 :'No.of Meters , Jo Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replacement boiler. Completion of the.following table may be waived bylke,Jnspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Tufa) 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 No.of Gas Burners 1 No.of Detection and Initiating Devices ,No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump __N umber Tons KW No.of Self-Contained No.of Waste Disposers 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.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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 perjuiy,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 ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 .i' Commonwealth of Massachusetts Officia3l _ Permit No.: t # tt Department of Fire Services Occupancy and Fee Checked: = r- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] ��- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 C R 12.00 City or Town of: yi4-f2.31.AsultA Date: 313/223 To the Inspector of Wires: this application,the undersigned gives notices of his or her intention to perform the electrical work described below. Location(Street&Number): 40 MEW uE Qt?, Unit No.: Owner or Tenant: -SOH,•-) ,I Ley Email: Owner's Address: S+4xn£ Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box)Yes❑ No["Permit No.: Purpose of Building: attril • Utility Authorization No.: Existing Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: New Service: Amps / Volts Overhead❑ Underground❑ No.of Meters: Description of Proposed Electrical Installation: .L.r,ILc ( tE$A wr Completion of the followin table may be waived by t e Inspector of Wires. No.of Receptable Outlets: No.of Switches: / Generator KW Rating: Type: No.Luminaires: No. f Recessed Luminaires: No.Wind Generators: Wind KW Rating: No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: No.Heat Pumps: Total KW: Total Tons: Fire Alarm System El No.of Devices: Swimming Pool:In-Gmd.❑ Above-Grnd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: No.Air Conditioners: Total Tons: Telecom System❑ No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy) Date Work to Start: W,S1/23 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: IA Avv (r) , C , A-1 ❑or C-I ❑LIC.No.: Master/Systems Licensee: a_ . ;��.. LIC.No.: 4 al ry 3 Journeyman Licensee: A.-$ . LIC.No.: /v 223 3 Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: P-0_ 30-C ►y ,s AtA . Oz-Lt60 Email: E Lf-r 2;. �1-1. O;'.. C., c A-A)3 gar?r 2 ;c — .4.4 Telephone No.: 3 c'r 3 t 3 I Y I certify,under th ins and penalties of perjury,that the information on this application is true and complete. Licensee: Print Name: 1,4 3, iw ur Cell.No.: INSU OVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability 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[a'BOND❑ OTHER❑ Specify: 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: Tel.No.: Signature: Email.: