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Home My WebLink AboutBLDE-23-002883 42 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002883 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:11/28/2022 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) 35 GINGERBREAD LN Owner or Tenant SUSAN HILL Telephone No. Owner's Address 35 GINGERBREAD LN, 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 water heater 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 No.of Detection and Initiating Devices To No.of Ranges No.of Air Cond. Ton I 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 Heating KW Local ❑ Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water 1 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 pp /l�� Official Use Only /�C,ommonweatt�.o�1//ab6ac�u�etts 0_7-3 l 2 ft33 7*riym.t l Permit No. ,i�;owe 2epartment o }ire.S.eviceJ :t i�l -'` 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: 11-Z3-z Z City or Town of: /�2runtITW To the Inspector of Wires: By this application the undersigned gi es notice of his or her intention to perform the electrical work described below. Location(Street&Number) 3 C 6f Ncic it i3►2LEt A L,d. Owner or Tenant 5i..i SAzy 14tu Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes U No (Check Appropriate Box) Purpose of Building ars,pc,' r j)u.,e-Lt,,r(, Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd n No.of Meters New Service Amps / Volts Overhead P Undgrd n No.of Meters Number of Feeders and Ampacity J :� Location and Nature of Proposed Electrical Work: IN sT A-u R prAei.E Foe 1.04-1-C--14.0,46 l j g i n)r,4 r Wh TiF2 14.4--r02._ . Completion of the following table may be waived by the Inspector of Wires. otal 4 No.of Recessed Luminaires No.of Ceil:Sus p.(Paddle)Fans No.roof TVA i Transformers KVA Z e No.of Luminaire Outlets No.of Hot Tubs Generators KVA vi st• No.of Luminaires Swimming Above 1-1❑ In- ❑ No.of Emergency Lighting Pool grnd. grnd. Battery Units p No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones I �:./ J No.of Detection and No.of Switches No.of Gas Burners Initiating Devices No.of Ranges No.of Air Cond. Tons No.of Alerting Devices Heat Pump Number Tons KW No.of Self-Contained J No.of Waste Disposers Totals: Detection/Alerting Devices b No.of Dishwashers Space/Area Heating KW Local❑ Connection ul ❑ Other No.of Dryers Heating Appliances KW Security Systems:* W Y No.of Devices or Equivalent No.of Water No.of No.of Data Wiring: Heaters KW Signs Ballasts No.of Devices or Equivalent WiriNo.Hydromassage Bathtubs No.of Motors Total HP Telecommunications 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: 1 -30 -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:) Icertify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: I-I A i i Q,i LIC.NO.: Licensee: 4.3 , ak.c.e-V Signature __"../ LIC.NO.: Az ya (If applicable, ent r "exempt"in a license number line.) `� Bus.Tel.No.•�r'Jr.39fdig er33/ Address: PO. 3D,c 1'10( s.Dcnrw+s DZtr6,t) 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: $