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Home My WebLink AboutBLDE-19-000818 A co Commonwealth of Official Use Only Massachusetts Permit No. SLOE-19-000818 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:8/10/2018 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) 72 ROUTE 6A Owner or Tenant REAM ROBERT C Telephone No. Owner's Address REAM DEBORAH L,72 MAIN ST,YARMOUTH PORT, MA 02675-1708 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Install receptacles. 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 0 ln- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No,of Receptacle Outlets 2 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.of Devices or Equivalent No.of Water KW No.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: 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: WILLIAM W GREER Licensee: William W Greer Signature LIC.NO.: 19867 (if applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:275 OCEAN ST, HYANNIS MA 026014740 Mt.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 cQtc gx,429 ,e • 1 . t r�.y� ammonsvea of/r/wsacirwrKd Official Use Only --yl� cy c7 n Permit No, GAR _p ogi e \. n 7_ -ltd JJepartmeni of Jin Serviced , , -��' ' Occupancy and Fee Checked l vV • BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07) • (leave blank) APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK AU work to be performed in accordance with the Massachusetts Electrical Code(MEL), 27 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: en /t(g/( City or Town of: YARMOUTH To the Inspecto of Wires: • . By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 72 ' (1.40- t NA. a••f-* )a to° 41/4‘, 00,9r•T Owner'orTenant 032(,,o,,u(.i. R .„ln Telephone No.Sol a•at $'y$6 Owner's Address Se4 Is1 C? Is-this permit in conjunction with a building permit? Yes 0 No E (Check Appropriate Box) \d Puipoie of Buildinga \ `, L-....-9 LL)6...„, - „ j1 (3 � 't� Utility Authorization No. J.7 EkIstiAg Service Amps / Volts Overhead❑ Undi� � grd❑ No.of Meters 4 _17 ,-7::::::l�Inice _ Amps / Volts Overhead 0 Undgrd 0 Na.of Meters er of Feeders and Ampadty 0 V • on and Natnrc of Proposed Electrical Work: (m sjr„. l v a,u ¢ .° I l, - 4jca.gq, rvtJ � \ a2 G 1= c , ,ra�,�Pta�(,, 1! —.IL Completion of the follenving table may be waived by the Inspector of Wires. 1 No.of Recessed LumInairrsNo.of Total No.of Cert-Snsp.(Paddle)Fans • Transformers TVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above 0 In- No.of v:mergency Lighting - Krnd. crud. 0 Battery Units No.of Receptacle Outlets No.of Oil Ruiners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners • No.of Detection and Initiating Devices j( No.of Ranges No.of Air Cond, Ton No.of Alerting Devices t No.of Waste Disposers Heat Pump I Number'Tons I KW No.of Self Contained U Totals: Detection/Alerting Devices • No.of Dishwashers Space/Area Heating KW Municipal o Low 0 Connection 0 Other No.of Dryers Heating Appliances KWSecurity Systems:` No.of WaterNo.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([desired or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) l Work to Start t( 9 f S Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ttAGE: 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 c_o_v�r ge is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE CIP BOND ❑ OTHER 0 (Specify:) I certify, under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: (.L.5 H( `Q wt, &rc- Cr Qr e. Ut c4v. C`•a.t LIC.NO.: j; f 9,8'6, ;., Licensee: CO 1-1 V.� •„� .., , � o 2r Signature (.�',�Q�, „ LIC.NO.: 7 3af applicable.enter"exempt"in the license number line.) Address. ,'�l'IJ" OCeK••. 54. Bus.Tel,No.:So_ s? oGSs- J `Per M G.L c. 147,s.57-61,securitywork requires ati•. 14�t of Public AIL Tel.c. o. - - O WNER'S INSURANCE WAIVER: I am aware that Licensee does not have the liability insurcense: ance coverage normally ei required by law. By my signature below,I hereby waive this requirement. I am the(check one)ID owner ID owner's agent Owner/Agent Signature Telephone No. ( PERMIT FEE: S St)