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Home My WebLink AboutBLDE-19-001062 Commonwealth of Official Use Only 12-......#1‘ Massachusetts Permit No. BLDE-19-001062 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:8/21/2018 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) 150 ANSEL HALLET RD Owner or Tenant THE 150 ANSEL HALLET RD LLC Telephone No. fij Owner's Address 277 SOUTH SEA AVE,WEST YARMOUTH,MA 02673 A_/,j I a, t • • Is this permit In conjunction with a building permit? Yes 0 No 0 (Check A�+g�pr�opriate Box .:� .Tlf, ' Purpose of Building Utility Authorization No. lel 3 I ' 3 (`t$� dr 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: Replace buss bar and circuit breaker.(134-B) 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• 1:1No.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 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/Alertine 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 Stens 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 iifdesired,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,secunty 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:$80.00 4g- e/t,(is /ti \.1t\ _ - l.ommoRIM oiec/77r/accaachuxKi Jog- Use Only/ .� - \ rio 1Jeparlmeni oil re Services .Penult No. �l`1' l Q `� k -1 Occupancy and Fee Checked -- BOARD OF FIRE PREVENTION REGULATIONS . 1/07j (leave blank) APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC) 527 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATTO/VJ Date: g7a(/ 13 City or Town of: YARMOUTH To the Inspector of ires: B •y this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 134 1a A N e Q i fiat(u It R 0Q. .Owner'orTenant js'O Ary 5s ( HCt((QI- L c, Telephone No. eOwner's Address (kc' i3 O K $c g f int) e sr "am-....w tlioiN o 2 G 71 v Is this permit in conjunction with a building permit? Yes ❑ No is y (Check Appropriate Box) Purpose of Building Or.. C)F(^; Utility Authorization No. k9 Existing Service_ Amps / Volts Overhead 0 Undgrd❑ No.of Meters Q New Service _ Amps / Volt Overhead❑ Undgrd 0 No.of Meters LSJ lkaniber of Feeders and Ampacity � v Inca on and Nature of Proposed Electrical Work: ,, /1 r // yr (� 1 q (ee a o d e octal t�J S S b es_v-• l' u,� ` c ' co:E ,,r c� %c, - } Pt 0vii# / 3 1C ph it °Us Y s cow w oa•r LuTh Cit 1 Completion ofthefoAowin- table may be waived by the Inspector of Wirer. () ` ` en No.df Recessed Luminaires No.of Cesl-Susp.(Paddle)Fans No.of Tom al Iv Na of H ct No.of Luminaire OutletsTransformers KVA Hot Tubs Generators KVA is Nn.'ot Luminaires Swimming Pool Abov :tnd. 0 Bae ❑ In- Nottery Unit.otLmergensry Lighting -Crud Na 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 No.of Ranges Na of Air Cond. Total No.of Alerting Devices • No.of Waste Disposers Heat Pump(Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' [Mai Municipal ❑Connection ❑ Other No.of Dryers Heating Appliances KW Security Systems:" No.of Devices or Equivalent v Heaters KW No.of No.of Data Wiring: No.of Water Signs Ballasts Na of Devices or Equivalent o No.Hydromassage Bathtubs No.of Motors Total HP 'telecommunications Winng: Q Na of Devices or Equivalent Qi OTHER: 0 Attach additional detail if desired or as required by the Inspector of Wires. U Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: 0-ict !r Inspections to be requested in accordance with MEC Rule 10,and upon completion. m INSURANCE VIRAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless c the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The ' L undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE a BOND 0 OTHER 0 (Specify) I certtfy,under the pains and penalties of perjury,that the information on this application is true and complete. d FIRM NAME: (,Ji((l6tPvt. Ctt^ ePr-- £ (ocl-o.:c c.-. LIC.NO.: 9ilk7 Licensee: Ai j((t ctct t Cs'r. Q e,r- Signature Gc.J.c,C 2t e-1_12 j2.p.,... LIC.NO. (If applicable,enter"exempt"in the license member line.) Bus.Tel.No.So a An�{o SZ Address. ')7T OCQ.ah I Nruin . 3 art Gof • A14 J *Per M.G.L.c. 147,s.57-61,security work requires Department Deparent of Public Safety"S"License: Lic.No. �— Q OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage n — required by t law.t By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's age ns 4 Signature Telephone No. I PERMIT FEE: S 5D -e