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Home My WebLink AboutBLDE-19-001609 r Commonwealth of Official Use Only • Massachusetts Permit No. BLDE-19-001609 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.1/071 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEA SE PRINT IN INK OR TYPE ALL INFORMATION) Date:9/17/2018 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) 42 SCALLOP RD Owner or Tenant MAHER DAVID L Telephone No. Owner's Address MAHER MARILYN J,400 CAPITOL PARK AVE#202,SALT LAKE CITY,UT 84103 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 ❑ 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: Repair driveway light,replace receptacles in bath,pool utility&shop with GFCI. 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 INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiative 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 Data Wiring: Heaters Slens 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 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 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 b Ql rk6 e __SL, ammo. etvea of Massachusetts � Otliciaial Use/Ci / _V� cX P c•r Services •Permit No. c=r t r 1 1p fa `4/t�= e o .in J 'I'I Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS . lro7) (leave blank) APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK All wort to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 I (P�SEPRINT ININKORTYPE ALL INFORMATIONJ Date: 9 1 11 (12 City or Town of: YARMOUTH To the Inspector of Wires: . By this application the Imdersigned gives notice of his or her intention to perform the electrical work described below. • Location (Street&Number) 41 a S C-ct((o e 2cQ. Owner'or Tenant Gr do e rr(a1.4., frac.t 4-)e tr.(oLQ4zh.L e Telephone No. z p Ot r'sAddress .3 JHs4,:4-tj•4. fcao4 toov-c a5Ar�.#- 0 l0 c 9 L 1 ® tin •permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) �. N a ase of Building9 0 ((`' t Utility Authorization No. ELI— .%•••r- sag Service Yoo Amps / Volts Overhead 0 Undgrd `.vl{ o grd❑ No.of Meters U r1 e service Amps / Volts Overhead W ❑ Undgrd 0 No,of Meters iA�l 0 y irISer of Feeders and Ampadty J II lion and Nature of Proposed Electrical Work: R k f l ao rae�p ltti, Lc kto.t•k� too( 4,1 mevt� 4-a. StiD r 004.-... w t f1 y P /&7= ropc..; ,- ote'ue&cy I ''r4 1e40uQ Completion of the followin(table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cet1 Sasp.(Paddle)Fans No.of Total Transformers ICVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Aenbodve 0 Inr-d0 Naottoefrytmiettgenry Lighting No.of Receptacle Outlets . No.of Oil Burners ,1FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners 'No.of Detection and ' • Initiating Devices No.of Ranges No.of Air Cond. To sl No.of Alerting Devices 1 No.of Waste Disposers Heat Pump Number Tons No.of Self Contained Totals:I I I 1CW Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW' Municipal Local0 Connection 0 Other No.of Dryers Heating Appliances KW Security Systems:* U No.of Water q No.of No.of Devices or Equivalent No.of Heaters Data Wiring: e Signs Ballasts No.of Devices or Equivalent Cr. No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent d OTHER: D Attach addition/detail tf desired or as required by the Inspector of Wires. Estimated Value of Electrical Work (When required by municipal policy.) ~ Work to Start 44.1 Work to be requested in accordance with MEC Rule]0,and upon completion. L INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless o 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 0 OTHER 0 (Specify:) I certify,under the pains and penalties ofperjuty,that the information on this application is true and complete. .5 FIRM NAME: (,;:((1/44t.c Groan l= (Ja,1r}c1cK LIC.NO.: l Licensee: W t11t.t o o-- Signature (..t../-4-.1014-511-2-24-, LIC.NO.: 3`` (If applicable,enter"exempt"in the license number line) Bus.Tel.No.tf 9 8a e G ri Address. • J Per M.G.L.c. 147,s.57-61,securitywork requiresyAlt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that thaeLicenseee does nothavethe liability insurcense: ance coverage n c.No. Q required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. t Owner/Agent i Signature• Telephone No. I PERMIT FEE: S 50