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Home My WebLink AboutBLDE-19-001432 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-19-001432 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked fRev.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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:9/11/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm 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 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: Receptacle on deck and water valve. 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 1 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 I 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 LNSURANCE 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 era c7t k //s G- 4 n# anun naa�oil r/assaclr iOfficial Use Only_ PermitNo. /G � "� 3�s � ThsParGnenl ofyrrService!ei= Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev. 1/071 (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: 9/l o ft 9 Q City or Town of: YARMOUTH To the Inspector of Wires: 10 . By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&^Number) to 9 C CA..I'm.t 1rea . Owner or Tenant`jr liik'! 'j'i/,,,,..,,Q (Z I2a.14 y }{e.(4i_7 1 L.L,a Telephone No. f------------ TH,S-l;lc ul it i2 a oo,.oQ (.ts o.rers4-of—,M c 0/a ce 9 CI ,� m i s this permit in conjunction with a building permit? Yes ❑ No Lta ® (Check Appropriate Box) •oo I� urpose of Building 0 t.�) 1I('inq Utility Authorization No. o t �t"4 ¢ I xisting Service '7-}y' Amps / Volts Overhead 0 Undgrd O a1R El No.of Meters al s '-t o ew Service Amps / Volts Overhead 0 Undgrd 0 Nri.of Meters O 11 W i Number of Feeders and Ampaeity W co o ILocation and Nature ofProposed Electrical Work:.Z„5y,µ(tC.pi r0c4tn, rn_ywick Va-” 9v.:(( mm W . rs C (ecFr cwl( S o { P OP c4 oct` coc..-kor CLiJA 0Pp U4tJl' : et c-i4Setil OMr Completion of thefollowinttable may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of CeiL Snap.(Paddle)Fans No.of Total Transformers KVA _ No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above O In- No.oe Emergency Lighting girgird. 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 Initiating Devices No.of Ranges No.of Air Cond. Too No.of Alerting Devices • No.of Waste Disposers Heat Pump I Number 'Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Locaicipal ❑ConnMuniection Other No.of Dryers Heating Appliances KW Security Systems:" No.of Water No.of No.of Devices or Equivalent Heaters KN No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wtrtng: No.of Devices or Equivalent OTHER: Attach additions!detail if desired or as required by the Inspector of Wires. Estimated Value of lectrical World (When required by municipal policy.) Work to Start: I1 ( 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 0 OTHER 0 (Specify:) I cera)",under the Ct.)pai1ns and penalties of perjury,that the information on this application Zr true and complete. ter FIRM NAME: 't{IiGlt.1 Gr- 11 r- £tit cJ :ctco.� LIC.NO.: FI9D/Ce7 Licensee: L~l.7 I l earn.♦, 6 r@ or Signature ec.J^CF C LIC.NO.: (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.-Sob+ a 4 O O L Addresr. r3.7rOC15�`,. S / flyqt;5 Q2_ce �� j Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.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 0 owner's agent. Owner/Agent Signature Telephone No. ( PERMIT FEE: $ 5D'