HomeMy WebLinkAboutBLDE-19-002230 y►��,'�J.�tt. •• Commonwealth of Official Use Only
Massachusetts Permit No. BLDE-19-002230
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
(Rev.l/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:10/15/2018
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) 161 ROUTE 6A UNIT CA
Owner or Tenant GIANNO MARK Telephone No.
Owner's Address 235 BARNSTABLE RD, HYANNIS, MA 02601
Is this permit in conjunction with a building permit? Yes ❑ 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: Installation of flood light.
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 1 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Batter!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/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 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 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.
CIIECK ONE:INSURANCE 0 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: Robert D Greer
Licensee: Robert D Greer Signature LIC.NO.: 26793
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address: 140 PEACH TREE RD,MARSTONS MLS MA 026481841 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:$80.00
OSLO c17(1Bra-
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• • - � i .-. l.omnwnaleakk al///assac ils - •i 'al Use Only
iJJaParlrncnf o f..Yiro Services
•Permit No. eg 9 Z7 o�O
-
Occu
' ev. 1/07)
BOARD OF FIRE PREVENTION REGULATIONS /a7ry and Fee Checked(leave 1 (leave blank)
APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL WORK
fctr 1-- i All work to be perfoed in accce with the Masshusens Elecok(l Cd 01..—"'�z 1 (MEC),527 1
Lt.!! c,,,, ! P: SEPRINT ININK ORTYPE ALL INFORMATION)
Date: D���
:!°'1 N a City or Town of: YARMOUTH if
To the Inspeor of Wires:
LL! i .1163yI'this application the Imdersigned gives notice of his or her intention to perform the electrical work described below.
•
'� ol.ation(Street&Number) 1 61 V ft. ' 5 f' �/ar yin 0 Li + C. rt
U A)crner orTenant 'n' jTele haneNa L01 o o y ^ QY P S r 77f�StSSS
.O er's Address
mix is permit in conjunction with a ufding permit? Yes No
❑ (Check Appropriate Boz)
Purpose of Building y\ Utility�Authorization No.
Existing Service lb fl Amps )10l jy7J Volts Overhead LS1Ilndgrd❑ No.of Meters I
New Service Amps / Volts Overhead
❑ Undgrd❑ Nd.of Meters
Number of Feeders and Ampacity
•
Location and Nature of Proposed Electrical Work:
P s L --1. • 2
Vit_f.._ Qc IC .6-1-41sr— t-d2y, 1 e,z jo ?f;--- Jell- .0 -
•
.., completion,'the following table may be waived by the Inspector o Wires
No.of Recessed Luminaires No.of Cert Sarp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA '
No.of LuminairesSwimming Pool Above In- No.of Lmergency Lighting
ornd. 0 crud. 0 BatteryUnits
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS [No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiatine Devices
Toial
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump I Number (Tons J KW No.of Sett-Contained -
•
Totals: j Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KVV. Local❑Municipal
Connection other
No.of Dryers Heating Appliances ICW Security Systems:'o.of
No.of Water No.of No.of Data Devices or Equivalent
KW
Heaters
Sighs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirino
No.of Devices or Equivalent
OTHER: -
Attach additional detail if desired or as required by the Inspector of Wires.
Estimated Value of Electrical World ( Po() (When required by municipal policy.)
Work to Start: /0- I Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVE 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.
l
FIRM NAME: � em--1' Creep LIC.NO.:
Licensee: Signature / LIC.NO.:�
A dresab6 ester tree !h a j6number0fi '� 6 G Bus.TeL No.
Address YY/ 999 t' )'uf �'f44S'j/�ij S € ).. Q AILTel.No '. (g'
j 'Per M.O.. .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 n--
Owner/d Agent
by law. By my signature below,I hereby waive this requirement. I am the(check one)D owner 0 owner's agent.
I Signature Telephone No. I PERMIT FEE: $ 1