Loading...
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- J n/� �y�/ • • - � 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