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Home My WebLink AboutE-18-4451 t kl\q) Commonwealth of Official Use Only ® Massachusetts Permit No. BLDE-18-004451 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.I/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:2/8/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice el his or her intention to perlorm the electrical work describedlow. Location(Street&Number) 53 SISTERS CIR ANO 44_A 5 pop 16L3-Q, S [�t Owner or Tenant ROBERTSON DOUGLAS A TRS Te phone No. Owner's Address RYER JANE E TRS,868 WATERTOWN ST,W NEWTON,MA 02465 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 200 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: New residence Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 33 No.of Ceil:Susp.(Paddle)Fans 2 No,of Total Transformers KVA No.of Luminaire Outlets 3 No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 53 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 30 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges 1 No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers (feat Pump Number Tonsi KW No.of Self-Contained Totals: Detection/Alerting Device No.of Dishwashers 1 Space/Area heating KW 4540 Local ❑ Municipal 0 Other: Connection No.of Dryers 1 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 fdesired 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: ROBERT W GREER Licensee: Robert W Greer Signature LIC.NO.: 53428 (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. /-y t '�C�f!"! C^N`A1N•NI/ � n � ' Owner/Agent Signature Telephone No. PERMIT FEE:$230.00 K Pte. QaolxNaill-c &p Ws( e kg' 1440 .7-hi 2.34( P Mole 5-eas` rs 3/7/tS ,Z,(MbWC<1 P,►te-105-0 to .Zt6 23 '9 A `'I `e l..OmJPOflUCG[llt D�///a.ssa�ulc1 .. . y`uAUSet�pr/._S' Permit No. (n Occupancy and Fee Checked BOARD OF ARE PREVENTION REGULATIONS ntev. 1/073 ' (lie 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 PPINTDV MK OR TYPE ALL 1NFORM4TTON) Date: a/7/fQ City or Town of: YARMOUTH To the Inspector of Wires: By this application the pndersiped gives notice of his or her intention to perform the electrical work described below. • Location (S'h'eet&Number) , 6 3 St's •e- ;Kt - I , ✓pnoit{L- 0,a Owner'orTenant A n• ret.) IQ i() c�rSkt Telephone No.21.1:53/21„33c Owner's Address batt k iso[e r �o..h %e- .nv ou.,f L. Po rel- '. Is this permit in conjunction with a building permit? Yes L�7 - No El (Check Appropriat_Box) ' Purpose of Banding n V 4) (1 Utility Authorization No. Existing Service Amps / -/Volts Overhead .DOO �/,�- Q IIadgrd No. of Meters _ New Service . Ob Amps 12.Q volts Overhead❑ Undgrd® No. of Meters 1 Nttmber of Feeders and Ampatsty • Location and Nature of Proposed Electrical Wort 5ef,c p_ , eu a✓J1r I �P c r L1- _ • corrmlefinn ofthe table may be waived by the Inspector of F ret No.of Recessed Luminaires 3) INo.of Cert-Stsp.(Paddle)Fans INo,of Total Transformers KVA No. of Lum.nadre Outlet INo.of Hot Tabs Generators • KVA INo.or No. of Luminaires 3 ISwC ming Pool rnodve ❑ brad. ❑ mattertmer ency Lighting . No. of Receptacle Outle's 53 No.of Oil Banners IFIRE ALARMS INo.of Zones No.of Switches 3O No.of Gas Burners • No.of Detecctoa and Initiating Dews No.of Rua I INo.of Air Cond. To� No.of Alerting Devices No.of Waste Disposers IHeatPump I Number Tons KW INo.of Self-Cont•.ataed Totals: Detection/Alertino Devices No.of Dishwashers Space/Area Heating KW' ,L74 0 Local Municipal No.of Dryers I IHeaidag Appliances r SecuritySystems:*tion ❑ �°' No.of Water ` KW IND.of No.of Data�°�e�ces or Equivalent HeatersSins Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs INo.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER Attach additional detail if desired or as required by the inspector of nitres. Estimated Value of Electrical World ./a O(9> (When required by municipal policy.) Work to Start 2/gng) Inspectitms 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 tmless the licensee provides proof of liability insurance including"completed operation"coverage or it substantial equivalent The undersigned certifies that such co cage 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 tits,' eldpeitables of perjury, that the information on this application is true and complete. s FIRM NAME: is 6 bee* ‘,I lrt.ttre LIC NO.: 7iI S-15 Licensee: e4ecfL' Gative SIgnatare 7.7 LIC.NO.: (If applicable.Byer "tempt"in the license number ine q�� Address: f40 rpm • - (,iv R Bus.TeLNo: .v j 'Per MLO.L.c. 147.a.57-61,security�yr�requires `nut t of Fblc t " � Alt LinTeL No.: Department Public Safety"S"License: Lie.No. �— a OWNER'S INSURANCE WAIVER I am aware that the Licensee does nor have the liability insurance coverage norm— required by law. By my signetnre below,I hereby waive this requirement I am the(cheek one)0 owner 0 owner's agent , Owner/Agent Signature Telephone No. I PERMIT FEE: $