The URL can be used to link to this page

Home My WebLink AboutBLDE-19-002923 Commonwealth of Official Use Only t . (I Massachusetts Permit No. BLDE-19-002923 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:11/13/2018 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 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: Install switches&receptacles 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- 0 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 2 No.of Gas Burners No.of Detection and Initlatine Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons Heat Pump __ Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertlne 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 Siens 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:) 1 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 a el(((-eue e --- t •... p C.ommoruveas o f Massae! Official Use Only �, cc�}� cc�� p 'Cq 23 I. .`sr� 1JsParlmsn[of..Y'irr J Permit No. �"' _ Serviced BOARD OF FIRE PREVENTION REGULATIONS Occupancy 1/07) (leand ye Fee Checked So 6/71 'Rev. iro7) . • 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 ININK OR TYPE ALL INFORM4770N9 Date: I f I l / is? City or Town of: YARMOUTH To the Inspector of Wires: By this application the omdersigned gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) (.f 2.. Scccttctp ad 9Q wner.orTenant grgK�. Zs'ic4.-i� (to�I'Fiji OIcl.j /IC-. TelephoneNo._ wner's Address ,-)3 �,.rs1;+v 4u aci ../ to orco stn / I en e ti 9 Ili m F this permit in conjunction with a building permit? Yes ❑ No ��11 > CV"iii • n y� (Check Appropriate Box)_ ¢ urpose of Building W 7(� .t cry I, g Utility Aothorizstion No. w .- (r risting Service_ Amps / Volts Overhead V � ead ❑ Undgrd❑ No.of Meters Z 4 ew Service _ Amps / Volts Overhead 0 Undgrd❑ No.of Meters w 141 amber of Feeders and Ampacity CC m cation and Nature ofProposed Electrical Work "4S,t..,,t11aP^o9�aHablr2t..i,b�l,05roreXt°r•:o.- CytiseiTh r Itib.l4ll 9 NI 4Q,5 grist ri r / � 'Z' , r Qc4,4o. c�z S `�F�4t q a.N Cr c� �I Spa4 • w.dh Swl�cl t lit;) Complexion of the fallawinvable may be waived by the Inspector of Wires. No.of Recessed Luminaires Na.of Cerlticusp.(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 k mergency Lighting erred. grn& 0 Battery Units No.of Receptacle Outlets No.of OH Burners FIRE ALARMS INo.of Zones • No.of Detection and No.of Switches Na.of Gas Burners Initiating Devices Total _ No.of Ranges No. of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number I Tons I KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area HeatingKW nulclpal Lori❑ CMonnection 0 Other li No.of Dryers Heating Appliances KW Security Systems:" No.of Water No.of No.of Devices or Equivalent Heaters No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent d OTHER: ' Attach additional dewil(desired or as required by the Inspector of Wires. Estimated Value of Electrical Work (Whenrequired by municipal policy.) Work to Start: 11f 9//er Inspections to be requested in accordance with MEC Rule 10,and upon completion. a INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless • l the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalentThe undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. cd CHECK ONE: INSURANCE 0 BOND 0 OTHER 0 (Specify:) ti I cern)", under the pains and penalties of perjury,that the information on this application is true and complete _ FIRM NAME: Go ../llt; ,,.,,t Gr2ev- Q C Lc_tv.• e.?u. LIC.NO.:g/9'67 Licensee: Go tt\;Q,,,,t Cr"0 °.- Signature . I1a, 1 (If applicable.enter"exempt"in the litenje number line.) Lel.NO.: Address ?� Of p am. S'` /l qK� 5 (+�o2 Ce o\ Bus.Tel.No.: j Per M.G.L.c. 147,s.57-61,securitywork requiresYcAIL Tei.No.: License: Lic.No. — OWNER'S INSURANCE WAIVER: I am aware that thaeLicenseee doeslnot have the liability insurance coverage normally et required by law. By my signature below,I herebywaive this Owner/Agent requirement. I am the(check one) owner El owner's agent Signature Telephone No. I PERMIT FEE: S 1