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Home My WebLink AboutBLDE-19-001065 444 41 1 -0. Commonwealth of Official Use Only ICMassachusetts Permit No. BLDE-19-001065 • BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:8/21/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perturm the electrical work described below. Location(Street&Number) 9 GINGERBREAD LN Owner or Tenant VILLANO GEORGE Telephone No. Owner's Address VILLANO MARY C,5 LAKEVIEW DR,MILLSTONE TOWNSHIP,NJ 08535-1132 Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd ❑ 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: Wiring for addition&3 season porch. 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. Batten,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 Initiatine 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 Enuivalent 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 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 ❑ (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: ROBERT GREER Licensee: ROBERT GREER Signature LIC.NO.: 22539 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:140 Peach Tree Rd. Marstons Mills MA 026481841 Mt.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:$75.00 )nn''t €0-116 eCiA gauge •\ \ �_ l.ommonmea� of Passac Its /OOf/ficial Use Only V �� n _)� 1JeParLneal`of.yin Jervice! •Permit No. 'Cl --- O �/ Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS ev. 1/07] . peave blank) • APPLICATION FOR,PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 'Fis i It t City or Town of: YARMOUTH To the Inspector of Wires: By this application the pndersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) q &Avee'jheati t,p YAesilow( .1604 . Owner•orTenant Gepral e V tcsv o Telephone No. ' 0 Owner's Address b L.k,t vett L)k ]I 'It 4onet ocJt 91•ri0 {Y j-C$,3 3 S Is this permit in conjunctio with a building permit? Yes ar No El (Check Appropriate Box) 1y�, Purpose of Building li .(„/eUtility Authorization No. 7` Existing Service 100 Amps Volts Overhead G3 Undgril❑ No,of Meters ( New pert/ft Amps / Volts Overhead 0 Undgrd 0 No.of Meters oa — t itni6er of Feeders and Ampacity U.Ir it.,.— Loc ion and Nature of Proposed Electrical Wort Like A ike" . %ea on Pore LI is it ri al i G\S Iit Completion of the follmvingeable m be waived the fns f ate' by Total Wires, �n Noihf Recessed Luminaires No.of (.) _t -. No.of Cert Snsp.(Paddle)Fans Total Transformers KVA _ in i •C No. f Luminaire Outlets No.of Hot Tubs Generators ICVA �'—No;of Luminaires Above In- No,of(mer en Lighting - Swimming Pool Brod. ❑ grnd. 0 g ty 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. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number No.of elf-Contained • Totals:I I Tons I KW Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW' Load Municipal ❑Connection 0 Otho No.of Dryers Heating Appliances KW Security Systems:• No.of Devices or Equivalent No.of Water No.of Heater KV No.of Data Wiring. Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs Na.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 WorE 000 (When required by municipal policy.) Work to Start 8// /1Q Inspe ons 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 certify ander themairis and nalties o e 'u that the information on this application is true and complete. FIRM NAME: KojQ/� l,i(r e%sae.-- LIC. A Licensee: Po 52net✓ G.,, Signature (ifapplicable. 99,r,��ss,, t' int license erline) LIC.NO.: Address. `Cz/ C f�PC U Bus.Tel.No. a-,,,,,2 f.s3,,0 J K.I netted M•I(S MA 201;at Alt.Tel.No.: `Per M.G.L.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 normally ierequired by law. By my signature below,I hereby waive this requirement. I an:the(check one)❑owner ❑owner's agent k Owner/Agent Signature Telephone No. 1 PERMIT FEE:$ CO 1