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Home My WebLink AboutBLDE-20-000664 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-20-000664 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] 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:8/5/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 150 ANSEL HALLET RD Owner or Tenant THE 150 ANSEL HALLET RD LLC Telephone No. Owner's Address 277 SOUTH SEA AVE,WEST YARMOUTH, MA 02673 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: Retro 18 light fixtures. 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 18 Swimming Pool Abo ❑ In- ❑ No.of Emergency Lighting , grndve. grnd. ,Battery 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/Alertinc Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW -Securi 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 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 0 (Specify:) I 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:$80.00 (- 6(e(ti Commonwealth of Massachusetts • Official Use Only 7) iml= ? 1JaParlinanf oil 10 Permit No. l�(J `� i Services BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked ,'[Rev. 1/07] (leave blank) W L ' APPLICATION FOR:PERMIT TO PERFORM I I All work to be performed in accordance with the Massachusetts Electrical ELECTRICAL WORK �� F (MEC),527 OAR 12.D0 > I a(" • E PRINT IN INK OR TTPE ALL INFORMATIOA9 Date: al c, ,o ui City or Town of: yARMOUTH To the Inspector of Wires: V t- I�,B this application the undersigned fives notice of his or her intention to perform the electrical work described below. ��r L. tion (Street&Number) ,st P V S Q., ( (4a tt il rt 'R- Q r W 3)- I er or Tenant 0 �.� Ce co� r- i � 0��4'1 J e9 h� Telephone No. I ..•iier's Address Say lA.N. t• Is this permit in conjunction with a building permit? Yes ❑ No 10 (Check Appropriate Boz) Purpose of Building d x r i C 1 Utility Authorization No. Existing Service Amps / Volts Overhead ❑, Und d fir ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd fir ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: ( Lo,,.o ' ;t u``r.% ..rr "F0)(.4V f+s -•E.'U t h 54-44-ll 1.g k.ltast b4P0.ss / E 0 La 5 ( !�l=�t 1!�J�� Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cei1.-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 erred. arnd. ❑ 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 sad J Initiating_Devices No.of Ranges No.of Air Cond. Total 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 Heating KW Local❑ Municipal Connection other ' No.of Dryers Heating Appliances KW Security Systems:* No.of Water No.of Devices or Equivalent 0of No. No.of d Heaters KWData Wiring: Signs Ballasts Na of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent 1CI - Attach additional detail if desired or as required by the Inspector of Wires. I. 'Estimated Value of Electrical Work (When required by municipal oli Work to Start: � P �•) Inspections to be requested in accordance with MEC Rule 10,and upon completion. C. 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 sundersigned 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 ofperjury,that the information on this application is true and complete. FIRM NAME: 1(1 ac r‘Z QY' e 1,+c v:L: Gt� LIC.NO.• t 2 G7 Licensee: (� r I. ___c(,s. -Q 42r Signature ��p 07 (If applicable,enter"exempt"in the license number line.) - LIC.NO.: Address: ,2 7 � O C t}cch Sf �/ R 1.t yliS 61Qc� Bus.Tel.No.: Safi a pp5t 97 L ,J `Per M.G.L.c. 147,S.57-61,securitywork requires 1p artment of Public SafetyAlt Tel.No.: - OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liabilityLin.No. S� insurance coverage n�orm�a(ly- required by law. By my signature below,I hereby waive this requirement. I am the(check one 0 owner ❑owner's a ent Owner/Agent al Signature Telephone No. PERMIT FEE: $