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Home My WebLink AboutBLDE-22-005979 Commonwealth of Official Use Only Ili. ;t Massachusetts Permit No. BLDE-22-005979 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:4/19/2022 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) 300 BUCK ISLAND RD UNIT 1P Owner or Tenant Horse Pond Corporation Telephone No. Owner's Address 300 BUCK ISLAND RD,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: Wiring for septic system upgrade.(BUILDING#3) 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. 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 In jtiatine Devices No.of Ranges No.of Air Cond. TotaloNo.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained 1 Totals: Detection/Alertinn Devices No.of Dishwashers Space/Area Heating KW Local ❑ 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 Ballasts Data Wiring: Heaters Siens No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 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: 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 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 my 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 1M k 1I20 0 Commonwealth of//Iaaeachuesft`d Official Use Only " -;�',.� �Uslvartmsnt o�jig**Serviced No. �( Z2—j � cf • 'I I^ Occupancy and Fee Checked _..� ,,.- BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Mahusetts Electrical Code(MEC),527 CMR2d 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION)ssacDate: �/ r /City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her i jtention to perform the electrical work described below. Location(Street&Number) 3 tip LA.c k i'5 tr ,c%, x /O Owner or Tenant HOCS-e- o 1' h Cor r�rA ton Owner's Address S.•- Telephone No. 15-Of 7 7 S'la 5 7 `C...)� Is this permit in conjunction with a building permit? Yes Q No 0 (Check Appropriate Box) + Purpose of Building Ce,g44A44-t-c�j, / (0 rid&S Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd g ❑ No.of Meters O` Number of Feeders and Ampadty (- 1....1 Location and Nature of Proposed Electrical Work: v Se iiie S .� ,4 ��i�� I_ iS ems-► kor 6A,1, ,,y3 k;, 44 Completion of the following fable maybe waived by the Inspector of Wires. t!s No.of Recessed Luminaires No.of Cell:Sas No.of Total n,/ p (Paddle)Fans Transformers KVA �1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA �'' No.of Luminaires Swimming Pool Above ❑ In- No.01 Emergency Lighting grnd. grnd. ❑ Battery Units ;" No.of Receptacle Outlets No.of OD Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners "No.of Detection and t r No.of Ranges Total Initiating Devices No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump 11Tumber Tons KW No.of elf-Contained Totals: ......_...._.._ Detection/Alertinf_Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal Connection 0 other 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: OTHER: No.of Devices or Equivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Elec ical Work: I v-d� / (When required by municipal policy.) Work to Start i-' I Inspdctions to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO RAGE: 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: INSURANCE114.1t BOND 0 OTHER 0 (Specify:) I certify,under the ains and p nalties of perjury,that the information on this application is true and complete. FIRM NAME: Ko £.-4 U LIC.NO.:Licensee: ce4 U 0Signature /�� LIC.NO.: 34 6 (If applicable,entfer,�"exempt"in the license number line.)Address: /`4/�-eGi ct` 14,-,e-Q KZ of /14c.,-3101.3.1'14r 7js MAB .Tel.No. Tel.No. 3 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Lic.No. hb OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one owner owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$