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Home My WebLink AboutBLDE-21-007588 -o► Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-007588 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:6/29/2021 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) 6 CHERRY LN Owner or Tenant HARRINGTON JOHN P Telephone No. Owner's Address HARRINGTON ROBERTA, 6 CHERRY LN, 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 100 Amps Volts Overhead 0 Undgrd ❑ No.of Meters New Service 100 Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Replace service 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 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/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 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 ❑ 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 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 6.te\...._< llll r _ l.rommonwaa[th o///laeeachueaila Official Use Only �, = ft Permit No. �--7 5—e8 li P cc�� cc77 nn ;�.,� JJolvarf`nunl ol,tin-Stroked �`11 " Occupancy and Fee Checked ..` - BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) .a APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Co EC),527 CMR 12.00 r-1 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: t )g/2°Q1 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) G C 6 t"✓y. (,.,. t, Owner or Tenant —Tell (: 11 c4✓'ri )vt ve Telephone No. Owner's Address S G,...-,,cJ Is this permit in conjunc on with a building permit? Yes ❑ No E (Check Appropriate Box) Purpose of Building Dv.' e f t 1 „ma Jc Utility Authorization No. 1 "//`f 7 Existing Service I Or) Amps (9 Volts Overhead® Undgrd❑ No.of Meters f A New Service 1 0 a Amps 1 :Lv/ 24Volts Overhead 7 Undgrd❑ No.of Meters I may► Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: e / eS ,1 & v c t a4. VI Completion of the following table may be waived by the Inspector of Wires. vt l..i No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total e Transformers KVA ';1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA -t- 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 s Initiating Devices 1 t Total No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained p Totals: Detection/Alertinp_Devices No.of Dishwashers Space/Area Heating KW Local❑ Connectiopaln ❑ Other y No.of Dryers Heating Appliances KW Security :* No. f Devices or Equivalent No.of Water No.of No.of KW Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.A dromassa a Bathtubs No.of Motors Total HP TelecommunicationsofDeiesor quiv l Y g No.of Devices Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: .i—0 0° (When required by municipal policy.) Work to Start: (,; 7 j'/2od l Inspections 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 171 BOND 0 OTHER 0 (Specify:) I certify,under the,Raiis and pgalties of perjury,that the information on this application is true and complete. //,^, FIRM NAME: e d "J� .�,� LIC.NO.: 1 . Licensee: 1- rr�E✓ Signature E ' �' gn � l LIC.NO.: (If applicable. nter"exempt"in the lic u ber line.) /�l O Bus.Tel.No.: •"g,.a1 5 3� Address: IC>peg.Ci-frc', '/ A k's'fco, l- , 1(s a G`{,Y 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 required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent. Owner/Agent Telephone No. PERMIT FEE: $ �7 v' Signature C -C `�3Z RECEIVED JUN 28 2021 BUILDING DEPARTMENT By: l