The URL can be used to link to this page

Home My WebLink AboutBLDE-22-002521 Commonwealth of Official Use Only Massachusetts Pennit No. BLDE-22-002521 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:11/3/2021 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 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: Replacement furnace&add receptacle for water heater. 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 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners 1 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 Ballasts Data Wiring: Heaters Signs 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 tO,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 ❑ 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 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: $50.00 it'. _ t‘l l RECEIVED NOV 012021 `� Co.nm,nwaa�o/7addachudattd � Official Use Only )': _,. �!+ING DEPARTME Permit No, t-/vt 245-2A :6.,.y�,: ---- __ _spartmenL o/Sire Serviced 117 j' Occupancy and Fee Checked I. .1:y BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07] (leave blank) T APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M ),527 CMR 12.00 L, (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I !// ac'..I 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. cii Location(Street&Number) b C ti.te- l-,-i Owner or Tenant i /sv'^t.� fp 1 Sby Telephone No. ,; "),XO I t,� Owner's Address S cts^11 L Is this permit in conjunction with a building permit? Yes ❑ No C ' (Check Appropriate Box) Purpose of Building L)i. e,it,. Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity -,n Location and Lx Nature ofProposed Electrical Work:: t/;r-' {1 i,-✓,,. �', ` t'i j id I C� 1,1,-r i.e i t, G e. C'el e '✓t.4,,,,,„f r10 4 LJ C 1 e r 1,,ec4 t'.-- v) Completion of the followingtable may be waived by the Inspector of Wires. CW No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans _Tranf T Transformers KVA CA. No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting grad. ❑ 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 r Initiating Devices 111 No.of Ranges No.of Air Cond. Total No.of AlertingDevices Tons No.of Waste Disposers HeatPumpmber Tons KW No.of Self-Contained Totals:1 Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Monnectiunicipaon ❑ Other C 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: U i tl Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: 1, �' (When required by municipal policy.) •Work to Start: f f ) '203,1 Inspections 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: INSURANCE NI 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: ke C,col'r �, LIC.NO.: 59 Licensee: )e,-f Ci-v- V' Signature � Z -_ LIC.NO.: 31-1aQ 6 (If applicable, rater"exempt"i p the license•nujber line.) A,i Bus.Tel.No.: Fi Cg A l fi'3,5 Address: 14±') pe c h Ilire G 1K, PA",;ic' M,vs "34 0"�0-'7- AIt,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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$