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Home My WebLink AboutBLDE-22-002823 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-002823 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:11/16/2021 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) 595 ROUTE 6A Owner or Tenant Geoffrey Higgings Telephone No. Owner's Address 595 ROUTE 6A, YARMOUTH PORT, MA 02675 Is this permit in conjunction with a building permit? Yes 0 No 0 h ck Appropriate ox) Purpose of Building Utility Authorizati No. 7085799 Existing Service 100 Amps Volts Overhead 0 Undgrd No.of Meters New Service 200 Amps Volts Overhead 0 Undgrd rs Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade 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 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/Alertine 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 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 pedury,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, 1 hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $50.00 ( RiF \:' ED1 i NOV 122021� I y�j i Commonwsa[th o////addachadattd Official Use Only BUILDING DEi'•/'t;5::;;,`„ / c� c7 Permit No. r7 Z� 23 By.— _ --- et.-.4. t �(.Jsivartmsnf oi,}ur Ssrvicsd t . :a:1,1 j Occupancy and Fee Checked ,�i, BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/071 (leave blank) a v 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: ri`/1.2/2 C / 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) 13 1 . H y,..,, 7Uu 1 A Pc.0/1`r'lcti i _s./. Owner or Tenant COO “'r,e y f'1i/,i hs Telephone No. t Owner's Address S�LwK / ,I Is this permit in conjunct on with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building Lie AA, Utility Authorization ' )5 No. 7ei I�1 Existing Service I CO Amps I Lv in/240 Volts Overhead Undgrd❑ No.of Meters I New Service 2r)O Amps 120/ !4v Volts Overhead® Undgrd Ell No.of Meters A1 1 Number of Feeders and Ampacity cA r Location and Nature of Proposed Electrical Work: L Fj i"�,�e S#- it e_ 4..-:› 1 100 i 200 Qmlps V, 1_ 'f_ Completion of the following,table may be waived by the Its Inspector of Wires. i.11 No.of Recessed Luminaires No.of Ceil:Sosp.(Paddle)Fans No.of local el Transformers KVA 'Zt No.of Luminaire Outlets No.of Hot Tubs Generators KVA C\ -t No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting �rnd. 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 i No.of Ranges No.of Air Cond. Tool No.of Alerting Devices 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 Municipa ❑ OtherConnection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water , 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: 'OC() (When required by municipal policy.) Work to Start: 11 J /`2t 2 I Inspe6tions to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VERAGE: 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 0 (Specify:) I certify,under thains an penalties of perjury,that the information on this application is true and complete. _ FIRM NAME: ° e [j.,-ce,— LIC.NO.: 2,g„S.3 I <‘ Licensee: Pe I.e.46 r-,e p,/ Signature LIC.NO.: 53 U as, 13 (If applicable enter"exempt"in the licensg number line.4 Bus.Tel.No.• . ST ��11 til 50 Address: 140 i2 0cc 1,1.-e c Kd jilt4�5 t S p:1c N I MA Q -G47 Alt.Tel.No.: j'/?g:Al 1 g 5-'0 *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 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $