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Home My WebLink AboutBLDE-22-005296 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-005296 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:3/23/2022 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) 18 VACATION LN Owner or Tenant Edward Shea Telephone No. Owner's Address 18 VACATION 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 ❑ 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: Rewire kitchen&bath room. 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 0 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. To No.of Alerting Devices 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 Eauivalent 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:) 2-2-t -43519 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: $75.00 01- (114 74.71ve jt( rf7/1/ rRE ' FI ED i. ' i t4H1 2 2 222 RUILU N(, ucra - T /� �,` �/ v l,_, / nw•aQh 7 Plaeeac tla Official Use Only fL _ e, �•Partn,•,rf o`�b+r Serviced No. �y/2 to �, BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked l/oy� [Rev. (lave blank) -- --- _ • APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(M ),527 C R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) City or Town of: Date: � �y 2 �y this application y or the enders:gnec;r„YARMbis or her OUTTH lion to To the Inspector of Wires: ation(Street&Number) I .� perform the electrical work described below. • Vc� c, sh Ln Owner or Tenant . e*,'�, 'q $fe ,,.,, D ♦a Is this Address _ / i� � �, ei,J 14 A I elephone No. �� this ., 53 permit In conjo ction , a building permit? Yes 0 No It pEZI urpose of Building (Check Appropriate Box) 15-0_ � ✓ Utility Authorization No. !slating Service Amps t - Y /�.. n Volts Overhead cD Undgrd❑ No.of Meters 1 J1 Amps / Volts Overhead 0 Uadgrd Number of Feeders and Ampadty El No.of Meters cLocation and Nature of Proposed Electrical Work: - V� V civ 'legion, the olowin_ table m, be waived No.of Recessed Luminaires No.of the/n . for o Wires. CeIL-Soap.(Paddle)Fans o.o KVA to No.of Luminaire Outlets Transformers No.of Hot Tubs Generators KVA CA -4' No.of Luminaires Swimming Pool dve ❑ n- F 'o.o `Unitsmergcal ? ng • o.of Receptacle Outlets No.of Oil BurnersEMIMMI d. ❑ Batts Units No.of Switches No.of Zones No.of Gas Burners `o.o fiat ion an, !rLZ:ZE Inkiatin Devices No.of Mr Cowl. o a of Waste eat mTons No.of Alerting Devices �1P r: Totals: ..�um, r ons `o.o on No.of Dishwashers Space/Area Devices Space/Area Heating KW Loci al nn e m No.of Dryers g« Connctlon 0 Other'o.o a r mg Appliances , y , Heaters KW 'o.o `o,o No.of Devices or • ,uivalent S, ,s BallastsData Wiring: No.Hydromassage BathtubsNo.of MotorsNo.of Devices or E,uivalent Total HP e ecommn ; ,ns ,T OTHER: gg No,of Devices or ' i uivalent Estimated Value of Electrical Work: rr Attach additional detail ifdestred,or as required by the Ins Work to Start �,� __...71_12.00_• (When required by municipal policy.) Inspector of Wires. Work to NCE Inspections to be requested in accordance with MEC Rule 10,and VERAGE: Unless waived by the owner,no permit for the upon completion. the.licensee provides proof of liabilityincluding"completed operation" coverage of its subs al work may issueeunless insurance Peration"coverage or substantial undersigned certifies that such coverage is in force,and has exhibited proof of same to the equivalent. The CHECK ONE: INSURANCE ®' BOND permit issuing office. I cerNjy,under the !ns and ❑ OTHER 0 (Specify:) 31 A • FIRM NAME: 0 a, t e's oj�rjury, t the information on this appllcor}on is true and conrplet �- •- ____ ._ I.kenaee: b e✓� G t-ee,r LIC.NO.• (If applkable ter"exempt"in the license umber linedSignatu ��,�/ Address: 140 --..t. h �A t LIC.NO.: !, s ` Alli $ Da,�4 g Bos.TeL No,• •P M.G.L.c. 147,s.57-61,security work f✓�iJ *P .OWNER'S INSURANCE WAIVER: requires Department of Public Safety"S"License; Ale'TeL No.: I am aware that the Licensee does not have the liability insurance coverage normal yI required by law. By my signature below,I hereby waive this ; Owner/Agent requirement. I am the(check one • owner Signature -- owner s a:ent. Telephone No. PERMIT FEE:$ Elliott, Ken From: Stephen Peckham <2bavagabond@gmail.com> Sent: Wednesday,July 28, 2021 9:12 AM To: Elliott, Ken Subject: 18 Vacation Ln W.Yarmouth/SPeckham Attention!This email originates outside of the organization. Do not open attachments or click links unless you are sure this email is from a known sender and you know the content is safe. Call the sender to verify if unsure.Otherwise delete this email. Hi Ken, Sent tha corrections pics to you earlier... Here is the EVERSOURCE WO#6264776 Thanks, Stephen Sent from my iPhone le) f'2A 3� n AikA17.4 (00) 1