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Home My WebLink AboutBLDE-22-000731 orCommonwealth of Official Use Only �. Massachusetts Permit No. BLDE-22-000731 ‘41 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.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:8/9/2021 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) 8 CHANNEL POINT DR Owner or Tenant SPILLANE ROSEMARY A Telephone No. Owner's Address 23 INSTITUTE RD,WORCESTER, MA 01609 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: Replace floor receptacle 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 No.of Detection and Initiatine Devices No.of Ranges No.of Air Cond. Ton l 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 0 Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent 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:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: WILLIAM W GREER Licensee: William W Greer Signature LIC.NO.: 19867 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:275 OCEAN ST, HYANNIS MA 026014740 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 e (f (2' , RECEIVED .. Official Use Only -'—' AUG U 6 2021 4 4 """ Permit No.-1:7----2-27- 01 L DING ULPARTM Ory and Fee Checked ... - -;- PREVENTION REGULATIONS [Rev-1 ] (leave bale) < APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK (�� All work to be performed la accordance with the Massachusetts Electrical`:J (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: ' Ce x09-1 el) Cityor Town of: " 0.., o v . To the I , - .sr of` ups: ofhis or her to perforin the:electrical work descnbcd below. By this application the ��,, - ;.,-� gives make ) Leek(Stmt&Number) cA L.L,a-1Avt Q( f O'b.-u.0 to r-.-�• V a Owner or Tenant (k C) 5 et. win c - y C pkta,.4 a Telephone No. a Li_ Owner's Address �' Is this permit in conjunction with a bei permit? Yes 0 No Ex (Check APPS�) t Purpose of Beediag Utiti[y Authorization No. Service Amps / Volts Overbore 0 Undgrd❑ No.of Meters,_ Existing New Service Arps I Volts Overhead❑ Uadgrd❑ No.of Meters Number of Feeders and Ampadty �1 L 1_91 .i — rl'O Nit ' Location and Nature of Proposed Faeetrieal Wort: \Z. e `La, *ppe. ) . s- i -1, P t 00,r 1("14 C 4 e 4-ctr 1, t 0,9 -til,, n�v) K T i Vit, ct.L...t. oro t?iCJ ,a A C1Pr0Vtc— '0ti +I Completion oldiefollowinMle.oble 7 be waived by the Intgrector of Here Total U No.of Recessed Luminaires No.ofCeU.-Suip.(Paddle) Fans Transformers KVA KVA No.of tyre Outlets Na.of Hot Taba a Above of Ligating No.of Landmarks' Swhran g Pool ❑ �, ❑ Units No.of Receptacle Outlets No.of OE Burners FIRE ALARMS 114o.of TAMS Nur of Deteclian and No.of Switches No.of Gas Burners IMMO=Devices Ili No.of Ranges No.of Air Conti. T No.of Alerting Devices Mal That Pump Number Tons KW �SeB-CDevloea No.0 Waste Disposers Utak: No.of Dishwashers Space/Area Heathsg KWLmd 0 Ma 0 Other Na of Dryers Heating Appliances KW sot D+ or Etiewdent Na of Water No. Data ' Heaters KWSens Ballasts Na of Devices or No.Hydromassage Bathtubs No.of Motors Total HP T ecomnfindartionsM No.of Devices our OTHER: bWA.11- roe 4..‘,N if(kt 4.1►rti Viyy 4A 54r•-fp aKJ, 1 "? 7 `t -rDpa�V` �i t'., fees Ahadiadditional detail floras reqtdred by the Inspector of W1,es., Estimated Value ofElectrical Work: (When required by municipal policy.) Work to Start Inspections tube 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. e. CHECK ONE: INSURANCE lir BOND 0 OTHER 0 (Specify:) I tam ander the pains and penaltrs ofperjwy,that the infonnation on this application is awe and armlere: FIRM NAME: [il ,kV. „.w`. (^s c•-42 Ls E k e(.8g-';c t,ah LIC.NO.: 14?(01 Licensee: Will.a.w, Gr act,r erre Cc"4.0-t-;-,--- LIG NO.: (lfapplicable.enter"tomorpt"in the license meatier line.) Bou.TeL No.;4`o S 4 'O b(7S-1 Address; a75-- 0 c J(.0-, S-'� ` ti'/ctih .3 0)-Ce o t Alt.Tel.No.: *Per M GZ c. 147,s.57-61,security woik regales Department of Public Safety"S"License: Lie.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee aloes not have the - - habrltty 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 Signature re Telephone No. I PERMIT FEE:$