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Home My WebLink AboutBLDE-22-000564 of. Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-000564 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:8/1/2021 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 ❑ No 0 (Check : • io i is Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 r j New Service Amps Volts Overhead 0 Undgrd 0 No. • eta- W nA Number of Feeders and Ampacity ' 4 Location and Nature of Proposed Electrical Work: Replacement lighting fixtures. Q U Completion of the following table may be waived by s'' o r of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of �{. Transformers 4 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 ❑ Municipal ❑ 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 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 ,.., RECEIVED • .. JUL 3 0 202 ii - 4 Measeckstata Official Use Only • Permit No. - - OCGLt '.y. a ifi, ILDING UEPART 2 " ' 45**--Candaird \tit, , . -.-- 4,•_____--- -- Occupancy and Fee Checked we IND s - - -EVENTION REGULATIONS [Rev.1/071 (leave wank) b • APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be pc/fantod in accordance with the Massachusetts Bortricid Code(bWiC).527/07 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMA7YON) Date: _7 i e)( City or Town of: a-1' vw a o L. 3 k- 0 2-( To the inspector of Wires: çjI By this application the , ,- ; c..,;Tv = gives notice ofl hiso orlherk inteutiono to perform the electrical work descrbed below. es si r. c2) Owner ow Tenant R 06 t On(0,-Nr-`-( Z i A\(x- % Telepbmw No. I., Owner's Address 0 Is this permit In conjunction with a buSang permit? Yes 0 No S. (Check Appropriate Box) 1!... Purpose of padin O Li.) 4.1 L i 1/4-k 5 Existing Service Amps.., Utility Antlevrizathes Na. __ / Vohs Overhead 0 liadgrd 0 No.of Meters New Service Amps aity / Vans Overhead 0 Undgrd 0 No.of Meters _ Number of Feeders and mapa Leaden end Nature ef ProPosed Bketriall Woric t n i r oo wi 17.c.. k iv; r-eiolo.c.e c,k.1.1e3 (...ut 14 Go-aAk i 9.LI u 0 V-t LE CI 1"404;:wki4g-LNto CrowpIefion(jibe tabk mg be waived by the&greater of Wires. Lit No.of Recessed Leardnaires No.of CSusp.(Paddle)Fans o.of Total Transformers KVA CI No.of Luminaire Outlets No.of Hot Tubs Generators KVA -t• No.of Lundualres Above r-L...i i In- Swimming Pool grad. Arad 0 rft.gatierypt smergewYuins urithsg No.of Receptacle Ordiels No.of 01 Burners FIRE ALARMS [No.of Zones -.. e.of Detection and No.of Switches Na.No.4 Gas Bunters Initiating Devices IV! No.of Ranges No.of Air Cond. Total 'No.of Aierdng Devices Tors No.of Waste Disposers 'Beat Posy I Mamba.'Tom 'KW No.of Sdf-tortained Totahe I ' Detetdoul - , Devices No.of Eakberasben SpacelArea Heath* KW Load 0 0 Other No.of Dryers Roan Appliances KW Security Systems:* No.of Devious or Restraint No.of Water No.of No.of Data Viirbeg: Heaters KW Nuns Ballasts No.of Devices we VekconanundcatIons No.Elydrossassage Bathtubs No.of Motors Total HP 1%.of Devices or Omit:(" 4/.. f lace e.-t is4-1-, r ecip÷„,k. eIsJeiA Ce.A•oJi c....4 ip e k . ) -rye &luck detail f,-- P., or as required by the MpectorofWfre& Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start 7(3.7 ail 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 Waited proof anew to the permit issuing office. CHECK ONE: INSURANCE V. BOND CI OTHER 0 (SpecifY:) I certify,an the pains and penaldes of perjtay,that the biomes's:I on this application it Inve and complete. RIM NAME: i k..%0..., Q.\r C. • 1 LK.NO.: t 9 60-7 r- Liceasee: (A.) - Signature (Ai: l-4,- LIC.NO.: (ffapplkable.enter"mentor in the&else number line.) e Bus.TeL No4 5-4*1 ca_20 0 to ca. Addresia 5--0 4.,ct,4-A. 61'- a thill i 001- 0 Alt.Tel.No.:. *Per M.G.L c.147,s.57-61,security work requires Department of Public Safety"S"License: Lk.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee ekes not have the liability insurance coverage normally required by law. By my signature below,!hereby waive this requirement. I am the(check one III owner IN owner's Owner/Agent PERMn'FEE:$ Signature ---------Telephone N.-.....-----