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Home My WebLink AboutBLDE-21-007587 'l Commonwealth of Official Use Only fi- '44\ Permit No. BLDE-21-007587 Massachusetts 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:6/29/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 20 PERCH POND WAY Owner or Tenant LAPRIORE JOSEPH A Telephone No. Owner's Address LAPRIORE CHERYL M, 27 BIRCH LN,SHREWSBURY, MA 01545 Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead ❑ 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: Install sub panel&wire basement. 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 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 Data Wiring: Heaters Siens 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: (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: 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 signature below,I hereby waive this requirement.I am the(check one) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $75.00 AtiA .(3,1,4 (-,0 ,,,,,,,,) Q,,,,,,,.", ') /1l-c re 9(7 24 l: Comnwnwea&of MediaeLiao Offi�ciall Use Only Cx � s' Permit No. �—C -7 €7 .1 '`�E eparimeni ot` irs ervices . �' „i i w BOARD OF FIRE PREVENTION REGULATIONS ( Occupancy. 07] and Fee Checked 7, i, (leave blank) i APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK V All work to be performed in accordance with the Massachusetts Electrical Cods( EC) 527 CMR 12.00 .) (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: D ? i N City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersign gives notice ofhis or her intention to perform the electrical work described below. Location(Street&Number) . r, , /4 Pr)eYe k.4.`�c t/ To-.-rno,4ksAi k. Owner or Tenant /0scerL7 / t�l p 1i R,"€ Telephone No. 'u Owner's Address b t 7 L •je^>,,, L,C,,•,,e 5 hrr_.e1 ka ,, /ffl Is this permit in conjunction with a building permit? Yes Z No 0 (Check Appropriate Box) f h Purpose of Building 0:.1 e((r Utility Authorization No. Existing Service OUP', Amps 12 /r2 Volts Overhead❑ Undgrd E No.of Meters \. New Service Amps / Volts Overhead 0 Undgrd 0 No.of Meters � Number of Feeders and Ampacity Locati n and Nature of Proposed Electrical Work: c-iS{Tj( S'u I, PA,he I I.d i ec. 4 i✓1t'S 1-roe e c. Ira S4s`s'?G/i# Completion of thefollowingtable my be waived by the Inssector of Wires. Total tit, No.of Recessed Luminaires No.of Ce11.-Susp.(Paddle)Fans No.of _ KVATransformers KVA .1 No.of Luminaire Outlets No.of Hot Tubs Generators KVA Above - Ltgdttng No.of Luminaires Swimming Pool t'znd. ❑ Ia geed. ❑ No.of Emergency Battery Units `^l No.of Receptacle Outlets No.of 011 Burners FIRE ALARMS No.of Zones "No.of Detection and No.of Switches O.of Gas Burners Initiating Devices IL! No.of Ranges No.of Air Cond. Toonsi No.of Alerting Devices No.of Waste Disposers Heat Pump ._ amber Tons KW 'No.of Self-Contained - Totals: "" Detection/AlertingDevices 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 Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromaasage Bathtubs No.of Motors Total HP -Telecommunications wiring: of Devices or Equivalent OTHER: ln Attach additional detail if desired,or as required by the Inspector of Wires. J Estimated Value of lectrical Work: l (When required by municipal policy.) Work to Start: 64 4o2( 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 exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE 0 BOND 0 OTHER ❑ (Specify:) I certify,under the mins and penalties of perjury,that the information on this ap licatlon is true and complete. _ FIRM NA ff e74- 6-,,.(.e•e' L.c.NO.: )a 4,,)/A Licensee. b 6 & r Signature / LIC.NO.: (If applicable.ever"exempt"in the license nu e.) Bus.Tel.No.: Cp�� I Address: / tl IA ' "" 7�t-tit / 0.4-40''t c' t.1 3 / '4 O2(LQO Alt.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)0 owner ®owner's agent. Siignnature Owner/Agent Telephone No. I PERMIT FEE:$ 7S[7