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Home My WebLink AboutBLDE-22-006350 Commonwealth of Official Use Only �_._,�, . , Massachusetts Permit No. BLDE-22-006350 ......:.. 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:5/3/2022 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention toothe electrical desc 'b d bel w. Location(Street&Number) 952 ROUTE 28 Owner or Tenant FARLEY MARSHALL P Telephone No. Owner's Address PO BOX 537, HYANNIS PORT, MA 02647-0537 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 ❑ 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: Replacement dishwasher. 6 0A Qf 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 Ton Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers Totals: Detection/Alertine Devices No.of Dishwashers 1 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 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 perjury,that the information on this application is true and complete. FIRM NAME: ROBERT D GREER Licensee: Robert D Greer Signature LIC.NO.: 26793 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 140 PEACH TREE RD, MARSTONS MLS 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 ID owner's agent. Owner/Agent Signature Telephone No. I PERMIT FEE:$80.00 (0-16I C60 6- � /RECEI 'VD ,' , _ _ 1--- - - �__ �ommoams� y�j i* of m.....sac4L7;s .. . Official Use Only MAY 0 = -.�- Permit N BUILDING uE ':,L;.,: T BOARD OF FIRE PREVENTION REGULATIONS Oc anryandFeeChecked By -- 1/07] save blank APPLICATION FOR:PERMIT TO PERFORM ELECTRICAL All work to be performed in accordance with the Massachusetts Electrical Code WORK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: (ham ' .5 CMR 1 z.Do City or Town of: ARMOIJTH �' By this application the lrndersi ed To the Inspec or of Wires_ gives notice of his or her intention to perform the electrical work described below. Location (Street&Number) n± Owner or Tenant . Owner's Address Telephone No. �' Z Is this permit in conjunction with a building � Permit. Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building — !,o V Gt r, . Existing Service Utility Authorization No. �' Amps Z r l `� olts Overhead New Service - Undgrd❑ No,of Meters Amps / Volts Overhead❑ Undgrd Number of Feeders and Ampacity ❑ No.of Meters Location and Nature of Proposed Electrical Work: J r E No.of Recessed Luminaires Co •letian o the allowin-table tn. be waived. the Ins. No.of CeR.-S (Paddle)Fans o,of for o Wires. Transformers Total No.of Lumiaaire Outlets No.of Hot Tubs ICVA Generators KVA No.of Luminaires Swimming Pool Above ❑ ernd. ❑ B In- `u • IInitso.o mergency ,ring No.of Receptacle Outlets & tte No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners etecg D and `o.of D No.of Ranges Initiating Devices No.of Air Cond. o No.of Waste DisposersTons No.of Alerting Devices Heat Pump umber Tons o.of elf-Contain No.of Dishwashers Detection/Mertin_ Devices Space/Area Heating KW Loca ❑ Municipal No.of Dryers Connection ❑ Othet' Heating Appliances KW Security Systems:* No.of ater No.of Devices or E.uivalent No.o o.of Data Wiring: Heaters KW Sighs Ballasts No.Hydrornassage Bathtubs Na of Devices or E.uivalent No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or •uivalent Estimated Value f I ctrical Work Attach additional detail if desired or as required the Ins Work t Start v b policy.) (When required by municipal Pector of Wires. tP SURAN Inspections to be requested in accordance with MEC Rule l0,and upon completion. C'E COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent undersigned certifies that such co erage is in force,and has exhibited proof of same to the permit issuing issue unless CHECK ONE: INSURANCE The OND ❑ OTHER office. f cerizfy, under lh aims and err ❑ (Specify:) FIRM NAME: allies°fp�ury'that the information on this application is true and complete. Licensee: �(N-- LIC.NO.r� (Ifapplicabl enter " mpr in he license nu Stgnatur Address: 1' _ LIC.NO.: J *Per M.G.L. C. 147,s.57-61,s Bus.Tel.No.' ,. OWNER'S INSURANCE WAIVER:ecty work requires Department of Public Safe AIt.Tel.No. � I am aware that the Licensee does not have the liabilityLac.No..-------_____ required g n` By my signature below,I hereby waive this requirement I am the(check one insurance cover ge normally ISignature ❑ caner ❑owner's a eat �• Telephone No. PERMIT FEE: $