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Home My WebLink AboutBLDE-23-001377 Commonwealth of Official Use Only .,,,1 Massachusetts Permit No. BLDE-23-001377 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:9/15/2022 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) 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 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: Install generator 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 1 KVA 24 No.of Luminaires Swimming Pool Above d. ❑ grnd. ❑ No.of Emergency Lighting rn 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 No.of Devices or Equivalent HeatersWater KW No.of No.of Ballasts Data Wiring: 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: 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 *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel.No.: 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 `.;;; y+ Commonwealth o�/�/aeeachrc9affe Official Use Only ,:ill cc�� cn� IA';,*, �G lslvarfmsnf o�}ira saruicse Permit N Zj ( `� d a''' BOARD OF FIRE PREVENTION REGULATIONS , Occupancy and Fee Checked [Rev. ]107� leave blank { APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be perfonned in accordance with the Massachusetts Electrical Co (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) E >.5 7 CMR 12.00 City or Town of: YARMOUTHDate: �L{ ,2.2 To the ector of Wires: J By this application the undersigned gives notice of his or her entio to perform the electrical work described below. Location(Street&Number) -, 0 e I/L D'.l Owner or Tenant �(] A „ �'�` ["l� L/ r t yr cr Telephone No. Owner's Address S 7• LL6 t� 0 a q Is this permit in conjunctio with a building permit? V a Purpose of Building t.i yea f ❑ NO (Check Appropriate Box) `�+ i Utility Authorization No. Existing Serviced Amps �f0 J_____ __Volts Overhead❑ d Und r p New / Vol ervice Amps g � No.of Meters •1 Volts Overhead❑ Undgrd Number of Feeders and Ampacity g El No.of Meters ' (+ Location and Nature of Proposed Electrical Work: l I re ,eh r-n. pd kei l; Completion o the followin:table m be waived b the bns,ector o Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans 1°•° ota "=:1 No.of Luminaire Outlets Transformers KVA ttNo.of Hot Tubs Generators 1 KVA No.of Luminaires Swimming Pool ,•r'ove ❑ n- 'o.o mergency g to �• ! nd. ❑ Batte Units g �; No.of Receptacle Outlets No.of 011 Burners �„ FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners `o.l 1 etec on an No.of Ranges nitiatin, Devices No.of Air Cond. ota Tons No.of Alerting Devices No.of Waste Disposers 'eat 'ump `um er ons ' ►• Totals: o e - onta ne No.of Dishwashers Detetection/Alertin, Devices Space/Area Heating KW Local 0 ��un ecpa No.of Dryers HeatingAppliances Connection ❑ � PP KW ecunty ystems: `o.o "a er .o o No.of Devices or E E.uivalent Heaters KW o.° Data Wiring:Si ns Ballasts No.of Dvices or E.uivalent No.Hydromassage Bathtubs No.of Motors Total HP a ecommun ca ons " ring: OTHER: No.of Devices or E.uivalent Estimated Value of Electrical Work: L CI--,, Attach additional detail if desired,or as required by the Inspector of Wires, (When required by municipal policy.) Work to Start:Athispections 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 pt. BOND 0 OTHER ❑ (Specify:)I certify,under the pains and penalties of Pj er u that the information on this application is true and complete. FIRM NAME: �, PP Licensee: "er .G LIC.NO.:�-�1 Signature (If applicable,ent r"exempt"in the license number lit .) LIC.NO.: 02 _/3 Address: 0 ��,j ,l y +/� (/ , B s.Tel.No.• ) *Per M.G.L.c. 147,s.57-ti l,security work requires Department of Public Safetys "S� d Rense: ' It Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance `overage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one Owner/Agent ❑owner ■ owner's a-ent. Signature Telephone No. PERMIT FEE:$