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Home My WebLink AboutBLDE-23-002864 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-23-002864 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked lRev.1/071 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:11/23/2022 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) 45 ICE HOUSE RD Owner or Tenant BEATTY ARTHUR J Telephone No. Owner's Address BEATTY CECILIA F,45 ICE HOUSE ROAD,SOUTH YARMOUTH,MA 02664 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 ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Septic pump&alarm 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- o No.of Emergency Lighting AT grad. 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 1 Totals: Detection/Alerting Devices 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 Ballasts Data Wiring: Heaters Sinus No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors 1 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 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 [-RRECEIVED . NOV 2 2 2022 �yy//J� // huura(t!t o` aeaachuestie Official Use Only' / (J ' .%,,1 /', '' NG UEPARTME s arfmrnf o` to Permit No. �� (�7—Z 9 b 1 ?1 7 -* -- — Occupancy and Fee Checked :i _.;_ ,,.- e• , ` Is • ' PREVENTION REGULATIONS [Rev. 1/07] (leave blank) ,r APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( EC),527 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 ( 2.2 � City �-zo�z C or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intentioA tAperforrn the electrical work described below. Location(Street&Number) L--5 / c ' tn AAA /---‘0 Owner or Tenant /---‘✓-f1,1 w�' e-e Telephone No. . Ow 3 6�-a 4 s Owner's Address 5'„._, �-e 0 Is this permit in conjunction with a building permit? Yes [' No ❑ (Check Appropriate Box) S. Purpose of Building 12.,,/P 111j Utility Authorization No. yr Existing Service i Amps / Volts Overhead❑ Uodgrd El No.of Meters New Service Amps I Volts Overhead❑ Undgrd 0 No.of Meters or .—o Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: Li 're Ser9 I i Ig y s 4-e,'i- / krssC t.;f,,r 1 V Completion of the following.table maTP be waived by the In vector of Wires, tb No.of Recessed Luminaires No.of Ceil.-Snap.(Paddle)Fans No.of Total 2.J Transformers KVA nNo.of Luminaire Outlets No.of Hot Tubs Generators KVA .4 No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting �rnd. ❑ grad. ❑ 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 t Initiating Devices 1;_r No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers Heat Pump Number TonsT KW No.of Selttontained Totals:_ """ " ""' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW local 0 Connectionianfe-pill ❑ Other No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water No.of No.of Heaters Signs' Data Wiring: Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: l 1. Q Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of lectrical World: (When required by municipal policy.) Work to Start: 1 ' >0.1 pcctions to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE C VE GE: 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 lE BOND 0 OTHER 0 (Specify:) I certify,under the pains penalties of perjury,that the information on this application is true and complete FIRM NAME:_po ' LIC.NO.: �2-' 6_]1 I Licensee: 'a Leh-&,,u'.-- Signature LIC.NO.: (If applicable,enter"exempt"in the license numb line.) Bus.Tel.No.: 5v8�.2 i53 a Address: I c' WL 47 ¢rec te'l l'1ie,'c I e' s/'1'1%115 /V] A t 2 ° Alt.Tel.No.: *Per M.G.L.c. 14 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)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$