BOARD OF ELECTRICAL EXAMINERS OF THE COUNTY OF GREENE, NY PO BOX 55 CATSKILL, NY 12414 DATE ___________________________________ Fax # 518-719-3297 APPLICATION FOR A MASTER CLASS "B" ELECTRICIAN'S LICENSE YOU MUST MARK BELOW WHICH APPLIES TO THIS APPLICATION RESIDENTIAL____ COMMERCIAL/INDUSTRIAL____ UNDER 5000 SQUARE FEET____ OVER 5000 SQUARE FEET____ ELECTRICIANS NAME ______________________________________________________________ MAILING ADDRESS ________________________________________________________________ TOWN/VILLAGE__________________________________ STATE______________ZIP___________ COUNTY_______________________TELEPHONE NUMBER___________________________________ YOU MUST INCLUDE THE FOLLOWING: 1. OWNER:______________________________________________________________ LOCATION OF JOB:____________________________________________________ CITY/STATE/ZIP ____________________________________________________ 2. Brief description of Scope of Work: __________________________________ ____________________________________________________________________ 3. RESIDENTIAL - ONE HUNDRED FIFTY DOLLAR ($150.00) LICENSE FEE COMMERCIAL/INDUSTRIAL - ONE HUNDRED FIFTY DOLLAR ($150.00) LICENSE FEE FOR UNDER 5000 SQUARE FEET. FIVE HUNDRED DOLLAR ($500.00) LICENSE FEE FOR OVER 5000 SQUARE FEET 4. A CURRENT CERTIFICATE OF LIABILITY INSURANCE IN THE AMOUNT OF $500,000 WITH GREENE COUNTY BOARD OF ELECTRICAL EXAMINERS NAMED AS CERTIFICATE HOLDER. 5. One of the following Workers’ Compensation forms CE-200, C-105.2, SI-12, U-26.3, GSI-105.2 6. One of the following Disability Benefits Workers’ Compensation forms. CE-200, DB-120.1, DB-155 7. PHOTOSTAT OF PRESENT ACTIVE MASTER ELECTRICIAN LICENSE 8. LETTER FROM YOUR LICENSING BOARD STATING THAT THEY RECIPROCATE AND THAT YOU ARE IN GOOD STANDING AT THE TIME OF THIS APPLICATION 9. LEGAL SIZE SELF ADDRESSED STAMPED ENVELOPE. APPLICANT’S SIGNATURE______________________________________________________ REVISED 12/01/08 BOARD OF ELECTRICAL EXAMINERS OF THE COUNTY OF GREENE, NY PO BOX 55 CATSKILL, NY 12414 C O U N T Y O F G R E E N E LOCAL LAW NO. 2 OF THE YEAR 1988 ADOPTED MARCH 16, 1988 LOCAL LAW ON EXAMINATION, LICENSING AND REGULATION OF ELECTRICIANS SECTION 21. VIOLATIONS AND PENALTIES 1. Any person who shall directly or indirectly engage in or work a the business of Master Electrician, Special Electrician and Homeowner Electrician in the County of Greene without the applicable license or who, having had his license suspended or revoked, shall continue to engage in or work at the business shall be guilty of a class “A” misdemeanor and upon conviction thereof shall be punishable by a fine of not less than five hundred dollars ($500.00) nor more than one thousand dollars ($1,000.00) or imprisonment for a period not exceeding one (1) year, or by both fine and imprisonment. BOARD OF ELECTRICAL EXAMINERS OF THE COUNTY OF GREENE, NY PO BOX 55 CATSKILL, NY 12414 MEMO TO: All parties that reciprocate with Greene County – B Permits Electrical FROM: Earl D. Snell, Chairman – Board of Electrical Examiners SUBJECT: $500.00 fine for starting work before obtaining B Permit for same. Please be advised that the following addition has been made to Section F – Fees#3. Fine Imposed of Greene County Electricians Licensing Rules: Fine imposed for starting work before obtaining B Permit shall be $500.00 plus fee for Permit. If you have any questions please feel free to call 518-719-3261.
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