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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.
