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Home My WebLink AboutE-19-6986 ECommonwealth of Official Use Only Permit No. BLDE-19-006986 Massachusetts 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•6/11/2019 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) 225 ROUTE 28 Owner or Tenant AMS PROPERTIES LLC Telephone No. Owner's Address 225 ROUTE 28,WEST YARMOUTH, MA 02673 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: Upgrade Ilghtin• : 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. rnd. 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 Totals: Detection/Alertine Devices No.of Dishwashers 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 Data Wiring: Heaters Signs Ballasts 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: Paul M Morris Licensee: Paul M Morris Signature LIC.NO.: 17520 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:PO BOX 213,1 COUNTRY WAY,SAGAMORE MA 025610213 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 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:$80.00 CLlll((q ( -. • �"� t✓ommonwea r.of l�l/ladaackuoetto Official Use Only '� cc�� cc77 Permit No_ i` r 2)epariment of gire Services �`; Occupancy and Fee Checked •-; =-' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLDC-1yTOOK F0'., PE MIT TO PE FORM ELIECTFICAL S RK All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL IN ORMATION) Date: 3 3] L City or Town of: �Q^ -,,,1 To the Inspec r o tit : By this application the undersigned gives no"ce of his or her intention to perform the electrical work described below. Location(Street&Number)'L-.j_ t__ - Owner or Tenant'1 .41-y`l� tos „Q &j le �lephone No.5b ' 36 iOwner's Addresst S d la C 7.-e'1‘k , 3 3 Is this permit in conjunction with a building permit? Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd g ❑ 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:i I r 1, . s (-.E; "Completion of the.following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cei-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Lurninaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ I lo.of Emergency Lighting grn d. 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 T� Initiating Devices i No.of Ranges No.of Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Number 1Tons I KW No.of Self-Contained Totals: I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Water No. of Devices or Equivalent Heaters KW No.of No.of IData Wiring: Si ns Ballasts g No.of Devices or Equivalent No.Hydrornassage Bathtubs No.of Motors Total HP Telecommunications Wiring. No.of Devices or Equivalent OTHER: Attach additional detail if desired.or as required bi'the Inspector of Noires Estimated Value of Electrical Work: (When required by municipal policy.) Work to Starr_ Insyar.tions sie requested in accordance with MEC Rule 10,and upon completion. INSURANCE O�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 rgt BOND 0 OTHER 0 (Specify:) . I cert6,(order to pains and pjnalties of perjaiy,that the information on this application is true and complete. FIRM NAME: fr i(y\ L4 0 C_i—ve1� L. ( ' C— _ LIC.NO.: Licensee:�4_1 1() pQ-P_LS Signature/ �//or LIC NO.: )rj62O (ifapplica erlic "exempt"in the l' ense number line_) Bus.Tel.No.:5D% 'I 1 b (4i,�t y Address: 0 '6 z.v.- %t?i "Arti iornno if e_ a\A-- (37—G 6 1 AIt.Tel.No.: e D 9, ‘•l DO 0L.-39 °Per M.G.L.c. 147,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. 1 am the(check one)0 owner ❑owner's agent. Own tune nt PERMIT FEE: R'z..:IS-1 Signature Telephone No. m t oCAI L.`, ,r— i,c_ - Cc'- JL. t-k , ir1e.-t�