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Home My WebLink AboutBlde-19-006985 or Commonwealth of Official Use Only ILA Massachusetts Permit No. BLDE-19-006985 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) 476 ROUTE 28 Owner or Tenant THE POINT LLC Telephone No. Owner's Address 476 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 lighting. 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. 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 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 ❑ 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 ( <( ((e41 • &"� Lotntnonursa s of yd/addackuae stiOfficial Use Only I. - °iltr Al - c� c7 Permit No_ `air ._ �lJeParfinetzt o Fire�ervice4 Occupancy and Fee Checked is A c3' `" ` BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] �a > (leave blank) APPLICATION F.R PE MDR' TO PE F'','FORM ELECTRICAL `, ORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 1100 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: S /3/ 1 1 City or Town oft h(( ,iu � To the Inspector of Wi es_ By this application the undersign gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) A-i -- Owner or Tenant .',;) C_ • . Telephone No. ,S6 R 6 Z Owner's Address -1041-1 1-1 Cj Y 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❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 3 (2--( ' ` cf "''^— i II t Ifts Completion of the following table mar be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of Total g'ransformers KVA No.of Lumminaire Outlets No.of Hot Tubs Generators ICVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting gin gird. 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. TonsTol No.of Alerting Devices No.of Waste Disposers Meat Pump I Number[Tons KW No.of Self-Contained Totals: 1 ""— Detection/Alerting Devices Municipal Space/Area Heating KW Local❑ pal No.of Dishwashers 0 Other Connection No.of Dryers Heating Appliances KVV Security Systems:* No.of Water No.of Devices or Equivalent Heaters KW No.of No.of Data Wiring: Ballasts 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 jf desired.or as required by the Inspector of Wirer. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start Inspections 1»quested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE 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 Tia BOND 0 OTHER 0 (Specify:) . I Ce t6,antler te pains and penalties ofperjnry,that the information on this application is true and complete. FIRM NAME: IVI in t.-�Q (_i lel L . ( �N C. ,--. . LIC.NO.: Licensee . -� I. Q.. ' _I cri LS Signature LIC.NO.: P15Z0A— iYfapplica t et 'exempt"in the 1' ense number litre.) ` Bus.Tel.No.:SD% -1 1 b y Ley Address: 0 1b a•v.. %t?, t A-YInD if Q a\A- 02S 6 I Alt.Tel.No.:i57)9 <I DO e►L39 *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. I am the(check one)0 owner 0 owner's agent Owner/Agent Signature Telephone No. PERMIT FEE: V 0 •UJ ' nter,e.-1g.c.4—ce. e p-eO- -- , Irk e-1