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Home My WebLink AboutBlde-20-000771 Commonwealth of Official Use Only ,,Nor • Massachusetts Permit No. BLDE-20-000771 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.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:8/12/2019 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to.pertorm the ele tncal work described below. /J Location(Street&Number) WILLOW ST e, trek- ONj /l' L- 1-W Owner or Tenant YARM CAMP GROUND ASSOC INC Telephone No. Owner's Address C/O LEE W ERICKSON,455 QUINAPDXET ST,JEFFERSON, MA 01522-1461 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 andlliatitre of Proposed Electrical Work: Refeed garage panel, upgrade service, &install lights&receptacle in basement 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. Batter,Units No.of Receptacle Outlets 1 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 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/Alerting 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: Frank 0 Korpela Licensee: Frank 0 Korpela Signature LIC.NO.: 34454 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 TROUT BROOK RD, MASHPEE MA 026492063 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 requiretnent.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 i Con.4007— eIlz(t4t , WA- 84k4 ,A -.- , L. '- l.o ranorsuisaLffs o,////aooae tt, .. ,. Official Use Only - ---e ,/ 2e anFinani o .lira Permit No. E �' O7 - -1.Z P { Serviced --- -~ -- =._I- Occupancy and Fee Checked `� r !; BOARD OF FIRE PREVENTION REGULATIONS [Rev. l/07] (leave blank) ,,,,y r-----•------1 Z f h , I l APPLICATION FOR: PERMIT- PERMIT TO PERFORM ELECTRICAL WORK CAll work to be performed in accordance with the Massachusetts Electrical Code C),527 CMR 12 D0 L11 I ..-/ -, a I (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: '�/y 0 ' City or Town of: YARMOUTH (,)l 2 i z I By this application the dersi ed To the Inspector of Wires: im gives notice of his or her intention to perform the electrical work described be w. 3I W U 3° ;Location(Street&Number) f 1 m Owner or Tenant �"'�'` �? /Zr ,E f' 1 � 'f Telephone No.�f 6 _ Owner's Address f�iy,.e Is this permit in conjunction with a building permit? Yes /'No C 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd ❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd ❑ NO.of Meters Number of Feeders and Ampacity l� el- 54 3C/6, ,- 1 —�=^cif /l' , Location and Nature of Proposed Electrical Work: �� y Aj /n 4 4.( _.> -4J/ Lc ' ,1 ahtevy Completion of the following table may be waived by the Inspector o f Wires. No.of Recessed Luminaires No.of Cmm1.-Susp.(Paddle)Fans No.of Total Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires6. Swimming Pool Above ❑ In No.of Emergency Lighting - Qrad. rrnd. 0 Battery units No.of Receptacle Outlets / . No.of Oil Burners FIRE ALARMS JNo.of Zones No.of Switches / No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges Na of Air Cond. Total Tons Tons No,of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No,of Self-Contained Totals:1 I ' Detection/Alerting Devices N No.of Dishwashers Space/Area Heating KW Local❑ Municipal Connection ❑ Other No.of Dryers Heating Appliances KW 'Security Systems:* No.of Water Heaters ' No.ofNo.of Devices or Equivalent No.of Si Data Wiring: t:ns Ballasts No.of Devices or Equivalent ``\� No.Hydro In ass age Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER: No.of Devices or Equivalent ' 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 _/9 Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE OVERAGE: 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. c CHECK ONE: INSURANCE 2)--130ND ❑ OTHER (Specify.)El • I certify, under the pains andpenalties o ,�, f perjury,that the information on this application is true and complete. FIRM NAME: Licensee: LIC.NO.: Signature • (If applicable,enter t" th b rli e. LIC.NO.;� . Address: /G/ �� J 1 ,� C` ,� �y f�� Bus.Tel.N `q' J `Per M.G.L. c. 147,s.57-61,security work requires Department of Public SafetyAft.TeL No.: Q OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability Lin.No. required by law. By my signature below,I hereby waive this requirement. I am the(check on 0 owner El o coverage normally Owner/Agent ❑owner's a enL id Signature Telephone No. PERMIT FEE: $ 76'