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Home My WebLink AboutBle-19-001181 Commonwealth of Official Use Only t- Liu Massachusetts Permit No. BLDE-19-001181 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:8/28/2018 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice or his or her intention to perform the electrical work described below. Location(Street&Number) 115 MID-TECH DR Owner or Tenant MID TECH CONDOS Telephone No. Owner's Address CONDO MAIN, 115 MID TECH DR,WEST YARMOUTH, MA 02673 Is this permit in conjunction with a building permit? Yes 0 No 0 aft k Appropriate Box) Purpose of Building Utility Authoriz- 'o i i► lIV Existing Service Amps Volts Overhead ❑ Und. eters i New Service Amps Volts Overhead ❑ Un._V I Number of Feeders and Ampacity i /, Location and Nature of Proposed Electrical Work: Upgrade lighting. 4/0 / r(� Completion of the following table a the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ElNo.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/Alerting 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 Moms 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 I i n //fi�rr It�nnnn / Commonweatth of fl addachudettd ' niafe y't �� Permit No_ t'3 eparknent o/ ire Serviced 1 Y Occupancy and Fee Checked ''', ,,� BOARD OF FIRE PREVENTION REGULA IONS [Rev.1I07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC)r 27 12.00 (PLEASE PRINTININK OR TYPE ALL INFORMATIO11) Date: � City or Town of: �-� To the Inspectorjl9t Ies: By this application the undersignedtd'ves notice of his or her intention to perform the electrical work described below. - Location(Street&Number) i l J t d ,I4_�� .�Owner or Tenant ! �0� � Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Purpose of BuildingAppropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd gr' ❑ No.of Meters New Service ' - - Amps / Volts Overhead 0 Undgrd❑ No.of Meters Number of Feeders and Ampacity Location and Nature iof ropos Electrical Work: ��k i " , G ^^ __ /� " �vl ee Completion ofthefollowingtable may be wa • . .y the Inspector of Wires. No.of Recessed Luminaires - No.of Cell-Soap.(Paddle)Fans No.of Total No.of Luminaire Oatl ets Transformers KVA No.of Rot Tubs Generators KVA No.of Luminaires Swimming Pool ove In- .No.of Emergency Lighting nd- end. 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 No.of Ranges Total Initiating Devices No.of Air Coed. Tons No.of Alerting Devices No.of Waste Disposers Heat Pump I Number T� o _�KWNo.of Self-Contained Totals' Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW 1Vlu ' Local❑ Connection 0 Other No.of Dryers Heating Appliances KW ecurity ystems: No.of Water No.of No. if No.of Devices or Equivalent Heaters ' Kw Ballasts Data Wiring: Signs No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Tots l HP !Telecommunications Wiring: OTHER. No.of Devices or Equivalent Attach additional detail if desired or as required by the Inspector of Wires. Estimated Value f Electrical Work: (When required by municipal policy.) Work to Start: ' MEC Rule 10,and upon comp . INSURANCE COVERA E: Unless pwaived bytions-abbe the requested in accordance withner,no permit for the performance of electrical work ma ly 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 BOND 0 OTHER 0 (Specify:) I certib,under the pains and amalties ofpe,fr y,that the information on this application is true and complete. FIRM NAME:'P INN rn C(9_cit(2.41 C. 1-1,0 L LIC.NO.: 'j cZD " Licensee• 14-t.4.t mb 2 t t 5 Signature d� j-�-6 LIC.NO.: (If applicabl enter"eiempi"in the license number line. !�� Address: p S �tV1.D 2 t 6ZS 6 I Bus.Tel.No.;5 $176`i6 R *Per M.G.L.c. 147,s.5761,security work requires Department ofPubl.c Safety"S"License: Altl ec.No '`��g y0D 86 3 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent. Owner/Agent Signature Telephone No. j PERMIT FEE:$ .'D l ) 7 nonx eft'ec t-r) c. .Aar