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Home My WebLink AboutBlde-21-001261 Commonwealth of Official Use Only 'l Massachusetts Permit No. BLDE-21-001261 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:9/11/2020 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) 560 HIGGINS CROWELL RD Owner or Tenant WESTWOOD REALTY PARTNERS LLC Telephone No. Owner's Address 225 GEORGE STREET, PROVIDENCE, RI 02906 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 li htin• 5`:, :If-, 4 'g 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. Batten'Units A . ../ No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 4* No.of Switches No.of Gas Burners No.of Detect' n Za — Initiating D• 1✓0 Q —/ No.of Ranges No.of Air Cond. Total No.of Alerting i Tons p No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contains Totals: Detection/Alerting Devices 8 &Pp No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Connection No.of Dryers Heating Appliances KW Security Systems:* O 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 ' N Commonweakh.o/flla.4aaclutdetle Official tUse Only 1` * N cc� cc�� Permit No. �1 '� � ■ .2)opartment o/..tire.eruiceo j j_ --' Occupancy and Fee Checked �"= ' BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),5 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 3 City or Town of: ,m .l — To the Inspe for o Wires: By this application the undersigne gives notic of his or her intention to perform the ele cal wo described below. Location(Street&Number) Owner or Tenant Telephone No. J �`Owner's Address Q co5 3 i Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps -- / Volts Overhead Undgrdfl No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity I Location and Nature of Proposed Electrical Work: f Q f 1Q,r..L. Q./U 9 y e -�-�; CA'aid" �,/' yl�;�J • Completion of the,followin,table may be waived by the Inspector of Wires. Total No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans Tf Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimmin Pool Above In- No.of Emergency Lighting g grad. grad. ❑ 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. . Tons Total To No.of Alerting Devices 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 El Connection ❑ 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: -a-S Inspections/ex 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 fig BOND 0 OTHER 0 (Specify:) I certify,under t k pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME:r m ffl V t 4 L,t 4j L LIC.NO.: Licensee:?/4u./ ill 0 e- ,--%4 Signatures , , LIC.NO.: Pi 5`>e)f r— (If applicabl n1er"exempt"in the license number line.) Bus.Tel.No.: Address: Lr k Z /3 S"�C- ,e,t M d 2 f 1/ Alt.Tel.No.: • *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)❑owner 0 owner's a ent. Owner/Agent Signature Telephone No. PERMIT FEE:$ O • P Al M.old-(4)-►,