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Home My WebLink AboutBlde-21-003647 Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-21-003647 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:1/4/2021 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) 1067 ROUTE 28 Owner or Tenant MULLEN MARY ANGUS Telephone No. Owner's Address CIO RYANS FAMILY AMUSEMENTS, 1067 ROUTE 28, SOUTH YARMOUTH, MA 02664-4105 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade lighting.(FriglefiettnEWOITI 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/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 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 Helen Ke,, lsi - 6(214 C.anunonweatda o1 rriasdacaxudeffs Official Use Only cc�� ee7�_� C� -z I - ((4 -7 M;I ; aUenap{inent o/.Jsre&rutted Permit No. n r BOARD OF FIRE PREVENTION REGULATIONS Occupancy 1/07] and Fee Checked �;�+ [Rev,l/O?] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ,527 12.00 (PLEASE PRINT IN INK OR TIT ALL INFORMATIOII) Date: I`Z '3 0 2>0 z -C) $ City or Town of: A-(� M.-� To the Ins or of tress y this application the undersigned 'ves notice his or her intention to perform the electrical work described below. - Location(Street&Number) I b ' 7 e- 2 Owner or Tenant lv✓..y A')"--v S-G Telephone No. ) P Owner's Address f VZ ,a IA-/ • .£ ! S G [� Is this permit hi conjunction with a building permit? Yes ❑ No / Purpose of Building ❑ (Check Appropriate Box) Utility Authorization No. Existing Service Ames / Volts Overhead❑ Undgrd 0 No.of Meters .1mTja - - Amps / Volts Overhead❑ Undgrd❑ No.of Meters ..Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: iltf pl C.e_ i� Completion ofthe following table the may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Cell.-Snap.(Paddle)Fans No.of• Total No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators KVA _ No..of Luminaires Swimming Pool slitAbove ❑ I d. 0 fir:. Uaency Lighting No.of Receptacle Outlets No.of OH Burners No.of Switches FIRE ALARMS �No.of Zones No.of Gas Burners.. • Na of Detection and Na of Ranges . Initiating Devices is No.of Air Cond. Total o.of Alerting Devices :eat Pump Number Tons KW No.of Waste Disposers Tons - No.of Self-Contained Totals: MEIN Detectlon/Alerdn. Devices No.of Dishwashers Space/Area Heating KW No.of Dryers gear Appliances ° Connecon 0 Other Na of Water KW No.of�or Equivalent Na of . Data Wiring: Heaters KW -No.of Si: s Ballasts No.of Dvices or E,uivalent No.Hydromassage Bathtubs No.of Motors Total HP • ecomm , cahtons " ringg OTHER: Na of Devices or c I uivalent • Attach additional detail if desired,or as required by the Inspector of Wires Estimated Value ofElectrical Work: Work to Start: (When by municipal policy.) INSURANCEupon completion. . insP�o quested in accordance with MEC Rule 10,and E:-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" undersigned-certifies that such coverage is in force,and has exhibited fofsameto coverageeor its substantialssui equivalent The CHECK ONE: INSURANCE 00 (Specify:) of to the permit issuing office. BONDOTHER I cert ,under pants and penalties ofpedmy,that the information on this application is ttzru am/complete. FIRM NAME:YAI in FA 1-n c...,t.,. 1., • • Licensee: LIC.NO.: d ,-/..I`S Signature i� LIC.NO.: f 151.p A-- (If applicabl nter"exempt"in the license number line.) r. Address: Or It ,x/3 S"�,q-�e4 ,ni It- 4 251/ Bus.Tel. • *Per M.Q.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 Oqm�Aft By my signature below,I hereby waive this requirement I am the(check one)0 owner 0 owner's agent Signature Telephone No. PE RMITFEE:$ 4'p, � I t ill . AU- _ r e