HomeMy WebLinkAboutBLDE-21-002859 Commonwealth of Official Use Only
. ,,�_ Massachusetts Permit No. BLDE-21-002859
. ' 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:11/18/2020
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 electrical work described below.
Location(Street&Number) 329 SOUTH SHORE DR
Owner or Tenant OCEAN CLUB RESORT CONDO TRUST Telephone No.
Owner's Address 329 SOUTH SHORE DRIVE, SOUTH YARMOUTH, MA 02664
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appro ialIZ
Purpose of Building Utility Authorization No.
f 2.
Existing Service Amps Volts Overhead 0 Undgrd ❑ j e
New Service Amps Volts Overhead 0 Undgrd 0 `.• rot
Number of Feeders and Ampacity ahLocation and Nature of Proposed Electrical Work: Upgrade lighting. O O
Completion of the following table may be waived by 4., • Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of , •,
Transformers
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 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. I PERMIT FEE:$80.00
r
Commonwealth.of ri/astsaciirtdetta Official Use Only
U
o1.yira�er+veces Permit No.� Occupancy and Fee Checked
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
AU work to be performed in accordance with the Massachusetts Electrical Code C),52 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I 1 13 Zo IA)
City or Town of: �N,_ To the Inspe or of ires:
By this application the undersign gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) —1". j'' 1) it ;. -
Owner or Tenant Telephone Not 8 3
l
Owner's Address (� _A C
Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box)
Purpose of Building
Utility Authorization No.
Existing Service Amps . / Volts Overhead 0 Undgrd❑ No.of Meters
NewNexleolge Amps / Volts Overhead 0 Undgrd❑ No.of Meters
- Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: lfi9/at@., cd1Q.A.9 if
9.4.1.i col&Id- I JO ....j
Completion ofthefollowing 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 pal Above ❑ In- No.or Emergency gnting
No.of Receptacle Outlets _ wild. �� ❑ Battery Units
t t
No.of Oil Burners FIRE ALARMS (No.of Zones
No.of Switches I No.of Detection and
No.of Gas Burners -
No.of Ranges Total , - Initiating Devices
No.of Air Cond. Tons No.of Alerting Devices
No.of Waste Disposers Heat Pump I Number 1 Tons Totais: T I KW No. Self-Contained
Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW ��0 Municipal
No,of Dryers Connection ❑ fie'
Appliances
o.o star KW No.of Kw �f j or Equivalent
Heaters Signs No.of
Data Wiring:
No.HYdroma No.of Devices or Equivalent
sage Bathtubs No.of Motors Total HP Telecommunications Wiring:
OTHER: No.of Devices or E�laivalent
Attach additional detail ifdesired,or as requited by the Inspector of Wires.
Estimated Value of Electrical Work.7170
Work to Start: �j (When by municipal policy.)
INSURANCE COVEGE:.Unless waved bons y t requested in he owner,no accordance
for
ethe�MEC Rule 10,and upon completion.
the licensee provides proof of liabilitypermitperformance of electrical work may issue unless
undersigned-certifies that such coverage force, nincluding
has`cornpleted exhibited proof of same oarage or its th the issuipgb ool fecgemvalent. The
CHECK ONE: INSURANCE jEr BOND 0 OTHER 0 (Specify:) ,
I certlfy,underlie pains and penalties of perfuty,that the information on this application is trim and complete.
FIRM NAME:rill In FA e.c. c... -
t LIC.NO.:
Licensee: 114 1 I r o d .!'i s Signature � LIC.NO.:/I 5240 p A--
(7fapplicabl rater"exempt"in the license number line.)
Address: F k a /3 S" e. Ai it- E•2 S-I Bus.Tel.No.:
•
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public S Alt Tel.No.:�y"S"License: Lies No.
OWNER'S INSURANCE W
AIVER: I am aware that the Licensee does not have the liability insurance coverage normally
Oared by law. By my signature below,I hereby waive this requirement I am the(check one)❑owner 0 owner's agent.
Signature Telephone No. I PERMIT FEE:$ D . O. I
P ki ;ti A•ia- -iv.: C. IP CALeo eM duk '