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Home My WebLink AboutBLDE-20-005097 Commonwealth of Official Use Only Ott tttli Massachusetts Permit No. BLDE-20-005097 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:3/17/2020 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) 96 OLD MAIN ST Owner or Tenant TOWN OF YARMOUTH Telephone No. Owner's Address FIRE STATION, 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropri O :ox) Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 $liki et:it wNew Service Amps Volts Overhead ❑ Undgrd ❑ o Zie, Ain Number of Feeders and Ampacity 4ii 478‘...N Location and Nature of Proposed Electrical Work: Upgrade lighting. Completion of the following table m i ive • I? p .r Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of TransformersZi • , No.of Luminaire Outlets No.of Hot Tubs Generators KV', No.of Luminaires Swimming Pool Above ❑ In- CINo.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 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: 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: $0.00 Commonwealth.oo/1/addacctausetis Official Use Ong '' _ `' 'l c� �i Permit No. � ( 7 MBI y Thaparimeni of.ire Jsrvice. I'{ " Occupancy and Fee Checked 'y.. -''' 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(MEC),527 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: CZ-- '7-e)2 -C) City or Town of: V To the Inspector of ires: By this application the undersigned es notice of his or her intention to perform the electrical work described below. Location(Street&Number)°IL 0 k & r ril CA1/et t Owner or Tenant \,{ .-j(LC, S-t St-A.A.;p,iJ 1)l A 1,14:4 Telephone No. Owner's Address 1 5 ltN CAA-0 e% I\,ox e_24 ,n rte,, S — 7 I .U C.._ Car Y a. ill 5— 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 ❑ Undgrd❑ 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: "Q .� JJ K Us2.v C�' U'5 k-1-.1r � , Completion of the following 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 SwimmingPool Above In- No.of Emergency Lighting grad. ❑ grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners !FIRE ALARMS No.of Zones o !FIRE No.of Switches No.of Gas Burners 'No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of AlertingDevices 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 Municipalonnection 0 Other. C 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 W uivill No.of Devices or Egwvs nt 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: prsPCQ Inspectionsaflig 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 54 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: P(N1>M £k2 4-y t:. t „LA( / LIC.NO.: Licensee /((,t,( n(1 a 2_,0-:S Signature,41, LIC.NO.:/ I7 7 a s4 (If applicab�lee1 enter"exempt"in the license number line.) Bus.Tel.No.;5 Q 771969 it Address: bOK e2.I5 cA woiL. /!1 Pr OZc 6/ 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)0 owner 0 owner's agent. Owner/Agent I PERMIT FEE: $ Signature Telephone No. 0 p f M VI e.L¢-Y C- @ C A 1 a.. 'k. n.e r / f ( ,\f-6-1---,Qi_