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Home My WebLink AboutBLDE-22-000743 or ttk Commonwealth of Official Use Only .' tin) Massachusetts Permit No. BLDE-22-000743 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:8/9/2021 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) 92 OLD TOWNHOUSE RD ® NI 4 Owner or Tenant FMR REALTY LLC 1 Telephone No. Owner's Address 92 OLD TOWNHOUSE RD, SOUTH YARMOUTH, MA 02664 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 lighting. 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/4:\ KVA No.of Luminaire Outlets No.of Hot Tubs Generat s.,/N:1,..) KVA No.of Luminaires Swimming Pool g bovend. ❑ RIrnd. ❑ No.of ,giitfy k 14 . /Q rBattery . 1 N. 0 t No.of Receptacle Outlets No.of Oil Burners FIRE ALASi • No.of Switches No.of Gas Burners No.of Detectio VNi.n Initiative Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devic O No.of Waste Disposers Heat Pump Number Tons KW ,No.of Self-Contained p Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ &ter: Connection LJ No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Siens 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 my 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 Commonwoa of frfa daenudettd Official Use Only 4\+� � cc�� ee77� np Permit No. 7i2�-711'3 Theparbnant of Sire Jerviced << C, 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 ;A 527 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION Date: 9 11 7/0-24 - ByCity or Town of: I+(2, Y1.O�—�� To the Inspector of : - this application the undersign gives notice of his or her intention to ,a , „ the electrical work described below. Location(Street&Number) - _ /. 1. AWIre1 A d i / a 4 Owner or Tenant i _ ,;gid' , C4 1t_., Telephone Naq i ' . Owner's Address f-0 rex ;/S /.° ,le -r� 01—B07- Is this permit in conjunction with a building permit'? Yes ❑ No 0 (Cheek A Purpose of Building Appropriate Box) -- UtilityAuthorization No. Existing Service Amps . / Volts Overhead 0 Undgrd❑ No.of Meters ew ei g Amps / Volts Overhead 0 Undgrd .•Number of Feeders and Ampacity Na of Meters Location and Nature of Proposed Electrical Work is 0.41.4 .r.,,c did- Com,!aka o the of, . u ,i,,,. table , 'be waived, the I .,-.aro Wires. Recessed Luminaires Na of Ceil.-Susp.(Paddle)Fans ` No.of R a.o _ Luminaire Outlets Transformers No.of L Na of Rot Tubs Generators KVA • No.of Luminaires Swimming pool ,, de ❑ aM o.o ;leniency e l, i„g No.of Receptacle - d- ❑ Ba,. Units Outlets Na of Oil Burners FIRE ALARMS No.of Zones Na of Switches No.of Gas Burners •. No.of Detection and No.of Ranges i - Initiating Devices No.of Air Cond. Tommi No.-- No.of Alerting Devices No.of Waste Disposers •art •Totals:p umber ons -,.;, 1o.o 'elf onta'ne. No.of Dishwashers Detection/A_lertin Devices Space/Area Heating KW Local 0 ' ' ' ' ' No.of Dryers Seating Appliances Kw ' 0 Other O.o` Fater KW No.of 'No.of Na of .. or Equivalent HeatersData Wiring: SIS , Ballasts Na of Devices orE•uivalent Na Hydromassage Bathtubs Na of Motors 'Total HP -comm, , ea 1 ons "I" ,_: OTHER: , ,. No of Devices or [ , ,: ant Estimated Value ofElectiricai WorICAttach additional detail fdesi,a d,oras required by the Inspector of Wires Wormatk to Start (When required by municipal policy.) TnspectionsTlOirrequested in accordance with MEC Rule 10,and upon completion. INSURANCE CO GE:.Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"col1pleted operation"coverage or its substantial equivalent. The undersigned-certifies that-such coverage is in force,and has exhibited proof of same to the permit issuipgoffice. . CHECK ONE: INSURANCE J BOND 0 OTHER 0 (Sped • I certify,under !' a alas and penalties ofp� 3f the information on this application is true and complete. FIRM NAME: ; -._,.1,K —..t. LIC.NO.: Licensee: -(yl,e ...0-.)-4 Signaturee„ 'T' LIC.NO.: (1 5200 A (If applicablvpter"exempt"in a 1i number line.) /tt Address: ( 1 XI/3 .,I i-i7 et pi ii 2$6.,/ Alt Tel.No.: �8-`776r "1 L *Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below.I hereby waive this requirement I am the(check one)❑owner- 0 owner's agent Owner/Agent Signature Telephone No. I PERMIT FEE:$ $D. ?ik A9. a:.` t CIE bA► &mot 110.1"L.