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Home My WebLink AboutBLDE-22-001407 Commonwealth of. Official Use Only itilkor- Massachusetts Permit No. BLDE-22-001407 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:9/13/2021 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) 311 ROUTE 28 Owner or Tenant CARVALHO JASON TR Telephone No. Owner's Address THREE ELEVEN MAIN RLTY TRUST, 311 ROUTE 28,WEST YARMOUTH, MA 02673 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 lightin. E _: , ,: f,+r ,s1 4 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 O �I{VA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emer ig /f grnd. grnd. Battery U No.of Receptacle Outlets No.of Oil Burners FIRE ALA � No.of Switches No.of Gas Burners No.of Detection O Initiatine Devices O No.of Ranges No.of Air Cond. TTootal No.of Alerting Devices O No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ I Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Eauivalent 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 r1-77--_ ---- Commonwealth o////a.4dace1 Official Use Only r 4 :47_7t c� Permit No. (... 2.---2- —(`c4 7 ^-• �' ., 2 eparlmer o j ire�ervicea r f ;" Occupancy and Fee Checked o .,,�`` BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) 0 al I a- ;z A PLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK g1 All work to be performed in accordance with the Massachusetts Electrical Code(ME ),527 MR 12.00 X PLD SE PRINT IN INK OR TYPE ALL INFORMATION) Date: 9 ei -7. 0-LA m ' City or Town of: 44(2....(Ne\Qrt,),�f\—._ To the Inspector of fres: ..is application the undersigned kives notice of his or her intent n too erform the electrical owork described below. Location(Street&Number) 3 1 .12.,;(\_... --1--pee....-1 61 � (gyp c,, Owner or Tenant Telephone No.�V 1 d Owner's Address j 01-) Is this permit in conjunction with a building permit? Yes ❑ No gl, (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: f\t Cp « Q�,��G � GI lT I l �} S 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 Trr anoKVAsformers KVA No.of Luminaire Outlets No.of Hot Tubs . Generators 1 'A No.of LuminairesSwimming 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 Tons No.of AlertingDevices 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 Connection ❑ other 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: AS Inspections ladst.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 iier BOND 0 OTHER 0 (Specify:) I certify,under the pains and enalties of perjury,that the information on this application is true and complete. FIRM NAME:Tin on, t lacok %c._ t'T7.I,c.. LIC.NO.: LicenseeT(,L! fr17 D rr j S Signature LIC.NO.:/75. • di (if applicable enter "exempt"in th license number line.) ^,, Bus.Tel.No.• 11: — Address:'$o boy.a,.►3 l/y i�CY1,8(�,1 IAA--1� O2— 6 Alt.Tel.No.: �l�P *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 Signature Telephone No. I PERMIT FEE: $ 8 0. (.N) ?Irv, Q c4pc. Coal. neT'