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Home My WebLink AboutBLDE-22-000744 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-22-000744 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) 845 ROUTE 28 Owner or Tenant JANFRA RLTY LLC Telephone No. Owner's Address 87 TONELA LN, BARNSTABLE, MA 02630 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 ❑ 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 KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool grnd e ❑ grnd. ❑ No.BatofEm A No.of Receptacle Outlets No.of Oil Burners a FIRE A► . oft, No.of Switches No.of Gas Burners No.of Detect' O Initiative Devic• No.of Ranges No.of Air Cond. Tons TotNo.of Alerting Device 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 ConnectionMunicial p ❑ /� 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 Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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 Commonwealth o f Moddacteudeth Official Use Only�744 L` �, -4'1 '� c� c�� Permit No. �/-z- l 'T 4 h; dJepartment ol,`d+�a�erulced I ' 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(MEC),527 CMR 12.00 (PLEASE PRINT IN OR TYPEALL INFORMATIOII, Date: I (2,oIz.o- City or Town of: 4Q To the Inspector bf Wires: By this application the undersigned ves notice of his or her intention to perform the electrical work described below. Location(Street&Number) i Owner or Tenant l ' /k. ° 9_ ' i, r ► 't Telephone No.g I'1 S7¶ Owner's Address y t_..111.6..-4.„ f Y� i 0 _ ' Is this ' •_ Permit in conjunction • h a building permit? Yes ❑ No Purpose of Building El (Check Appropriate Box) Utility Authorization No. Existing Service Amps . / Volts Overhead 0 Undgrd❑ No.of Meters New er 'w Amps / Volts Overhead 0 Undgrd . Number of Feeders and Ampacity El No.of Meters Location and Nature of Proposed Electrical Work: .11/4eiela, &dt d e,if &Ili Go%old-- Li'44;-j Completion ofthefollowing table may be waivedy the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of. No.of Luminaire Outlets Transformers VA . No.of Hot Tubs Generators KVA . Swimming Pool Abodve ❑ l s•or Emergency LightingNo.of Luminaires In- ❑ BUnitsNo.of Receptacle Outlets No.of Oil Burners 'FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners . '. No.of Detection and No.of Ranges __• Total • Initiating Devices _ No.of Air Cond. Tons _ No.of Alerting Devices No.of Waste Disposers -Heat Pump I Number Tons KW- No.of Self-Contained Totals. Detection/Alertin Devices No.of Dishwashers Space/Area Beating KW Municipal Local 0 No.of Dryers Heating Appliances Cotems: pn ❑ Oilier s�ste,�s,r E o.o afar Na of KW Security of Devices or Equivalent Heaters It W No.of Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring OTHER: No.of Devices or Equivalent Attach additional detail/fdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (WhenWork to Start 4-.24, by municipal policy.) 4-.24,p Inspections tele 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 issuipgoffice. CHECK ONE: INSURANCE jg BONDp(Specify:) ❑ OTHER 0 (S eci I cert,under pains and penalties ofper'uty,that the information on this application is true and complete. FIRM NAME;rrn in FA itr.,4 r% C.-t:Telt`.,. - LIC.NO.: Licensee: ¢/4c f-fel.o,,._,-i4 Signature : LIC.NO.: 11 5.7.0 A-- (If appltcabl ter"exempt"in the license number line.) No.: x$-:`77& Address: ! S' �9- ,f �? Bus.t TeL `I 4 it *Per M.G.L. .147,s.57-61, Alt TeL No.: securityworkrequires Department o Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurancecoverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's arm. Owner/Agent Signature Telephone No. ! PFR1iPl?'FEE:$ $(�, PkiAigi : C. i9 Cm ilk