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Home My WebLink AboutBLDE-22-000566 CONSIGNING KIDS or Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-22-000566 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:8/1/2021 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 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade lighting- i'- 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 l�/ KVA No.of Luminaires Swimming Pool grnd e ❑ grnd. ❑ Batter c S No.of Receptacle Outlets No.of Oil Burners FIRE �v: ': No.of Switches No.of Gas Burners No.of Detec I neLei Initiating Devi • No.of Ranges No.of Air Cond. Total No.of Alerting Devi O 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 ❑ Connection 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 Signs 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: $80.00 ( onunonweaW&of Womack/Jetts ,cOff�icial Use Only +� �/ `� S' Pertrrit No. (22—0�Ca�o e+- * apartinen$o Serviced BOARD OF FIRE PREVENTION REGULATIONS Occupancyv0and Fee Checkedk +' [Rev.1/07] (leave blank) • APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AU work to be performed in accordance with the Massachusetts Electrical Code(MEC),5 7 CMR.12.00 FLEA SE PR IT IN INK OR TYPE ALL IlVFORMATIOAi Date: 1 22 'Lb City or Town of: To the Inspector o Wires: By this application the undersigned' Ives notice of his or her intention to perform the electrical work described below. Location(Street&Nu ber) e yS— 7 Owner or Tenant :,(5-y\s j I LJ� Telephone No. S U 13 C{ Owner's Address G a t4 ati.-4-15- / /Is this permit in contunction with a buildinCPurpose of Bail g� YesNo 0 (Check Appropriate Box) . Utility Authorization No. Existing Service Amps • / Volts Overhead 0 Undgrd 0 No.of Meters NewaqUags& Amps / Volts Overhead 0 Undgrd 0 No.of Meters .•Number of Feeders and Ampacity, Location and Nature of Proposed Electrical Work: 112eilfx.C.g.. &fte.ui fi ' • ' Com,letion o the followin,table is be waived b the Ins.ector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans a o o': Transformers KVA . No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No.of Luminaires Swimming Pool 17 m. ,o.o mergency ig, i .g d. a$, unite No.of Receptacle Outlets - rid. ❑ No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners . •• No.of Detection and Na of Ran - Initiating�ces No.of Air Cond. Total Tons No.of Alerting Devices _ No.of Waste Disposers eat Pump `um,er ons ' "- 1 o.o -T on.: , . Totals: Detection/Alertin Devices ' No.of Dishwasher Space/Area Heating KWlei Low 0 Munpia of � � � �._„. �l n ❑ Other' N Dryers . Heating Appliancesys-te , o,o F'suer KW o.o a 0 KW Self of Daum or E.nivalent HeatersSi.,s Ballasts Data Wiring: No.HydromassageBathtubs Na of Devices or E uivalent No.of Motors Total • HP ecomm i cations 'firing: OTHER: No.of Devices or Equivalent Estimated Value of Electrical Work: Attach additional detail if desired,or as required by the Inspector of Wires. Work to Start (When required by municipal policy.) Inspections tcgbe requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE:.Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned-certifies that such coverage is in force,and has exhibited proof of same to the permit issuineoffice. CHECK ONE: INSURANCE ig BOND I certify,under 44 pains and penalties ofperJury,that the information on this application is true and complete. FIRM NAME:rill (fl V G..t...MC -• LIC.NO.: Licensee:? ../-(Pi..a...-r I s SignatureA y LIC.NO.: 1153 0 A-- (If applicablyynter"exempt"in the license number line.) Bus.Tel.No.; 5b2'17(r1 L 4 t• Address: kS le .2/2 ,¢}.(`.,'/4- Q,� ''/°- ir 2$-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 Signature Telephone No. I PERMLT FEE:$ /D.uJ Si��