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HomeMy WebLinkAboutBLDE-22-000565 CANDLESTICK a Commonwealth of Official Use Only 1:::1101°' _ Massachusetts Permit No. BLDE-22-000565 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked jRev.l/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 x• t .t'.- 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 Transformer KVA No.of Luminaire Outlets No.of Hot Tubs Generator KVA No.of Luminaires Swimming Pool grnd e o grnd. o Na;' . 46.rgen ,, y •g J No.of Receptacle Outlets No.of Oil Burners Fl' ,f ,V,/ No.of Switches No.of Gas Burners No.of Dete. T 0 ;t Initiative Dev es 84P No.of Ranges No.of Air Cond. TotTonalNo.of Alerting De 'No.of Waste DisposersHeat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KWLocal 0 Municipal ❑ er: 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 Slays 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: $80.00 Cmunonwealea.of//taddachudettd Official Use Only M � c� Permit No. ?�'Z-C0S�s' .[)apartment o/.cc77.7`ire&rviced BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked 1/41/4„., [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ,527 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 1 7.,S3 202) City or Town of: j-�—Z� To the Inspector of Wires: By this application the undersigned kives notice of his or her intention to perform the electrical work described below. Location(Street&Number) F 7 c -e— 72 Owner or TenantC. -� 1 C L 4 tA . Telephone Na 157)$ 1(. 0 , Owner's Address Y.Y\CLti✓(Le r,, 9,.QJ , 17-1 I , , Is this permit in conjunction with a building permit? Yes 0 No 0 (Check A Purpose of Building Ppropriate Box) Utility Authorization Na. Existing Service Amps . / Volts Overhead 0 Undgrd 1p' ❑ No.of Meters Nw ice Amps / VoIts Overhead❑ Undgrd❑ No.of Meters . Number of Feeders and Ampacity .• Location and Nature of Proposed Electrical Work: ' f ,0 r` f , . ,f f eT' ti Com'letion , the °Arming table m, be waived, the b , or of•Wires No.of Recessed Luminaires No.of Ceil.•Susp.(Paddle)Fans ,o.o- Transformers o. No.of Luminaire Outlets KVA No.of Hot Generators KVA _• No.bf Luminaires swimming poo) • , 've ❑ n- o.o mergency , . ; ,g No.of Receptacle Outlets �� wan- ❑ Bit' Units No.of Oil Burners FIRE ALARMS No.of Zones No.ors witches No.of Gas Burners • •. No.of Detection and No.of Ranges -"Initiating Devices g No.of Air Cond. .- Tod No.of Alerting Devices eat Pump um,er ons " o.o Containe, No.of Waste Disposers Totals: Detection/Mertin_Devices No.of Dishwashers Space/Area Heating KW y No.of Dryers Heatin �Local❑ Co��� :.P:141 ❑ Other Keeling Appliances o.o _i_�star IOW ,o.o o.Q Kw Security Na of=or i uivalent HeatersData Wiring: Signs Ballasts Na of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: OTHER; No.of Devices or , ,aiv ant Attach additional detail f desired,oras required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: (When required by municipal policy.) Inspections to be requested in accordance with MEC Rule 10,and INSURANCE CO' 'RAGE:.Unless waived by the owner,no permit for the upon completion. ." the licensee provides proof of liabilityperformance of electrical work may issue unless the licensee i insurance including"colttpleted operation"coverage or its substantial equivalent The fined-certifies that such coverage is in force,and has exhibited proof of same to the permit issuingoffice. CHECK ONE: INSURANCE $ BOND 0 OTHER. 0 (Specify:) I certify,under pains and penalties ofperfuty,that the fnformadon on this application is true and complete. FIRM NAME: rn ¶ '1&.f4-81 C...t:rot- -• Licensee:?¢�f- LIC.NO.: .. -e,.s'v-is mat � LIC.NO.:115?r0 A— (If applicabl nter exempt In the license number line.) tt Address: it /,2 ...7#14-744140 le.t Ay� a 2 Bus.Tel.No.; �8-`77br `1 t:4 *Per M.G.L.c.147,s.57-61,security work requires Department of Public Se.fe "S"License: Mt Tel.No.: • OWNER'S INSURANCE W �' Lic.No. WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally requiredby law. By my signature below,I hereby waive this requirement I am the(check one)❑owner Owner/Agent ❑owner's agent. Signature Telephone No. ' FEITFEE. $ $ H , trI