HomeMy WebLinkAboutBLDE-22-000565 CANDLESTICK a Commonwealth of Official Use Only
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_ 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