The URL can be used to link to this page

Home My WebLink AboutBLDE-22-000503 in , -= Commonwealth of Official Use Only E Massachusetts Permit No. BLDE-22-000503 40) 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:7/27/2021 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) 973 ROUTE 28 Owner or Tenant ROME HOWARD Telephone No. Owner's Address PO BOX 126, SOUTH YARMOUTH, MA 02664-0126 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 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 (0/ KVA No.of Luminaire Outlets No.of Hot Tubs Generators 0 ,t .' A No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Eme i v Z grnd. grnd. Battery U.' g O G.•- No.of Receptacle Outlets No.of Oil Burners FIRE ALA• 'II 'o ' o • No.of Switches No.of Gas Burners NoatDetection t Ini O O Initiatine Devicess No.of Ranges No.of Air Cond. Total No.of Alerting Devices 0 ? Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices O No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Othe . 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 Cromamon:wa o`/f otu='mi 3 Official Use Only Mj cc�� .g-ire Permit No.X22— 93 m • 2)epaafinent ol,yare serviced ( ' Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/071 (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 (PLEASEPRINT IN INK OR TYPE ALL INFORMATION Date: (2_( 2io 2/ City or Town of7 0-O ff—�� To the Inspector of ires: By this application the undersigned ves notice of his or her intention to perform the electrical work described below. Location(Street&Number) ''), c ('\ ,/. .) 5-1-Y - Owner or Tenant _: 1, jr, =_`. . I . - - Telephone No. 8 3 9 R, � Owner's Address o.,4.-rte. '10 --.4-;--r -2 L _ (TD-TrQ f Is this permit in conjunction with a building p Yes ❑ No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps . / Volts Overhead❑ Undgrd❑ No.of Meters Nit ice Amps / Volts Overhead 0 Undgrd 0 No.of Meters ."Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: t..C.f.-• 42.tele.ea 04.1.1 col 614...+ Li b Completion of the•loliowing table may be waived bythe No.of Recessed Luminaires YInspector of Wires. No.of Cell.-Soap.(Paddle)Fans No.of" Al . No.of Luminaire Outlets Transformers No.of Hot Tubs Generators KVA ' No..-of LuminairesSwimming Pool Above In- No.of Emergency Lighting No.of Receptacle Outlets grad. ❑ grad. 0 Batters•unita No.of O1 Burners FIRE ALARMS 1No.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 f eat amp 1 um,er ons illi `o.o ',-T-Con ,ed otals:No.of Dishwashers Detection/Alertin, Devices Space/Area Heating icw " 1 �� Coon No.of DryersOther . Heating Appliances No.of Water No.of No. Security No.u gees or Equivalent Heaters KWNo.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 if desired,oras required by the Inspector of Wires. Estimated Value of Electrical Work Work to Start: (When required by municipal policy.) �1 _Inspections tie 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 JET BOND 0 OTHER 0 (S I car ,under ains and tallies o pecify�) S. Pma f perfmy,that the information on this application is arta and complete. FIRM NAME: % e.& C.. ...WI-C_. - t LIC.NO.: Licensee: A, l,0—)--1C Signataure LINO.: f'7 A (If applicablwnter"exempt"in the license number line) Address: 91 2 /3 ,S -19y t AI 0.2 Bus.TeL No.: • -`7 7 br Qj L q tt *Per M.G.L.c,147,s.57-61,securityworkAlt TeL No.: requires Department ofPublic 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 Owner/Agent ❑owner's agent. Signature ®� Telephone No. IPERMIT.FEE:$ b. , p 14 mil Rio- 47,-i; sc. tp ro , ,.r�K tfatir—