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Home My WebLink AboutBLDE-21-003838 #2 o• Commonwealth of Official Use Only -4. t i Massachusetts Permit No. BLDE-21-003838 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:1/11/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 1292 ROUTE 28 UNIT 2 Owner or Tenant APKISSELL PROPERTIES LLC Telephone No. Owner's Address 1292 ROUTE 28 UNIT 2, SOUTH YARMOUTH, MA 02664 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. (ANDREW KISSELL'S OFFICE) 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 O / KVA No.of Luminaire Outlets No.of Hot Tubs Generators G KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of E Li � grnd. grnd. Battery ► '' O �►1 No.of Receptacle Outlets No.of Oil Burners FIRE ALA' ' i 41 , • s G No.of Switches No.of Gas Burners No.of Detection an. O O Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained O Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Othe . Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens Ballasts 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 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 Cmunonstroaig el Maa=L an& Official Use Only c� Mi ./ t� e�� Permit No. t 2-1 —��3U r2cnartinent o/. ira�erolcea �' ' • 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(MEp),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORA242ION9 Date: -z- I G7-0 -1.--L) - City or Town of ^l--,_ To the Inspector of Wires: By this application the undersi gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 17.9 2— rL81 e_ 7..-% Owner or Tenant Of n p( f e L .S 0/ . W S Telephone No.4"4 p c?--a--/ Owner's Address S A-1tA L 6 i Is this Purpose permit in conjunction with a building permit? Yes El No ❑ (Check Appropriate Box) of Building Utility Authorization No. Existing Service Amps A / Volts Overhead 0 Undgrd 0 No.of Meters Ne Beanie_ Amps / Volts Overhead 0 Undgrd 0 No.of Meters .•Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: e • (4,1 4,01.- Lo79:-..i Completion of thefollotivfn• table may be waived by the Inspector of Wires No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No.of_ Total No.of Luminaire Outlets Transformers KVA No.of Hot Tubs Generators IKVA - No.of Luminaires Swimming Pool Above In- Pio.Ot Emergency Lighting orad. ❑ grad. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE `' ,� No.of Switches ALARMS �l�yo.�Z�_,. No.of Gas Burners.. ' No.oDetection d r"- , No.of Ranges Total g eel( ''" No.of Air Cond. ,•„ Tons No.of Alerting e cesO.0 _ .. No.of Waste Disposers eat 'imp um er .Tons Totals: T . `o.o Self , , :1 ,`�*r 8 No.of Dishwashers ,k 1(...„`'y' I ' : • aj` . i Space/Area Heating KW • , No.of Dryers Heating Appliances KW ocal� Conn= ;,, � � t' No.ofr No.of Water -No.of � Heaters KW •No.of or Egnivalei , Data Wiring: : a` 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(desired,oras required by the Inspector of Wires Estimated Value of Electrical Work (When required by municipal policy.) Work to Start: if-4-S Pr Rt Inspections tie-requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for therman the licensee provides proof of habiliP� ce of electrical work may issue unless ty 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 issuipg office. CHECK ONE: INSURANCE fg BOND ❑ OTHER 0 (Specify:) , I certify,under epains and penalties ofperjury,that the information on this application is trusa and complete. FIRM NAME:( al V e f..-1"11 c—i:Pit '• LIC.NO.: Licensee:� a J,..r-..i--1 Signature LIC.NO.: t-7 17,0 Fr-- (If applicabl nter"exempt"in the h use number line) . Bus.Tel.No.; • Address: irk Y 2 ...7 •-fig. t4 ,� p j .. b2 / Alt Tel.No.: • "Per M.Q.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)❑owner 0 owner's agent Owner/Agent Signature Telephone No. 1 PERMIT FEE:$ K J, lij Pi i.< 1 4- IP c r . i er