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HomeMy WebLinkAboutBLDE-21-004917 ttsiCommonwealth of Official Use Only fi-. ,t Massachusetts Permit No. BLDE-21-004917 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:3/2/2021 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) 1300 ROUTE 28 Owner or Tenant IRAN FAMILY LLC Telephone No. Owner's Address 156 SEA ST,QUINCY, MA 02169 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 KVA No.of Luminaire Outlets No.of Hot Tubs Generators Oie W A No.of Luminaires Swimming Pool Above 0 In- 0 No.of Emer a ig • grnd. grnd. Battery U07.-2 g..� No.of Receptacle Outlets No.of Oil Burners FIRE ALA '`. No.of Switches No.of Gas Burners No.of Detection • 1 Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices O O Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained10 Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Ot 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 Signs 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 Cosmorama:A o`I asaacIuddffd Official Use Only s Permit No.L-24 6.1 -' ( ( rI .1lelaarranE o��sre ervdces % BOARD OF FIRE PREVENTION REGULATIONS u and Fee Checked 7< •,:,,.,' [Rev. l/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code C),527 CMR 12.00 (PLEASE PRINT IN INK OR .E ALL INFORMATION) Date: 2i -Z- �6z City or Town of: 1� To the Inspe or ores: By this application the undersigned ves notice if his or her ,o ,tion to perform the electrical work described below. - �` Location(Street&Num, . ) i 1. Owner or Tenant ,a fie. :,0` ,e et Telephone No. Owner's Address %0 �,1 Q,, .Cl • Is this permit in conjunction with a building permit? Yes 0 No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps . / Volts Overhead 0 Undgrd❑ 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: i .e f�Ia� e-9 y (fii. � • Completion ofthe following table may be waived by the Inspector of Wires. No.of Recessed Luminaires 1No.of Ceil.-Susp.(Paddle)Fans No.of. Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA • No.of Luminaires Swimmin Pool Above In- Ivo.of Emergency Lighting Swimming fid. grad. Batte Units /FIRE No.of Receptacle Outlets No.of Oil Burners ALARMS No.of Zones No.of Switches No.of Gas Burners _ No.of Detection and Initiating Devices _ •No.of Ranges No.of Air Cond. Total No.of Alerting Devices No.of Waste Disposers 'Heatoummpp I Number I Tons I KW- No.of SeltContained I Detection/AlertinkDevices No.of Dishwashers Space/Area HeatingKWMunicipal '— Local❑ Connection 0 Other No.of Dryers Heating Appliances KW Security ,ys, a No.ovices No.of Water KW No.of -No.of Data Wif:ng or Equivalent HeatersSigns Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wirin No.of Devices or Equivalent OTHER: �` Attach additional detail If desired,or as required by the Inspector of Wires Estimated Value of Electrical Work: 1 (When required by municipal policy.) Work to Start PK.Ptep Inspections i 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"conipleted 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 j' BOND ❑ OTHER 0 (Specify:) . I certi13'y undue' and penalties of fury, the information on this application is tree and complete. FIRM NAME; ferias V ea- L t,,,PK- . LIC.NO.: Licensee:--PA10./ 1 i.. O dr'p %4 Signature ,:,ib , LIC.NO.: /15 A- ar appiicable,,pnnter"exempt"in the licg a number line.) Bus.Tel.No.: • Address: .1 S'/¢{� A-114Ale t Ai/'t of 2 $/ Mt.Tel.No.: • *Per MAIL.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement I am the(check one)0 owner 0 owner's a.Rint Owner/Agent Signature Telephone No. I PERMIT FEE:$ I D. p14 A.iid0-e-Ys:.L 1e CL Com. /um-