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Home My WebLink AboutBLDE-22-000746 #14 Commonwealth of Official Use Only - 0.1111111k. Permit No. BLDE-22-000746 17 Massachusetts 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:8/9/2021 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) 231 WHITES PATH UNIT 14 Owner or Tenant YARMOUTH BASKIN LLC Telephone No. Owner's Address P 0 BOX 365, EAST ORLEANS, MA 02643 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(BASKINS HARDWARE) 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 : Transfor r •l / KVA No.of Luminaire Outlets No.of Hot Tubs Genera + ( � KVA No.of Luminaires Swimming Pool g rnd e ❑ Irnd. ❑ N rg' g ', + No.of Receptacle Outlets No.of Oil Burners FI' '' � .i' + b No. + 411P, No.of Switches No.of Gas Burners No.of Detec '+n a I ' Initiative Device O No.of Ranges No.of Air Cond. Total No.of Alerting Devic• 40 No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: 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 Eauivalent 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:$80.00 C..onsesonaeea of//(addatludeffd Official Use Only di,/ Zepartosen#o/..7`ire Serviced Permit No. 1A% 0 7� It Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ,527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATIOA9 Date:" " 3 b 11.A:014 - City or Town of: To the Inspector of Wires: By this application the undersigned kives notice of his or her intention to perform the electrical work described below. Location(Street&Number) Z (,'j,► 4 d Qa_11,-‘, t `F Owner or Tenant li; Pre,\La N 1-1 ,r ppm e--• Telephone Na�11 L 0 ' Owner's Address r•Y Cc l P�Y\ O , F y Is this permit in conjunction with a building permit? 0 No 0 (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Se ce Amps . / Volts Overhead 0 Undgrd 0 No.of Meters NewIonlearkgAmps / Volts Overhead 0 Undgrd❑ No.of Meters . Number of Feeders and Ampacity , Location and Nature of Proposed Electrical Work: .14.4 fie 42,,vie,,r9 if pliti co'it,d— lete.. .j Come lesion o the ' , • -table .be No.of Recessed Luminaireslord, t/teI ,=�,ro/Fffr� Na of Ceil.�Snsp.(Paddle)Fans 0.'o o.: • Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA - No..-of Luminaires swimming Pool ,, ae ID •n-d. ❑ ,o.o cy' ;..g _ No.of Receptacle Outlets ,r�. Un No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches Na of Gas Burners .' • `o.o 1 etec'on an' Initiatln, Devices No.of Ranges No.of Air Cond. No.of Waste Disposers :eat •amp Tons No.of Alerting Devices ` „ , , ons ! iso -Con nn , Totals: L De an/Alertin Devices No.of Dishwashers Space/Area Heating KW . Local r Na of Dryers HeatingAppliances n ❑ Other KW ., a o �o.Q Na of 1 �: or � ,nivalent `o.o "alar . Heaters KW Data Wlrin , Si!' Ballasts No.of Devices or$,ulvalent No.Hydromassage Bathtubs No.of Motors Total HP ecomm, , ca. ,ns '''i`, ,: OTHER: Na of Devices or r,uiv8 eat Attach additional detail if desired,or required by the Inspector of Wires. Estimated Value ofElectrical"VSrOrjG Work to Start (When required by municipal policy.) Inspectionsiabe requested in accordance with MEC Rule 10,and INSURANCE COVE GE:.Unless waived by the owner,no permit for the performance of electrical k may issue unless the licensee provides proof of liability insurance including"co#lpleted operation"coverage or its substantialequivalent undersigned-cettifies that such coverage is in force,and has exhibitedThe • CHECK ONE: INSURANCE �r proof of same to the permit issuingoffice • I ret tlfy under J� BOND ❑ OTHER 0 (Specify;) I certiRM NAME: ,alas and penalties ofperjury,that the information on this application Is true and complete ti .1,,tA C... - LIC.NO.: Licensee:7 4 f-,.-)-s (�f'appticvbl�tntet•"exempt"int the license number line) ��a f• LIC.NO.:f15-7 A-- tt Address: KSS !3 ..,7114-19.4444 letAI d 2 3 �8-`776r Qj G g Bus.Tel.No.: 'Per M.G.L.c.147,s.57-61,security work requires Department ofPublic S Tel.Alt No.: • OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not Safety the liability e' ran c _ • required by law. By my signature below,I herebywaive this insurance coverage normally Owner/Agenturren�ent I am the(check one owner " 1 owner's a -.t. Signature Telephone No. PERRI!IT'PEE.$ i 0 . ;_C. di eive.b alisil Ala"-