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Home My WebLink AboutBLDE-21-003585 a. Commonwealth of Official Use Only 1. - Massachusetts Permit No. BLDE-21-003585 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked IRev.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:12/28/2020 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) 241 WILLOW ST Owner or Tenant BIO-MEDICAL APPLICATIONS OF CAPE COD INC Telephone No. Owner's Address C/O FMC 1112,ONE WESTBROOK CTR STE 1000,WESTCHESTER, IL 60154 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropr'. CB Purpose of Building Utility Authorization No. Q/ Existing Service Amps Volts Overhead 0 Undgrd 0 y1 I f e e n New Service Amps Volts Overhead 0 Undgrd ❑ _� . i+,. }yr." Number of Feeders and Ampacity ' %'v/�' Location and Nature of Proposed Electrical Work: Upgrade lighting. // O 8, „ Completion of the following table may be waived by )s , f Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of 10 Transformers 4 No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- 1:1No.of Emergency Ligh ng'-,grnd. grnd. Battery Units 6-_ No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS ones -. �," No.of Detection d ." No.of Switches No.of Gas Burners F Initiating Devi s i)e c Q1 No.of Ranges No.of Air Cond. Totons No.of Alertiev s C,p No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Cont ed� �4,,, f '/ Totals: Detection/Alerting 1�vice` , .. v /t No.of Dishwashers Space/Area HeatingKW Local ❑ Municipal P 'Other's' Connection ,,,y No.of Dryers Heating Appliances KW Security Systems:* ,_ -, No.of Devices or Equivalent N, ,' 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 antasonweall ol7/rJaeaaCIaeettd Official Use Only-�, �— �- mii: ,� ��/�l —" 5- S d{ c� cc77�� p Permit No. ' .UepartYnenf o/.moire Services '' ,,, BOARD OF FIRE PREVENTION REGULATIONS [RevOcc up1/07jancy and Fee Checked(leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code( ,52 CMR 12.00 (PLEASE PRINT IN INK OR TYPALL INFORMATIO11) Date: 1 Z-3 `24 - City or Town of: � D - - To the Inspe tor of Cres: By this application the undersigned �Iv/es notice of his or her intention nn ectrical work described below. Location(Street&Num i er) `T I (A) / 11 6)A.) ) /(J Owner or Tenant lip t I I jp tet—A4 ' Telephone Na 3 e e S Owner's Address .G hl/WI t Cd/(% I he-ti b g Is this permit in conjunction with a building _, �, ; J Purpose of Building Yes ❑ No [] (Check Appropriate Box) Utility Authorization No. Existing Service Amps " / Volts Overhead 0 Undgrd❑ No.of Meters Digx.Se a Amps / Volts -Overhead 0 Undgrd 0 No.of Meters .'Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Waite, "' ....fli Completion ofthefollowingtable may be waived by the I ectorof Wires. No.of Recessed Luminaires No.of CeIL-Susp.(Paddle)Fans No.of. o No.of L Transformers KVA . Luminaire Outlets No.of Hot Tubs Generators KVA - No.,bf Luminaires Swimming Pool �d e ❑ In- ❑ no.of l:.mergency Lighting No.of Receptacle Outlets $ � Battery Unita No.of Oil Burners FIRE ALARMS INo.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 Heat p I Number Tons I KW• No.of Self-Contained No.of Dishwashers I Detection/Alertin Devices Space/Area Heating KW Local 0 Municipal No.of Dryers Heating Conner n 0 � .1 Appliances Kw Emu* tof�or Na of Water KW Na of Na of • Equivalent Heaters gid Ballasts Data Wiring: No. Na of Devices or Equivalent Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wring OTHER: Na of Devices or Equivalent _ Attach additional detail ifdesi ed,or as required by the Inspector of Wires.- Estimated Value of Electrical-Work (When required by municipal Work to Start �$�p inspections tq� policy.) Insp requested in accordance with MEC Rule 10,and upon completion. INSURANCE CO ERA E:.Unless waived by the owner,no permit for the performance of electrical work may issue unless . the licensee provides proof of liability insurance including"co#iplet!ed operation"coverage or its substantial equivalent. The undersigned-certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCEBOND • jg 0 OTHER 0 (Specify:) , I certify,under Rif pains and penalties ofperJwy,that the information on this application is trim anti ompieta FIRM NAME; j 011a-rt c_-t.7Ji(1 C.. -• LIC,NO.: Licensee: /24 m i,,.r)-s Signature � LIC NO.: 115>0 A -- (If applicabl rater"exempt"in the license number line.) Bus.Tel.No.; • Address: 0111= _ /.1 S" e j 1444,, 0' -1; Alt Tel.No.: 'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement I am the(check one)❑owner 0 owner's agent. Owner/Agent Signature Telephone No. I PERM T.FEE:$ 8 D . 03 �.m 1d- _-c _ Ai