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Home My WebLink AboutBLDE-22-005797 23 SIMPSONS or Commonwealth of Official Use Only '. Massachusetts Permit No. BLDE-22-005797 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:4/11/2022 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 trical work desil elow. Location(Street&Number) WILLOW ST �� ` Owner or Tenant YARM CAMP GROUND ASSOC INC Telephone No. Owner's Address C/O LEE W ERICKSON,455 QUINAPDXET ST,JEFFERSON, MA 01522-1461 t VV` f 11" Is this permit in conjunction with a building permit? Yes 0 No 0 h•. !ox) Purpose of Building Utility Authorizati h + , Existing Service Amps Volts Overhead 0 Undgrd rs New Service Amps Volts Overhead 0 Undgrd No.o , •rs Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Miscellaneous work per attached _ Y;Yo-t 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 KVA No.of Luminaires Swimming Pool Above ❑ In- o No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets 4 No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches 1 No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Tonal No.of Alerting Devices 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 Siens No.of Devices or Eauivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Eauivalent 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:) certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: Frank 0 Korpela Licensee: Frank 0 Korpela Signature LIC.NO.: 34454 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address: 14 TROUT BROOK RD, MASHPEE MA 026492063 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:$75.00 Commotuaeakk /Mamgchuoeito Official Use Only Permit No. �' 2—"---S rl Q 7 ti .bevartmsni o/eire —Cervices --- 1:-- v Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All wort to be performed in accordance with the Massachusetts Electrical . EC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: r' F...)-j 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) ..- 3 S/mp f er, r to, Owner or Tenant fiu-t Q Telephone No. 7/y a39-9 d/y Owner's Address , 3 Z./nips-oils 4,7t.. LU.Y ' "v'd Is this permit in conjunction with a building permit? Yes 0 No El-.(Check AppropriateB 2) Purpose of Building Utility Authorization No. Qro76-_3 Existing Service/ i2 Amps /o)O/4;keVolts Overhead KV Undgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd 0 No.of Meters Number of Feeders and Ampadty Location and Nature of Proposed Electrical Work: !, ! 00,;.6./0 I ' - _i J , ��'1 j� o,I 41 i y / I /l• _ I. 41011111"11111101,-,. i w �L� fid .4-- Completion of ie following table maybe waived by the Inssector of Wires. No.of Total No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires 9 Swimmin Pool Above 0 In- ❑ No.of Emergency Lighting g grnd. grad. Battery Units No.of Receptacle Outlets y No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches / No.of Gas Burners Ni,.- of Detectionngand Devices Devices '• No.of Ranges No.of Air Cond. Tota No.of Alerting Devices No.of WasteDisposers Heat Pump Number Tons ._,_KW,_..,.., No.of Self-Contained Totals: Detection/AlertingDevices No.of Dishwashers Space/Area Heating KW Local❑ MuniConnection ❑ Other No.of Dryers Heating Appliances KW SecuNo.ofevices 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 TelecommunicationsNo.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: SI .,),)- Inspections 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 c�o.v,ers is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ND 0 OTHER 0 (Specify:) I certify,under thins and psnalties of perjury,that the information on this application is true and complete. FIRM NAME: //a' ,'`f �7� /&•42 LIC.NO.: Licensee: //4 4''ILSw. Signature � LIC.NO.: 3yyfy, (Ifapplicable,enter�"ex mpt' ' the l' aw R�pumb Iine. Bus.Tel.No.: Address: ,/ /stdy r4iY/J ,?f iM 40-'709 Alt.Tel.No.:(10f.� /-C'if e' *Per M.G.L.c. 147,s.57-61,security work requireiDepartment 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. PERMIT FEE:$