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Home My WebLink AboutBLDE-21-001042 Commonwealth of Official Use Only "WmMassachusetts Permit No. BLDE-21-001042 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:8/31/2020 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 scribed below. Location(Street&Number) 94&98 STATION AVE •,: , Owner or Tenant ROMN CATH BISHOP OF FALL RIVER Telephone No. Owner's Address C/O ST PIUS X PARISH,CLARA ST,SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Ap i ropriate Box) Purpose of Building Utility Authorization No. 6 , ,� Existing Service Amps Volts Overhead 0 Undgrd 0 '':of , New Service Amps Volts Overhead 0 Undgrd 0 o. ,✓ "'r• ,•rD i►s f Number.of Feeders and Ampacity P AI Location and Nature of Proposed Electrical Work: Upgrade lighting r4,14, Q r--) p: r 1 Completion of the followingtable maybe V s P ctor or Wires No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of tai l Transformers No.of Luminaire Outlets No.of Hot Tubs Generators A No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners I.of DetectiDevn es and itiatinNo.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 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 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:) 1 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 Commonweanh.o`1/lae4ac etts Official Use Only . - za — (042 /iii-- c� Permit No. ail i 2)eparinwnl o/.iiro�ervicei fOccupancy 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(MEC),527 C R 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: it r ?-j 2-0 --,-O City or Town of: "Q- -au."�-• . To the Inspector of Wires: By this application the undersign gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) 39_1 W D D A Owner or Tenant 4 ,. s.I Telephone No.Si li -49 Owner's Address INA Pi-4 f Pr b ci i i Is this permit in conjunction with a buildingC r -"- permit? es ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead 0 Undgrd g ❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd g 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: 1 Qe/a.tf, �e..4-4y � � !` ,. 1,40 �J 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- No.of Emergency Lighting grnd. grnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS INo.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat PumpNmuber Tons I KW� No.of Self-Contained Totals:I �""" "� }' r Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local❑ Municipal No.of Dryers Connection ❑ Other r'3' Heating Appliances KW Security Systems:* No.of Water KW No.of No.of Devices or Equivalent Heaters No.of Data Wiring: Si.ns Ballasts No.of Devices or E'uivalent No.Hydromassage Bathtubs No.of Motors Total HP e ecommumca ons ' al OTHER: No.of Devices or E uivalent Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: Work to Start: Inspections (When required by municipal policy.) uested in INSURANCE COVERAGE: Unless waived by the ogwner,nopermit for the performe with ance elof e electric upon completion. aytiss the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.to unlesse undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE jgr BOND 0 OTHER I certify,under t, �pains andpenalties o ❑ (Specify:) FIRM NAME: fperr!jury,that the information on this application is true and complete A JL ` `a Licensee:�/ - LIC.NO.: , r�i Signature _ • , LIC.NO.: /'75`10 A-- (If applicab14,4riter exempt'to he license number line.) Address: 46 X / luta 0 , / Bus.Tel.No.•,_ *Per M.G.L.c 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.LiTc 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 Owner/Agent ❑owner's agent. Signature Telephone No. Al M.¢./t�G9'yt. I PERMIT FEE: $g'O • ��I