The URL can be used to link to this page

Home My WebLink AboutBLDE-21-007534 BLD 500 Commonwealth of Official Use Only lf., kI ' Massachusetts Permit No. BLDE-21-007534 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:6/27/2021 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice o1 his or her intention to perform the electrical work described below. Location(Street&Number) 345 CAMP ST Owner or Tenant CHARLES WHITE MANAGEMENT INC Telephone No. Owner's Address 330 COMMONWEALTH AVE, BOSTON, MA 02115 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 ❑ Undgrd 0 No.of Meters Number of Feeders and Ampacity 0 Location and Nature of Proposed Electrical Work: Upgrade exterior lighti 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 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 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 0 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:) 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 a7 ov f ›ice-. ennetetuveata of Medd=liudeftd 53 / Official Use Only cc�� giro n4 yes' t Z partmee el iro Serviced Permit No. 7-t -� E1 - e SOAR[?OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked (Rev.1/07J (leave blank) _ APPLICATION FOR PERMIT TO '‘ERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code .00 (I'LEASE PRINT EtT INK OR TYPE ALL INFOR1124T1019 Date: 4 ,527 MR 12 7 ' City or Town of: I�Orv� " � By this application the undersigned fined ues notice of To the Insp or of tres: gl his or her intention to perform the electrical work described below. Location(Street&Number) Owner or Tenant �'' '--4 '� e Owner's Address G 0 P o. Coi"] • Si Tele h,, i' 320 is this permit in conjunction with a building permit Yes 1 , Purpose of Building ❑ No ❑ (Check Appropriate Box) Existing ServiceUtility Authorization No. Amps ' / Volts Overhead❑ Und d New Se ce �' ❑ No.of Meters Amps / Volts Overhead 0 Undgrd-Number of Feeders and Ampacity 0 No.of Meters Location and Nature of Proposed Electrical Worm: • X.,J Com,letion ofthe followln„tablet , he waived b,the Ins,error o Witte No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans o.o No.of Luminaire Outlets Transformers •: No.of Rot Tubs KVA No..-of Luminaires Generators KVA • Swimming Pool Abody! ❑ n%+ o.o to No.of Receptacle Outlets ❑ Ba U ergeney ' g No of Oil Burners . No.of Switches ;FIRE ALARMS No.of Zones No.of Gas Burners . •' : o.of etectnon and ; .•blittatin.Devices No.of Ranges No.of Air Cond. ' _ - otai No.of Waste Disposers eat •amp 'rrm,er one Tons T ,'No.of Alerting Devices No.of Dishwashers Totals: yet o elf-Can•: cued washers Detection/Alertin Devices Space/Area Beating ter No.,0 D r'titeryers Heating Appliances Kw -;sanity I'ocal❑C'oo n ❑ Otieer Heaters KW �' o o R Datallo.of Wiring: ,. or E nivslent No.DydH ass a W Bathtubs No.of Motors Ballasts• N�o f� or E,nivalent OTHER: Total HP elecomm cations nag: No.of Devices or E,iriva7ent Estimated Value ofEleetri Attach additional detail ifdesired cal WorTc Work to Start (When required by municipal polir regained by the Inspector of Wires INSURANCES inspections requested in accordance with MEC Rule 10,andupon co the Licensee P GE:.Unless waived by the owner,nompietissu Provides roof of liabilityn u permit for the performance of electrical work may issue unless . the licensee provides that proof cover insurance including"completed operation"coverage or its substantial equivalent CHECK ONE: coverage is in force,and has exhibited proof of same to the , q dent The I cent INSURANCE * BOND 0 OTHER 0 (Sec permit issui, 6ffice under t pains and penalties o (Specify:) , FIRM NAME.; fP,m'lttty,that the injrornratlon on this application is trite and coat lete Licensee: C" -C-- • P (1faFplicabi uric p'i� Signature • LIC.NO.: Address: oir 2 It muttber litteJ LIB NO Per M.G.L.c.147,s.57-61,security work1J 3 Bus.Tel.No... 7 k, /L y tt OWNER'S INSURANCE 7, .57 W requires Department ofPublic Safety`CS"License: Mt TeL No.: • OreCl+vred by law. g '`R. I am aware that the Licensee does not have the liabilityinsurance eVo. Owner/Agent Y my signature below,I hereby waive this requirement I am the stnrance covers Y Signature (check one) ■ owner nornnaIl owner's a:a,t. Telephone No. P P 41 14 ;-� d9 ids � �: 8 • , of