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Home My WebLink AboutBLDE-20-004930 Commonwealth of Official Use Only ini) ; Massachusetts Permit No. BLDE-20-004930 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:3/6/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below. Location(Street&Number) 62 HIGHBANK RD Owner or Tenant TOWN OF YARMOUTH Telephone No. Owner's Address BASS RIVER GOLF COURSE, 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463 Q Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appro i ':t :o 4 Purpose of Building Utility Authorization No. t 45, Existing Service Amps Volts Overhead 0 Undgrd 0 No. , A A. New Service Amps Volts Overhead 0 Undgrd 0 No.of e •1.ir+�K��YJ A, - Number of Feeders and Ampacity —I 'T Location and Nature of Proposed Electrical Work: Upgrade lighting. Completion of the following table may be waived by the Inspec • •.. 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 ❑ 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. I PERMIT FEE:$0.00 K Commonwealth.o///Iaaaaciivasttt Official Use my { '� - '3 6 U cc��--�� cc77Permit No.apartment o fgire SeraiceOccupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS (Rev. 1/07J (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR I2.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 2-1 - Lb City or Town of: r\-(Lj% a To the Insp for of ires: _ By this application the undersi_i t gives notice of his or her intention to perform the electrical work described below-. Location(Street&Number) , 7,g, s li./ 1 q, Owner or Tenant-6(�S /'I V e & I C I V j_` c v A) Telephone No. Owner's Address 'J't UL Q,A Is this permit in conjunction with a building permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Undgrd❑ 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: t.7C n r €,A,e,r...,,..., 4r,U.r uQ Completion the o ollow.f ./� r%table may be waived by the bispeztor of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of I Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool graAbove ❑ In- No.of Emergency Lighting d. grad. Q 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 No.of Alerting Devices No.of Waste Disposers Heat Pump E Number(Tons 1(KW No.of Self-Contained Totals: 1 Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipalectio Connn ❑ er No.of Dryers Heating Appliances KW Security Stems:* No.of Devices or Equivalent No.of Water No.of Heaters KW No.of Data Wiring: 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 �P� Inspections requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the e the licensee provides proof of liability insurance including"completed p rcoverage or a of isel substantial ubs al work may issueent. unless undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing offi office. The CHECK ONE: INSURANCE IR BOND 0 OTHER ❑ (Specify:) I certify,under the pains and enalties ofperjuiy,that the information on this FIRM NAME: ?�r til�k r, 1 . � application is true and complete.LIC.NO.:.: t / Licenseeit4,4 rn D +2..-�r,S Signature �L / (Ifapplicabl enter"exempt"in the license number line.) �y LIC.NO.:/ "7 --� Address: box.t4.15 C 4.mv{L (Ti Pr OZS 6/ Alt Bus.Ter.No.:57j P 7?1 69 yC *Per M.G.L.C. 147,s.57-61,security work requires Department of Public Safety"S"License: Tel.N. OWNER'S INSURANCE WAIVER: Lic.No. 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 Owner/Agent one)(]owner ❑owner's agent. Signature Telephone No. PERMIT FEE:$ n)d -pIrn MCAIec'rcr fp