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Home My WebLink AboutBLDE-21-007533 BLD 400 Commonwealth of Official Use Only a: ;FEMassachusetts Permit No. BLDE-21-007533 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 of 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 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: Upgrade exterior lightin " 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 d ❑ grnd ❑ No.of Emergency Lighting rn 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 Heat Pump Number Tons KW No.of Self-Contained No.of Waste Disposers 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 Water No.of Devices or Equivalent Heaters KW No.of 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: 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(If applicable,enter"exempt"in the license number line.) Tel. NO.: 17520 Address:PO BOX 213,1 COUNTRY WAY,SAGAMORE MA 025610213 Bus.lt. Tel.No.::: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Alt.Tel. 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. ek ' PERMIT FEE:$80.00 } - ao+moruveat e/J �a:�daduldeL� �� Official Use Only ' 33 K c7 ./ j+ 3 t epatiment ol. re Serviced Peiznit No. C2� "`�t� x :" SQARt3 OF FIRE PREVENTION REGULATIONSOccupancy and Fee Checked [Rev.1l07J (leave blank) APPLICATION FOR PERMIT TO ' ERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (PLEASEPRIAI:1''ININK OR TYPE ALL IN.FORMATIO119 Date: . le ,527 lzoo City or Town of To the Irrs or o 7.OZ By this application the undersigned gives notice of his or her intention P f zres: Location(Street&Number) Perform the electrical work described below. Owner or Tenant '� ` Owner's Address °° S Teleph a o. G i 1 - 320 — Ls this permit in conjunction with a building permit? Yes ❑ (Check A Purpose of Building No ❑ Appropriate Box) Existing Service Utz,Authorization No. Amps Volts Overhead❑ tlnd d ew S •cAmps IP' ❑ Na of Meters Number of Feeders and Ampacity /--Volts Overhead 0 Undgrd Location and Nature 0 Na of Meters } . ature of Proposed Electrical Work: :'' a 0 f No.• of Recessed f, Com,letion ofthe •1, table in, he Luminaires No.of Cell w waived ,the tits.ectw•((Wires. No.of L �(Paddle)Fans No.o - . umiaaire Outlets T ransfolmers otal Na of Hot Tubs KVA No..bfLuminaires Generators Sadmming Pool = �l e ❑ n.. ,a,o m � _reed. ❑ a cY i g No.of Receptacle Outlets Na of 01l Burners No.of Switches IMRE ALARMS No.of Zones No.of Gas Burners . •.. No.of Ranges a o f etection and No.of Mr Cond. - otal IaitiatinDeces � No.of Waste Disposers eat °ump 'um er Tons r No.of Alerting Devices Totals: "1 um i o e of'TF No.of Dishwashers Detection/eortin Devices No.of D Dishwashers Space/Area Beating r �- Localu pe 0.0 r Hag Appliances KW 0 Co _ n ❑ Other rater Heaters KW `a o Na of + . ' ce.s or E uivalent No.'g3'dromassage Bathtubs Si Blasts Data Wiring, No.of Motors - Na ofDevices or =uivalent OTHER: Total HP T ecomm cations_i _' No.of Devices or :,aiva7ent Estimated Value ofElechicaI-Work: _ Work to Estimated StartAttach additional detail"desired,cipa or es ��,9, (When required by municipal policy-) by the Inspector of yYii�s INSURANCE COVE Inspections tested in accordance with the licensee GE:-Unless waived by the owner,no MBC Rule 10,and upon completion. the licensee i provides proof of liabilitypermit for the performance of electrical work may issue unless gnee provides es that such coverage insurance including completed operation"coverage or its substantial equivalent CHECK ONE: INSURANCE ig BO is in D ❑force, THEand R 0ex (Sp proof of same to the uigbffice ent The Icertify,under to a �,.) Permit issu' FIRM Nam: P es ofperjtttY,that the infortnatlou on this application is Licensee: �-- true and complete (lf applicabl n ."arcing' 'l3 Signatare�, z ` • LIC NO.: Address: ir i i the mutrber line) LdC.NO:��gj -- *P�M.G L.c.147,s.57-61,securityd Bus.Tel No.:., Plii: tr /I.q OWNER'S M.G. INSURANCE work requires DepartmentSafety"S" License: Alt:TeL No.: tf• ofPublic OreWNed ' law.IN B m WAIVER: I am aware that the Licensee does not have the liability insurance co . Owner/ y Y signature below,I Signature hereby waive this requirement I am the(check e insurance coverage normally Telephone No. ) owner II owner's:_ nt.