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Home My WebLink AboutBLDE-21-007532 BLD 300 Commonwealth of Official Use Only N.\', Massachusetts Permit No. BLDE-21-007532 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 lighting 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 ❑ 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 C - Crommoncvea&01//laddacLradeitd Official Use Only Permit NO. Zepartment o I. re..�ewricad ' Occupancy and Fee Checked .. BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/073 (leave blank) _ APPLICATION FOR PERMIT T '; ERFORM ELECTRICAL• WORK All work to be performed in accordance with the Massachusetts Electrical Cade ,527 12.00 (PLEASE PRINT IN INK OR TYPEALL INFORMATIO11) Date: Le 2 '2,49Z,I _ City or Town of: To the Insp or of Tres: By this application the undersigned "yes notice of his or her intention to perform the electrical work described Location(Street&Number) �j ( �Yl P YeL- fl 3 l� below.) Owner or Tenant A-v e�.5t�p 0 �2��'�' M¢�v(.S Teleph e�l�o. (o I'] " 3 20'-- Owner's Address A- /A O rf rvS4 Q 1':s this i `7 --�' Permit ht conjunction with a buil g permit? Yes 0 No Purpose of Building El (Cheek Appropriate Box) Utility Authorization No. Existing Service_ Amps • / Volts Overhead 0 Undgrd ElNo.of Meters St/Iran Amps / Volts Overhead 0 Undgrd 0 No.of Meters ..Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work; a • Cons lotion o/t&fblio ,:table m, be waived, ,the Ins,ectoro Wires No.of Recessed Luminaires No.of Cell.Susp.(Paddle)Fans otal o.of Transformers KVANo.of Luminaira Outlets Na of Hot Tubs Generators KVA No.,bf Luminaires Swimming _ bove a.. ,o.o 'limners e , : i g - No.of Re ceptacle Outlets No.of Oil Burners No.of Switches FIRE ALARMS No.of Zones No.of Gas Burners - o.o e 'on and No.of Ranges - Initiatin r_Devices No.of Air Cond. Te Tons No.of Alerting Devices No.of Waste Disposers eat To um,ar ons '_r, `-o.o S- -Contain No.of Dishwashers - j Deapcdon/Alertin_Devices . No.of Dryers Space/Area Beating KW ' Local CI connect.," Other n 0 ryes Conteec�o • Heating Appliances :r*� _,•- - o.o j BeatersYat KW �o.o a 4 KW No of ► • ,- or E 4 trivalent . g�� Data Wiring.. No.RydromassageNa of Devices or r t uivalent Bathtubs No.of Motors Total •BP e ecommunications Fi ring: OTHER: No.of Devices or E, ,Iva-lent pr1r; Attach additional detail(([desired,or as.requt by the Inspector of Wires. Estimated value ofElectrical'V Work to Start Inspections (When required by municipal policy.) P to requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE:.Unless waived by the owner,no the licensee provides proof of liability insurance including"cofplp etedtt pie rtiod�cov�e or ielectrical substantial v'ork may l unless undersigned-certifies that such coverage is in force,and has exhibited proof of same to the permit issuing equivalent The CHECK ONE: INSURANCE X BOND ❑ OTHER IFIRM NAIVIE;cent ,undo, e pains and penalties o r that the information on this application is tare and complete. ni ifl � t Q�!...�(d C. - LIC.NO.: Licensee:-WK.C../.- o is e (1}'applicabl rater"exempt„in the license munber line LIC.NO.:/'� s�.-` Address: � '_ !2 � t� Bus.Tel.No.: �8-'77fr 1L1 tt *Per M.G.L.c.147,s.57-61,security work requires Department ofPublic S AltTeL Na: • OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have"the liabilityLicense: insuranceLa . c required by law. By my signature below,I herebywaive this wne coverage normally a Owner/Agent requirement I am the(check one)❑owner ❑owner's agent. Signature Telephone No._________)PERM/T.FEE:$ $ 0 , OJ I P/14 'e s'�Bl� .c a PtS Ar .9...A a.. ice'