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Home My WebLink AboutBLDE-21-007531 BLD 200 of Commonwealth of Official Use Only �-.-�P'i Massachusetts Permit No. BLDE-21-007531 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 ❑ 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 OLOc /giL, i P. C. ammanwealt'h of!/Jaddadzadeitd Official Use Only ,,,IT eparftnen:t o/,.yire Serviced Permit No. �� S e BOARD OF FIRE PREVENTION REGULATIONS• Occupancy and Fee Checked * [Rev.1/07J (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Cade ,527 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dnte: Le 2 7,0z4 : City or Town of: � II-QAVvr‘.4.. .„ To the Insp or of zres: By this application the undersigned 'yes notice of his or her irate` ti to perform the electrical�O w Location(Street&Number) %' eAky C -)'eL fl '3 l kd below. Owner or Tenant e o 0 j--" `\---1).\ M�[S Telephp(- L Owner's Address Pryra,.tS QA o r � o. (0 1/ " �j ' r Is this permit in conjunction with a building permit? Yes ❑ No I 1Purpose of Building ❑ (Check Appropriate Box) Utility Authoriaalion No. Existing Service___ Amps . / Volts Overhead New_ 0 Undgrd 0 No.of Meters Amps / Volts Overhead❑ Undgrd 0 No.of Meters .•Number of Feeders and Ampacity Location and Nature of Proper Electrical Work: Na of Recessed Luminaires Con, can of the Poll, ^table rn be waived b the far,talon o Wire, No.of Cell.-Susp.(Paddle)Fans No.0 _ es otal Transformers VA No.of Lu minaire Outlets No.of Rot Tubs No..-of LuminairesGenerators xn� ' Swimming Pool A ,eve ❑ ,o.o m cy No.of Receptacle Outlets 'n'd. ❑ Butte rU r ` •"g • No.of Oil Burners No.of Switches ALARMS No.of Zones No.of Gas Burners • 'o.of'electron and No.of Ranges Initiatin Devices No.of Air Cond. - otal Tons , No.of Alerting Devices No.of Waste Disposers Teat•amp Tom,er ons T Totals: ` o ' No.of Dishwashers DeteetioalAllertin_Devices Space/Area Heating KW - • Local ' 1?a ❑Co, - 0 Other No.of Dryers -"'o.o ) ater sealing Appliances Kw n Heaters KW ° O.of No.of + • ens or E.uivalent Si,t - Ballasts Data Wiring: No.Hydromassage Bathtubs Na ofDevices or r trivalent No.of Motors Total •HP ecommunica.ens 'firing: OTHER: No.of Devices or r,trivalent Attach additional detail ifdesired,or as required by the Inspector of Wires. Estimated Value ofElecttical Work: Work to Start Inspections (Whenrequired by municipal policy.) ttrequested in accordance with MEC Rule 10,and upon completion. INSURANCE CO '' GE:.Unless waived by the owner,no permit for the performance of electrical work may the licensee provides proof of liability insurance including"completed operation"coverage or its substantialequivalenty issueTh unless undersigned-certifies that such coverage is in force,and has exhibited proof of same to the permit issuing fce The _ CHECK ONE: INSURANCE X BOND 0 OTHER • I certify,tinder pains and penalties o u that the in❑fornniation on this application is true and complete FIRM NAME: fP�'% r.n'... ' Licensee:7 -nag,d,,0-%-s LIC.NO.: (If appltcabl��,,ggn „. Signature LIC.NO.:j75 ;-- Address: wnt�C enp i e license number line) - e #i i-9 Bus.Tel.No.: �8--,2br Qj ry 4 tt *Per M.G.L.c.147,s.57-61,security work requires Department ofPublic Safety"S"License: Alt.Lic.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)❑owner Owner/Agent ❑owner's agent. Signature Id�j Telephone No. J FERli?.1?'FEE:$ $ p , 00 I ��a.� 8P �'!e '.0 ,+e.11 - . Sin'