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Home My WebLink AboutBLDE-21-007530 BLD 100 Commonwealth of Official Use Only il Ill:...'i Massachusetts Permit No. BLDE-21-007530 ` te 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 light,,' 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 Abo ❑ In No.of Emergency Lighting grnd.ve 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 ❑ 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 Siens 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 ❑ 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 Qat. L e / �+z Official Use OnlyCommenweakk of! addaduldet ��f Permit No. �sw ` !in aePattneri �„ re Swami • j 'T Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev.1/07] (leave blank) . py spa APPLICATION PERMIT O ER IT TO ERFORMELECTRICAL RICAL WORK All work to be performed in aceordance with the Massachusetts Electrical Cade (PLEASE PRINT IN WIC OR TYPE ALL INFORMATION) Date:-' ,527 12.00 City or Town of: � 2 ZOZ� - By this application the undersigned eves f ln's or her intention to To the Irlsp or of tress _ Location n _ perform the electrical work described below. (Street&Number) 3 y-C I YYI S y' --- !j 1c�i ( b 0 Owner or Tenant 9V1/4-12,4r1+ �,Owner's Address �r oO /„ tv1 en. Telephe(40. (a I-7 Z;2p Is thispermit �.�4 S 0 t , in conjunction with a building permit' Yes 0 No ` ) / Purpose of Building ❑ (Check Appropriate&►x) Existing Service Utility Authorization No. Amps • / Volts Overhead 0 Undgrd❑ No,of Meters New AtEda Amps / Volts Overhead 0 Und grd'Number of Feeders and Ampacity 'd 0 No.of Meters Location and Nature of Proposed Electrical Work: No.of R Com,!Won of the folly • table mn be waived b the Ins, ecessed Luminaires No.of Ceti.-Susp.(Paddle)Fans No.o s _ or o Wigs: uminaire Outlets No.of LTransformers KVA No.of Hot Tubs No.of Luminaires Generators KVA _• No.of Receptacle Swimming Pool ,,6 de ❑ n- .o mergeacy :, : ,g ptacle Outlets = `d' ❑ Units No.of Oil Burners No.of Switches i FIRE ALARMS No.of Zones No.of Gas Burners _ • o.o erection and No.of Ranges j - Initialla' Devices No.of Air Cond. -- otai No.of Waste Disposers :eat amp ,er _ Tons No.of Alerting Devices Totals: M i ons ',Was o.o '- -Contained No.of Dishwashers �'Det�ection/A1e No.of Dryers Space/Area Heating ic`v . ' 'Local 0 ' Devices w. O `o°o 'pater Heating APFPiar ces Kw .T.. on 0 met Heaters KW o.o • O.Q No.of i • ces or E uivalent Ballasts Data Wiring: No.Hydromassage Bathtubs Na of Devices or E,nivalent No.of Motors Total •HP ecommunications z' nngg OTHER: No.of Devices or E I aiva7ent • Attach additional detail ifdesked,or as Work to Start: (When required by municipal policy.) i,ed by the Inspector 4fWires Estimated Value ofElecttical Z7Vor1t;Inspections to a equested in accordance with MEC Rule 10,and upon completion. IN licenseeSUBANC t COVE GE:-Unless waived by the owner,no permit for the performance of electrical work may issue unless theprovides proof of liability insurance including"completed operation"coverage or its substantial e undersigned'cerhfies that such coverage CHECK ONE: INSURANCE jg �in 0 OT has S exhibited proof of same to the permit issuir, rdfficemvalent The I certify,under i pains and BOND 0 (Specify;) FIRM N �oJ`Pe►'ft that ar the information on ibis appiicatlon is trite and conrpleie: NAME; � Licensee:Mir-n" 6 d,. is - • LIC.NO.: (1-f applicabl nter"exempt"in the a license number line:) stare Aaaress: kg.04 g s LIC.NO.:I— e3�-.- "Per M.G.L.c.147,s.57-61,security work it �'b Bus.Tel.No.: a$- 4r Z 4 y� OWNER'S INSURANCE W requires Department of.Public S Alt TeL No.: r A1VER: I am aware that the Licensee does noot Safety the liability Lic.No. . required g law. By my signature below,I hereby waive this requirement I am the insurance coverage normally Ownred by la (check one) ■ owner ■ Signature _-- owner's :,� ,t, Telephone No. : -