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Home My WebLink AboutBLDE-21-007535 BLD 600 ,f, Commonwealth of Official Use Only 11 Massachusetts Permit No. BLDE-21-007535 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 pertorm 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- ElNo.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 ❑ (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 r tr IMMOnraeaftts of Maddaenusetts Official Use Only �j S• ff cc�� cc�7� J) L ✓✓ 3� M dJepartrnen#o�.�+`ire�ernlcee Permit No.C -� am Y BOARD OF FIRE PREVENTION REGULATIONS Occupancy 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 Code ,527 12.00 alLEASE PRDIT ININIC OR TYPE ALL INFORMATION) Date:, 4 2 7,0Z4 City or Town of: To the Inspector of tress By this application the undersigned 'yes notice of his or her intention to perform the electrical work described below. Location(Street&Number) ..2j C ltyv.p S-y�-- 3 �t� Owner or Tenant 0 0 S Telephe,(J'o. Co !1 " 32-0 Owner's Address Pr 1 @�I O Crl ram-4 0 ! 1 a/4.� , Is this permit in conjunction with a btuldmg permit? Yes ❑ No ❑ (Check Appropriate Box (-- Purpose of Building ) Existing Service Utility Authorization No.fps - / Volts Overhead 0 Undgrd 0 No.of Meters New Service Amps / Volts Overhead❑ Un .-Number of Feedersand Ampacity 'd 0 No.of Meters Location and Nature of Proposed Electrical Works e No.of R Com,!ellen o the ollowin-table m, be waived the t ,ector of Wires ecessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.o -otak . No.of Lunninaire Outlets Transformers KVA No.of Rot Tubs Generators KVA • No.of Luminaires swimming Pool ; bove .n. ❑ 0.0 m i d. ❑ , , Da lnie Esency �s g - No.of Receptacle Outlets No.of Oil Burners No.of Switches >H'IRE ALARMS No.of Zones No.of Gas Burners . • ; 0.0 '1 etection an. No.of Ranges ; -Initiathi, Devices No.of Air Cond. - 0}: Tons No.of Alerting Devices No.of Waste Disposers :eat 'ump 'um,er -ors r-�, 0.0 -, Totals: , .amain• De No.of Dishwashers �tion/Meriin-Devices Space/Area Beating KW u, Win No.of Dryers . Heating Appliances _:Local 0 C0 n ❑ Other • 0.0 rater iK�6► �,+-a .. Resters KW o.of 0.Q No.of ►curses or E nivalent • Si Ballasts Data Wiring: No • e eco.RYdromassage Bathtubs No.of Motors Total HP No.of Devices or E'ajng t communica8ons 'irmmgg: OTHER: No.of Devices or E ulvalent Estimated Value of Elecrical Work: Attach additional detail((fdesired,or as required by the Inspector of Wires Work Start required by municipal policy.) SURAN�CO GE: Inspections t requested in accordance with MEC Rule 10,and upon completion.-unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability theundersigned-certifieslicensee p ovi proof such cover insurance including"corilpleted operation"coverage or its substantial equivalent. The CHECK ONE: INSURANCE coverage is in force,and has exhibited proof of same to the permit issuingoffice. BOND ❑ OT13ER 0 (Specify:) • Icerti Nunde: its d penalties ofpedury,that�the information on this application is tram and complete FIRMV ecii-rt, C..c .. LIC.NO: Licensee: -I.m 0^i•-•1 Signatnre ,r, � (�.fapplicabl rater"exempt"in the license �"' ':' +�""' LIC.NO.:�''j '- Address: �1! ! mmrber lrne) Bus.TeL No.: �8--`77 br /.10 7 tt 4-" ' - C$ Pi/4- &2 3/ Alt Tel.No.: 'Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: 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 , Owner/Agent (check one)❑owner 0 owner's agent. Signature Telephone No. I PER1111T FEE:$ $ oT , ,M Rd p-s a-c._ gy a s6 A„ e.8.....4 4.. im'°