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Home My WebLink AboutBLDE-21-007536 BLD 700 Commonwealth of Official Use Only Massachusetts Permit No. BLDE-21-007536 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 , ;,u Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil: No.of Total Susp.(Paddle)Fans 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 Space/Area HeatingLocal ❑ Municipal No.of Dishwashers P KW Connection ❑ Other HeatingAppliances KW Security Systems:* No.of Dryers PP No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Siens Ballasts No.of Devices or Equivalent Telecommunications Wiring: No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. required bymunicipal policy.) Estimated Value of Electrical Work: (Whenq P P y' 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 LIC.NO.: 17520 Licensee: Paul M Morris Signature (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 'PERMIT FEE: $80.00 I Signature Telephone No. 4- i '&,h-i Commonwealth o/i,/aesackudet S Official Use Only Iii„ ,fir. cc�� cc77 Permit No. �Zf—'75 3 ‘P ro !, 2)eparbnento/5irae�ervicee I j Y 7 Occupancy and Fee Checked > BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/073 (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code ,527 AMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Le ZZ 7 oZI _ City or Town of: Art.„.„„.,.. ....„. To the Inspec or of tires: - By this application the undersigves notice of his or herintention to perform the electrical work described below. Location(Street&Number) .-2)P Pn(yt,p Ile, 13 tom:.1. -J O b Owner or Tenant -KA-/Q w p p Clo.k A1/4---12 Ai'± AA eivAS Telepho e P o. (0 /1 " 20 Owner's Address ° Is this permit in conjunction with a buildfmg permit? Yes ❑ No ❑ (Check Appropriate Box) Purpose of Building _ Utility Authorization No. Existing Service Amps - / Volts Overhead❑ Undgrd❑ No.of Meters New Service Amps / Volts Overhead 0 Undgrd❑ No.of Meters . Number of Feeders and Ampacity l .. g Location and Nature of Proposed Electrical Work: ele/ac.� lea i gip ea e. .eay,'k7 zi • Completion of thefollowing table maybe waived by the Inspector of Wir es. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of. Total formers KVA No.of Luminaire Outlets No.of Hot Tabs Generators KVA - No.bf Luminaires Pool swimming Above In- 1vo.of Emergency Lighting i�� ❑ mid. ❑ 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 - Total - Initiating Devices No.of Ranges No.of Air Cond. Tons . No.of Alerting Devices No.of Waste Disposers -Heat-Pump Numbr Tons KW- No.of Self-Contained Totals: Detection/Alertin�Devices No.of Dishwashers Space/Area HeatingKW Muriel • Local❑ Connection 0 Other No.of Dryers Heating Appliances KIP 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 ifdesired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start inspections to requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVE GE:-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 issuipgaffice. CHECK ONE: INSURANCE j BOND 0 OTHER 0 (Specify:) , • I certify,under a pains and penalties of perjury,thatat the information on this application is trite and complete. FIRM NAME_, {� jl t��i 'p0 aC,,t �()C , LIC.NO.: Licensee:r¢ /-(bi.o d•-is Signature r/+,;, LIC.NO.: !15? A (Ifapplicabl nter"exempt"in the license number Elite.) Bus.Tel.No.: 5 b •7 7 G.- ,L/tf- Address: 45#ie 2 ,3 ."' `•r-At-iI4 4 fq L Ai it- a 2 5-1/ 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(check one)0 owner 0 owner's agent. OwnerlAgent Signature Ate, Telephone No. �'� FEE: $ . P`4Pi.t aC.. * CPA.0di .aa..i°"