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Home My WebLink AboutBLDE-21-003554 common area nor Commonwealth of ii_ Official Use Only ;. '�' Massachusetts Permit No. BLDE-21-003554 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:12/26/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives no ice o us or er men ion o per on a ec Ica work described bel I Location(Street&Number) 345 CAMP ST V El\(WQ� .1)Mal S Owner or Tenant CHARLES WHITE MANAGEMENT INC !!rr 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 Iighting.(Common area) Completion of the following table maybe 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 /k *i/ , { t.rommonweal�o/I/Ia43achuoelt Official Use Only �. T 2t—3 . i� Permit No. �3. epartment o/ ire ervices f-e Occupancy and Fee Checked ,.�` . BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 MR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: I Z// / Zo' j City or Town of: To the Inspector of ires: By this application the undersigned .ves notice of his or her intention to perform the electrical work described below. Location(Street&Number) 3 7, GAkyti. S-j-/_- Owner or Tenant 2A./e^ f. �, O j\ A,/4 l�c..,„1-1 Telephone No.( 1 1 7)D) Owner's Address e/l a Is this permit in conjunction with a building permit? Yes No ► I (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / -__ Volts Overhead ❑_ 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: (} eik,e4.. Li ei -- U5/„ -ems (71-4 s)oE-t_ Co iv, /wrvJ Prels iAt rf v�-t r Completion o the following qg table may be waived by the Inspector of Wires. No.of Recessed Luminaires Na.of Cell.-Susp.(Paddle)Fans No.of Total Transformers KVA , No.of Luminaire Outlets No.of Hot Tubs Generators / "' KVA Above ❑ In- ❑ No.o11r'merge cyi 'ti No.of Luminaires Swimming Pool grad. grad. Battery Uni >.,� No.of Receptacle Outlets No.of Oil Burners7 !FIRE AL of Zuaes� , '- No.of Switches No.of Gas Burners No.of De1*c' n and' Ini ' ti, ces �� a►�- No.of Ranges No.of Air Cond. TonTots No.of Ale ,De'v@ :_, 49 //i ` Heat Pump Number Tons KW No.of Self-Conta`iC( No.of Waste Disposers Totals: _Tons._ �""` i Detection/Alerting D s '"". No.of Dishwashers Munici al Space/Area Heating KW Local p, ❑ Connection ❑ No.of Dryers Heating Appliances KW unity 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 if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: P�jP� Inspections 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 enalties ofperjury,that the information on this application is true and complete FIRM NAME: P 1r ill £42y. L t �r / LIC.NO.: Licensee(-w( f"fl a f_.Q-"LS Signature /,..0�./, LIC.NO.:/ 17 A— (If applicable enter"exempt"in the license number line.) Bus.Tel.No.:5Z)Y 771V 6 e1 Alt Address: -18OX.445 S1 +Iowaif- /R Pr 07-S 6/ 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. Owner/Agent Signature Telephone No. PERMIT FEE:$ g0 • (1) -pm m QJI e -r`c, L c keetA k. r\e--