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Home My WebLink AboutBLDE-22-001075 Commonwealth of Official Use Only E` 1 Massachusetts Permit No. BLDE-22-001075 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:8/25/2021 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) 7 DUPONT AVE Owner or Tenant FUSHI-MAHONEY LAUREN JANE Telephone No. Owner's Address PROGRESSIVE REALTY TRUST, P 0 BOX 174,SOUTH YARMOUTH, MA 02664-1203 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 lighting. (PROGRESSIVE REALTY TRUST l,/v Completion of the fol.. a-_ t P •PcIt 46v ' by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No. r • Total Transfor 1 4f7N KVA No.of Luminaire Outlets No.of Hot Tubs Generators 0 A No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of .HT. 46 No.of Switches No.of Gas Burners No.of Detection and Initiating Devices /2 No.of Ranges No.of Air Cond. Ton I No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine 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 Eauivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Eauivalent 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 my signature below,I hereby waive this requirement.I am the(check one) ❑ owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $80.00 ( nq .. - c q . 3 ( Commonwealth.o/Ma33aelire3ett3 Official Use Only 11 �'ig+' t c� c� Permit No. — �:- G�� d__ 1 f--71 9 2epartment° iro&Puked ='j'�= Occupancy and Fee Checked ' BOARD OF ARE PREVENTION REGULATIONS Rev. 1/07 ] (leave blank) APPU CAA lO iN FOR, PC RRET TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts ElectricaI Cade(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: g'/ / g /d-0 2--/City or Town of: V , -Q -}- To the Inspecttor of W ires:By this application the undersign pies notice of his or her intention to perform the electrical work described below. Location(Street&Number) )v e�d r'1±- %V e.�Yl()e, Owner or Tenant ('v el ( _c i.v.n i / ` /e-I----C 7-- Telephone No. -7 7 I Owner's Address t Vl 1 1( ' 1'YLcd_ ' 0 e\ 0_L4 CLYY Is this permit in conjunction with a building permit? Yes No I (Check Appropriate Purpose of Building Box) Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd E No.of Meters New w Service Amps / Volts Overhead Undgrd Number of Feeders and Ampacity No.of Meters Location and Nature of Proposed Electrical Work: yPia.e_ R � p,f.1.-a c' . :____Lie,____LiS .4 �� Cons,tenon of the followin• table ma be waived by the Ins'ector of Wires. No.of Recessed Luminaires No.of Ceil.-Sus . No.of- p (Paddle)Fans Transformers Total No.of LuminaiE a Outlets KVA • No.of Hot Tubs Generators KVA _- No.of Luminaires Swimming Pool Above I T In- No.of Emergency Lighting No.of Receptacle Outlets _rnd. ❑ Batte ,Units No.of Oil Burners FIRE ALARIVMS No.of Zones � No.of Switches ' No.of Gas Burners , No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons No.of Alerting Devices No.of Waste Disposers Heat Pump Nurnber Tons - No.of Self-Contained Totals:I -_� "_�w __ ____.[KW_ Detection/Alertin No.of Dishwashers Space/Area Heating KW g Devices 1Lo1❑ Muicipal ®titer No.ofYDers �onnecfion Heating Appliances County Systems: No.of Water I No.of No.of Devices or E,uivalent Heaters °'of Data Wiring: Si. s Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total EirP Telecommunications Wiring: OTHER: No.of Devices or Equivalent • Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work1(7j Work to Start (When required by municipal policy.) Inspections requested in accordance with MEC Rule 10,and upon completion. INSURANCE OV)E 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 issuingoffice. CHECK ONE: INSURANCE JE BOND ❑ ❑ OTHER (Specify:) I cetwify,wider the pains and penalties of pedury,that the information on this application is trite and complete. FIRM NAME[PM � f e&i-n L..-_ .�!)-,(D LIC.NO.: Licensee:? ./ nt 6 ,,—;--s si i,atiire g . pry.. LIC.NO.: (1 A-- (If applicabl nter"exempt"in the license number line.) Address: 111 2 !.2 Y> -a q•� � o•2. Bus.Tel.No.: • --77(�r 4j L '''Per M.G.L.c. 147,s.57-61,security work requires Department of Public S Safety"S"License: Alt.Lic.No.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by Iaw. By my signature below,I hereby waive this requirement. I am the(check one)❑owner_ ❑owner's agout, Owner/Agent Signature Telephone No. PERMIT FEE:$ gU. Pe,/mac- IPipt.t44 m . , - r _. r